Understanding How Hearing Loss and Tinnitus Are Connected

Written by
Reviewed by
Patty Kalmbach, Au.D.
December 21, 2025

Most people with tinnitus also have hearing loss—even if they don't realize it yet. Research shows that approximately 90% of tinnitus patients have some degree of hearing loss, making these two conditions deeply interconnected through the way our auditory system processes sound.

How Your Auditory System Creates Tinnitus

When hearing loss damages the delicate hair cells in your inner ear, your brain receives less sound information from the affected frequencies. In response, your brain turns up its internal volume to compensate for the missing signals. This increased neural activity in your auditory pathways can manifest as tinnitus—the perception of ringing, buzzing, or other sounds when no external sound exists.

The phantom sounds you hear aren't coming from your ears. They're generated by your brain as it attempts to fill in the gaps left by damaged hearing. Think of it like a radio searching for a signal—the static you hear represents your brain's effort to process sound frequencies it's no longer receiving clearly.

This neurological process explains why tinnitus sounds vary so much between individuals. Your tinnitus reflects the specific frequencies where your hearing loss occurs and how your unique brain responds to reduced auditory input.

Why Hearing Aids Help Many Tinnitus Patients

Hearing aids address tinnitus by restoring the missing sound information your brain craves. When properly programmed devices amplify sounds at the frequencies where you have hearing loss, your brain no longer needs to work as hard to process auditory information. This often leads to reduced tinnitus perception.

Clinical studies show that approximately 60% of tinnitus patients experience relief with hearing aids alone. By providing your auditory system with the sound input it's missing, hearing aids can reduce the contrast between your tinnitus and your environment, making the phantom sounds less noticeable throughout your day.

Modern hearing aids offer additional tinnitus-specific features. Many devices include customizable sound therapy programs that deliver soothing sounds or specialized acoustic signals designed to provide relief. We verify every hearing aid fitting using real-ear measurement technology to ensure your devices deliver the precise amplification your ears need—not just manufacturer default settings.

When You Need Specialized Tinnitus Treatment

While hearing aids help many patients, some people require more comprehensive approaches. If you're experiencing significant emotional distress from your tinnitus, struggling with sleep disruption, or finding that hearing aids alone aren't providing adequate relief, specialized tinnitus treatment becomes essential.

We offer multiple evidence-based treatment options beyond hearing aids. These include FDA-approved Lenire bimodal neuromodulation, which uses tongue stimulation combined with sound therapy to retrain your brain's response to tinnitus. Our Neuromonics program delivers customized acoustic signals embedded in relaxing music to reprogram neural pathways. Tinnitus Retraining Therapy combines sound therapy with counseling to help your brain habituate to tinnitus over time.

Our Modern Tinnitus approach represents the most advanced treatment methodology available. This data-driven method uses biometric tracking to monitor factors like sleep quality, stress levels, and physical activity—identifying exactly which variables impact your tinnitus perception. We then adjust your treatment based on your body's actual responses rather than relying solely on self-reporting.

The Cognitive Health Connection

Both hearing loss and tinnitus share concerning links to cognitive decline. Research from Johns Hopkins University found that even mild hearing loss doubles dementia risk, while moderate loss triples it. The constant strain of trying to hear and understand speech depletes cognitive resources that would otherwise support memory and executive function.

Tinnitus adds another layer of cognitive burden. The persistent sound competes for attention with the mental processes needed for daily tasks, while the emotional distress many patients experience can affect concentration, memory, and decision-making abilities.

Addressing hearing loss properly becomes an investment in long-term brain health. We offer Cognivue cognitive screening alongside our hearing evaluations to monitor both auditory and cognitive function. This allows us to track how treating your hearing affects your overall brain health and adjust your care accordingly.

Our Comprehensive Approach

We complete more thorough testing than patients typically receive elsewhere, examining not just your hearing thresholds but also how well you understand speech in various environments and how your auditory system processes sound. This comprehensive evaluation allows us to determine whether hearing aids alone will address your needs or if specialized tinnitus treatment should be part of your care plan.

As an independent practice, we recommend solutions based solely on what's best for your specific situation—not sales quotas or manufacturer incentives. Many patients come to us after being told elsewhere that nothing can be done for their tinnitus. We're often the "last stop" where they finally find relief.

Schedule Your Comprehensive Evaluation

If you're experiencing both hearing loss and tinnitus, addressing these interconnected conditions can significantly improve your quality of life and potentially protect your cognitive health. Our doctors of audiology will conduct thorough testing to understand your unique hearing profile and tinnitus characteristics, then develop a personalized treatment plan using the most appropriate combination of hearing technology and specialized tinnitus therapies.

Contact our office at 303-534-0163 to schedule your comprehensive evaluation and begin your journey toward better hearing and tinnitus relief.

Written by
Reviewed by
Patty Kalmbach, Au.D.
Owner, Doctor of Audiology

Dr. Kalmbach received her Doctorate Degree in Audiology from Pennsylvania College of Optometry’s School of Audiology in 2007. She received her Master of Science Degree in Audiology from Colorado State University in 1987.