Pulsatile Tinnitus SOS: 8 Tips from UK Specialists for Silencing the Pulse

Pulsatile Tinnitus

Pulsatile tinnitus, often described as a rhythmic or pulsing sound in the ears, can be distressing and disruptive. Unlike standard tinnitus, which involves continuous buzzing or ringing in ears, pulsatile tinnitus syncs with your heartbeat. If you’ve been experiencing this unusual auditory phenomenon, you’re not alone. Whether you’re seeking advice on managing pulsatile tinnitus or exploring the expertise of tinnitus specialists in London and across the UK.

Pulsatile tinnitus is characterized by the perception of rhythmic noises in the ears that coincide with your heartbeat. This condition can vary in intensity, from mild and occasional to constant and distressing. The pulsing sound may resemble a heartbeat, whooshing, or even clicking. Pulsatile tinnitus is typically associated with underlying vascular or blood flow issues, distinct from non-pulsatile tinnitus.

8 Tips for Managing Pulsatile Tinnitus:

While pulsatile tinnitus can be challenging, various strategies and lifestyle adjustments can help minimize the symptoms and improve your quality of life. Here are 8 expert tips to consider:

1. Consult a Tinnitus Specialist:

When dealing with pulsatile tinnitus specialists in the UK, know that these professionals possess specialized knowledge in diagnosing and managing tinnitus, including its pulsatile variant. They will conduct a thorough assessment, which may include a medical history review, physical examination, and audiological tests to determine the precise nature and underlying cause of your pulsatile tinnitus.

Your tinnitus specialist will work closely with you to create an individualized treatment plan tailored to your unique condition. They will also offer guidance and support throughout your journey to relief, ensuring you comprehensively understand your condition and the available options for managing it.

2. Investigate the Underlying Cause:

Understanding the root cause of pulsatile tinnitus is crucial for effective management. Vascular issues, such as arteriovenous malformations or turbulent blood flow, are common culprits. Middle ear conditions, like patulous Eustachian tubes or otosclerosis, can also lead to pulsatile tinnitus. Your tinnitus specialist will employ diagnostic tools such as imaging studies, Doppler ultrasound, or angiography to identify the cause.

Once the cause is determined, targeted treatment strategies can be implemented, addressing the source of the pulsatile tinnitus for more effective and lasting relief.

3. Manage Underlying Health Conditions:

For many individuals with pulsatile tinnitus, managing underlying health conditions is a key component of treatment. Conditions like high blood pressure, atherosclerosis, or vascular abnormalities can contribute to the condition. Managing these health issues with appropriate medications, lifestyle changes, and interventions can help reduce or eliminate pulsatile tinnitus.

Your tinnitus specialist will collaborate with other healthcare providers, such as cardiologists or vascular surgeons, to ensure comprehensive care and optimal management of contributing health conditions.

4. Tinnitus Retraining Therapy (TRT):

Tinnitus Retraining Therapy (TRT) is a highly effective approach for habituating to the tinnitus sound and reducing its impact on daily life. Under the guidance of a tinnitus specialist, TRT combines counselling and sound therapy to help you better cope with the perception of pulsatile tinnitus.

During TRT, you will learn strategies to reframe your perception of the sound, making it less intrusive and distressing. Sound generators or hearing aids may also provide a background noise that masks the tinnitus, making it less noticeable.

5. Sound Masking and White Noise:

In addition to TRT, using external sound sources for masking can be beneficial. Many individuals find relief by using noise machines or smartphone apps that generate soothing sounds, such as ocean waves, rain, or white noise. These sounds help distract from the pulsatile tinnitus and provide a sense of auditory relief.

By incorporating sound masking into your daily routine, you can reduce the prominence of the pulsatile sound, making it less bothersome and easier to manage.

6. Lifestyle Modifications:

Modifying your lifestyle can play a significant role in managing pulsatile tinnitus. Lifestyle changes that can help include:

  • Caffeine and Alcohol Reduction: Both caffeine and alcohol can exacerbate tinnitus symptoms. Reducing or eliminating these substances from your diet may lead to improvement in your condition.
  • Stress Management: High stress levels can worsen tinnitus perception. Engaging in stress-reduction techniques such as meditation, deep breathing exercises, or yoga can be beneficial in minimizing the impact of tinnitus on your daily life.
  • Consistent Sleep Schedule: Ensuring adequate and restful sleep is essential for managing tinnitus. Establishing a consistent sleep schedule and creating a quiet, comfortable sleep environment can contribute to better sleep quality.

7. Medication and Dietary Adjustments:

Medications may be prescribed to address specific aspects of pulsatile tinnitus. For instance, antihypertensive medications may be recommended if high blood pressure is a contributing factor. Your tinnitus specialist will carefully consider your medical history and overall health when determining if medication is appropriate for your condition.

Dietary adjustments, such as reducing salt intake, may also be advised, as excess salt can contribute to elevated blood pressure. Your specialist will provide guidance on dietary choices that support your overall well-being.

8. Surgical Intervention:

Surgical intervention may be considered for individuals with severe and specific vascular causes of pulsatile tinnitus. Procedures such as embolization or stent placement can help address vascular abnormalities near the ear. While surgical interventions are typically reserved for cases where other treatments have not provided relief, they can be highly effective in resolving the underlying cause of pulsatile tinnitus.

Your tinnitus specialist will carefully evaluate the appropriateness of surgical options based on your unique condition and medical history, ensuring you receive the most suitable and effective treatment.


Pulsatile tinnitus can be challenging to manage, but with the guidance of experienced tinnitus specialists, you can take proactive steps towards silencing the pulse. To explore your options and consult with tinnitus specialists in London and or other areas in the UK, contact ENT LDN. Their team of dedicated experts can provide a thorough assessment, personalized treatment plans, and ongoing support to help you regain control over your auditory well-being. Don’t let pulsatile tinnitus disrupt your life – take action today with ENT London and embark on the path to auditory peace.