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TINNITUS – THE MOST COMMON VA DISABILITY

Updated April 28, 2021 Veterans Disability

Tinnitus is a common condition for many military veterans. Symptoms include a
perceived noise in the ear, even though there is no external sound. Tinnitus is
often accompanied by hearing loss, and there are a few common causes.


COMMON CAUSES OF TINNITUS

 * Exposure to loud noise
 * Head trauma
 * Pressure changes
 * Secondary to other illness or injury
 * Growing Older
   



For some, tinnitus is a temporary nuisance that goes away in time or through
treating another condition. Others experience chronic tinnitus, which can range
in intensity from mild to debilitating. Symptoms are often worse at night and
other times of quiet when background noise isn’t drowning it out. There is
currently no cure for tinnitus, but several treatment options can manage
symptoms and help tinnitus patients live a more comfortable life.

Military veterans can receive disability compensation for tinnitus by filing a
VA disability claim. If the VA determines that military service caused your
tinnitus, you’ll receive a disability rating of 10% for that condition.


WHAT IS TINNITUS?

Tinnitus is a condition that causes a person to hear a sound in their ear even
though there is no outside noise. Most people associate ringing in the ear with
tinnitus, but other tinnitus symptoms include hissing, buzzing, or whistling in
the ear. The intensity of sound can vary significantly. Tinnitus can occur alone
or as a symptom of another illness.

There are two types of tinnitus. Subjective tinnitus is when a patient hears a
noise in the ear that is not produced by an external source, and only the
patient can hear it. The other form, objective tinnitus, happens when the
patient hears a noise in the ear that a doctor can hear as well. These sounds
are the result of a circulatory system or musculoskeletal system issue.
Objective tinnitus only occurs in 1% of patients.

Tinnitus can also lead to other conditions. It is not uncommon for people with
tinnitus to experience depression and anxiety because of troubling symptoms.
Some studies show that tinnitus can also make patients more susceptible to sleep
disturbances such as sleep apnea.

A widespread condition overall, tinnitus affects about 50 million Americans. It
is also prevalent in the veteran community, making it the most common disability
by the Veterans Administration. Since there are many causes of tinnitus, a
veteran must prove service connection to be compensated.


IS THERE A CURE FOR TINNITUS?

Presently, there is no cure for tinnitus, although researchers with the American
Tinnitus Association are diligently working to find one. There are several
treatment options available to patients to manage the condition. For some,
tinnitus is temporary and goes away over time. 

For people with chronic tinnitus, it does not go away. Those with chronic
tinnitus rely on a combination of treatment techniques that can ease the
severity of symptoms and lead to a more comfortable life.

Although there is no cure, there are ways to manage tinnitus symptoms. Some
treatments reduce ringing to manageable levels or alleviate them entirely. Many
patients try a combination of treatments to find what works best for them. Some
standard treatment techniques include: 

 * White noise machines: These devices produce low-level noise that masks the
   ringing in the ears
 * Hearing aids: Improving levels of hearing can reduce ringing
 * Masking devices: This is a white noise device worn inside the ear like a
   hearing aid
 * Anti-depressants: Some anti-depressant drugs can help in reducing ringing in
   the ears
 * Acupuncture: This technique is know to alleviate symptoms through pressure
   points
 * Dietary changes: Avoid alcohol, caffeine, and nicotine while increasing zinc
   and vitamin B
 * Stress management: Anxiety is a contributor, so stress management techniques
   can help relieve tinnitus symptoms

It is helpful for those who suffer from tinnitus to have several tools available
to manage their symptoms. Because tinnitus is often secondary to another
illness, it is essential to consult your doctor for diagnosis and treatment.
Sometimes treating the primary illness will cause the ringing in the ears to
stop.


COMMON CAUSES OF TINNITUS

There is no one definitive factor that doctors can pinpoint as a cause for
tinnitus. Several reasons can lead to tinnitus, and below are some of the most
common ones.


EXPOSURE TO LOUD NOISE

Noise exposure is a leading cause of hearing loss which also leads to tinnitus.
Noise-induced hearing loss is a common complaint from military veterans who
spent time in extremely noisy environments. Training on weapons ranges,
operating heavy vehicles and machinery, and conducting aircraft operations are
everyday situations for those on active duty. Although most service members wear
hearing protection, this does not eliminate exposure risks. Many veterans
experience some level of hearing loss or tinnitus due to exposure to loud noise.


HEAD TRAUMA

Traumatic brain injury (TBI) is another common disability suffered by veterans
who have experienced a traumatic injury during combat, often caused by
improvised explosive devices (IEDs). For those who suffer from TBI, hearing loss
and tinnitus are common secondary conditions. Tinnitus can either be temporary
or chronic for TBI veterans.


PRESSURE CHANGES

Another possible cause of tinnitus is pressure changes that impact the middle
ear. Many outside forces can change the pressure that is inside your ear.
Activities like swimming, diving, and flying can cause pressure changes. Being
at a higher elevation than you are used to also causes pressure changes.
Veterans with TBI have often experienced percussive explosions that cause a
severe change of pressure in the ear.

Internal factors also cause an increase in ear pressure, like circulatory
problems, sinus infections, and the common cold.


SECONDARY TO OTHER ILLNESS OR INJURY

If you are experiencing tinnitus, it may be because of another illness or injury
that you have. Tinnitus often occurs alongside hearing loss, so any condition
that can lead to hearing loss can result in tinnitus. Any head or neck injury
that damages nerves in the area may lead to tinnitus also.

Peripheral vestibular disorder, a condition that causes vertigo, can cause a
ringing in the ear. Another similar inner ear disease called Meniere’s disease
may also contribute to tinnitus. Along with inner ear problems, a circulatory
condition that changes blood flow around the ears could be to blame for ringing.

Lastly, mental health conditions such as depression and anxiety often lead to
tinnitus. Mental health problems can result in all sorts of symptoms in the body
due to the balance of mind and body on overall wellness.

For cases where there seems to be no apparent cause for ringing in the ear, pay
attention to other clues your body may be giving you about healthy changes you
may need to make in dietary and exercise habits.


GROWING OLDER

Another common cause of tinnitus is aging. When we age, our hearing often
declines, and as hearing loss sets in, tinnitus may be present also. Treatments
that help hearing loss, such as a hearing aid, may help in the severity of
tinnitus symptoms.


HOW DOES THE VA RATE TINNITUS?

The standard VA disability rating for tinnitus is 10%. If you experience
tinnitus symptoms in both ears, it’s still a maximum rating of 10% (as opposed
to 10% for each ear). If you have hearing loss along with tinnitus, which is the
case for many disabled veterans, the VA will compensate for both. If you have
both tinnitus and hearing loss, be sure to claim them both.

What if you experience hearing loss years after your active duty discharge? You
can still claim hearing loss. You’ll need to submit evidence that you were
frequently exposed to high levels of noise during military operations. This can
come in the form of lay evidence, sometimes referred to as buddy letters, that
attest to the fact that your military duties included excessive noise exposure
such as munition ranges, equipment maintenance, or aviation assignments.

Tinnitus can be hard to diagnose. The VA will conduct a C&P exam to verify your
tinnitus diagnosis. You will take at least two tests at this exam, a speech
recognition test, and a pure tone audiogram. Together, these test results are
analyzed to come up with a tinnitus diagnosis.


IS TINNITUS A PERMANENT VA DISABILITY?

The VA can conduct a reevaluation to determine if the veteran’s condition has
improved. Typically, these reevaluations occur six months after discharge or two
to three years after the VA initially awarded disability. If this happens,
you’ll receive a notice that the VA is reevaluating your disability, and they
will conduct another hearing test along with any other required examinations.

If the VA finds that your condition has improved or gone away, your disability
rating will be reduced. As always, you have the right to appeal this decision
and consult with a VA disability lawyer.


HOW TO ESTABLISH A SERVICE CONNECTION FOR TINNITUS

For the VA to approve your tinnitus claim, you’ll need to establish a service
connection to the tinnitus you are experiencing. First, you need to show proof
of a current diagnosis for tinnitus and any other hearing problems you may have.
This medical proof can be from a military treatment facility or a civilian
doctor.

Next, you’ll submit evidence that your active duty service caused or aggravated
your tinnitus. This evidence can be assignment orders, lay statements from
buddies or supervisors, and any other service documents that illustrate noise
exposure.

Lastly, a medical evaluator will need to connect the noise exposure incurred by
your service and the tinnitus you experience today. This document, commonly
called a nexus letter, is the key to proving service connection for a disability
claim.




VA DISABILITY BENEFITS FOR TINNITUS

Tinnitus can be a crippling disability for many veterans and can lead to sleep
disorders, depression, and anxiety. It is a common disorder for the veteran
population and is the most common disability in the VA system.

Because it is so common, tinnitus claims are heavily scrutinized. Those seeking
disability compensation for tinnitus should file as soon as they develop
symptoms and include detailed records that show excessive noise exposure during
military service.

File your tinnitus claim the same way you would any other disability
compensation claim. The standard compensation rate for tinnitus is 10%, whether
it affects one or both ears. Many times, people with tinnitus also have hearing
loss. Hearing loss is a separate, compensable disability that should be included
as a condition on your VA claim if you have both.

Tinnitus may be temporary or chronic. There is no cure, but there are ways to
manage the symptoms. Veterans suffering from tinnitus should consult their
physicians about developing a treatment plan that works for them, such as using
white noise machines, implementing stress management techniques, and making
dietary and lifestyle changes.


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