The Therapy
Precision Sound Therapy
Seemingly silent, highly tolerable.
An hour a day at a level you will mostly not notice, with your hearing re-measured and the plan refined as you progress. A non-invasive, at-home therapy with clinical guidance throughout.
Patient at home in calibrated earphones doing something ordinary. Nothing special is happening. Avoid anything that looks like a treatment session.
Per day, while doing something else
Roughly 30 to 40 days each, with a new calibration between segments
Minimum course length
Baseline, then review at day thirty and day sixty
A new approach
to tinnitus management.
Precision Sound Therapy starts with a 67-band measurement of your hearing, far more granular than a standard hearing test, to identify the specific frequency regions associated with your tinnitus.
A threshold-level signal is then calibrated to those exact frequency bands, set at the edge of what you can detect. The intent is to build meaningful improvement to tinnitus symptoms over time at the frequencies identified, rather than a general or one-size-fits-all signal.
Measurable progress
over time.
The course is structured as three segments, checking in every 30-40 days with your hearing care provider to optimize your therapy. Each one starts with a fresh measurement, so the therapy is aimed at your hearing as it currently is rather than as it was on day one.
Day 0 to 30
Establish baseline therapyYour first appointment: a 67-band Tinnitogram™, identification of the target frequencies, calibration in REVE134™, and your first sound file loaded onto a device with calibrated earphones. You leave with a daily routine.
Day 30 to 60
Re-measure and refineYour provider repeats the measurement, compares it against your baseline, discusses what you have noticed, and generates a more finely tuned second file from the current profile.
Day 60 to 90
Optimize againA third measurement and a third calibration. You and your provider review your progress against three sets of measurements and decide what comes next. Many patients continue with further segments or move to ongoing maintenance use.
One hour, folded
into a normal day.
Because the signal sits at the edge of detectability, therapy does not require you to sit still and concentrate. Most people run it while working, commuting, cooking, reading or exercising.
- Use the earphones you were given. The calibration is specific to them. Swapping in your own headphones changes the delivered level and undoes the precision.
- Sixty minutes, or two thirty-minute blocks. Whichever fits your day, as long as it happens daily.
- Do not increase the volume. If you can hear the sound clearly, the setup needs checking with your provider. A louder signal is not more effective; it simply no longer matches what was calibrated for you.
- Expect no change on day one. There is no moment of relief when a session begins. Most people find this counterintuitive, but it is entirely expected.
Same idea, different setting and ideally a different person and age group. Ordinary daily activity.
What to expect,
stated plainly.
Patients have reported a decrease in perceived tinnitus volume. That may include a decrease in pitch, tinnitus becoming intermittent rather than sustained, multiple forms of relief, or in some cases becoming undetectable. Results vary between individuals, and some people do not respond.
Normal to mild hearing loss
Subtle changes and a shift in how much attention the tinnitus takes up.
Moderate to moderately severe loss
Noticeable relief tends to be reported first.
Severe to profound loss
Sustained benefits, developing more gradually.
Who this suits.
Only a hearing care professional can tell you whether you are a candidate, and that assessment is part of the first appointment. Broadly, though, the pattern looks like this.
Often a good fit
- Ongoing tinnitus that you find bothersome
- You have been told your hearing is normal, and the tinnitus is still there
- You want a precise, measured approach rather than general advice
- You can commit to roughly an hour a day for at least twelve weeks
- An hour a day is realistically all the time you have for therapy
- Healthy cognitive function, since the measurement requires reliable responses
Discuss carefully first
- Severe high-frequency hearing loss alongside tinnitus, where cochlear dead regions may mean there is nothing at the target frequency to stimulate
- New, sudden, one-sided or pulsatile tinnitus, which should be medically evaluated before any therapy is considered
- Tinnitus accompanied by dizziness, ear pain or drainage, which needs medical assessment
- Sound sensitivity or hyperacusis, which changes how any sound-based approach should be introduced
- An expectation of immediate relief, since that is not what this method does
This page is educational and is not medical advice. It is not a substitute for assessment by a qualified hearing care provider, and it is not intended to diagnose any condition. If your tinnitus is new, sudden, one-sided or pulsatile, or comes with hearing loss, dizziness or pain, see a physician or audiologist promptly.
Questions
patients ask.
No tinnitus therapy is a cure, and any product claiming one is overstating its case. Precision Sound Therapy is a management approach, targeting a reduction in perceived volume and in how much of your attention the tinnitus takes.
Patients have reported a decrease in perceived tinnitus volume, tinnitus becoming intermittent rather than sustained, and in some cases becoming undetectable. Responses vary, which is why progress is measured at each review.
Mostly not, and that is intentional. The signal is calibrated to sit at the edge of what you can detect. You may occasionally be aware of it in a very quiet room. If you can hear it clearly and consistently, tell your provider, because it suggests something in the setup needs checking.
Most people who respond describe changes over several weeks rather than days, with more meaningful change developing across a couple of months. The horizon tends to be longer for people with more significant hearing loss. There is no immediate effect to look for on the first day.
No. The level is calibrated to the earphones you are given, and different earphones deliver a different level for the same file. Using your own would mean the therapy is no longer set to your measured threshold, which is the entire basis of the approach.
Resume the next day. Consistency is what matters, so an occasional gap is expected. Mention a longer run of missed days at your review, since it affects how your re-measurement should be read.
Often, yes. This is designed to sit inside a broader plan that may include amplification where appropriate, counseling and education, cognitive behavioral techniques, and sound enrichment strategies. Your provider will sequence it with whatever else you are doing.
Pricing is set by the individual clinic, and insurance coverage varies by plan and by what is being billed. Ask the practice directly when you book, and ask specifically what the full course covers, including the follow-up appointments and the device.
There is a consumer app, AudioCardio, built on the same underlying method and operated by the same leadership. It is a self-guided wellness product rather than a clinical protocol, without professional measurement or calibration. It suits milder needs. Where tinnitus is bothersome or persistent, the clinical protocol is the appropriate route.
Start with a measurement.
Precision Sound Therapy begins with fine-grain measurement of your hearing. We will help you find a practice that offers it.