When it comes to understanding tinnitus, most people are familiar with the high-pitched ringing or buzzing that can be incredibly distracting. However, what about low frequency tinnitus? Many individuals may be unfamiliar with the specific sound and its impact on their daily lives. In this article, we’ll explore what low frequency tinnitus sounds like, providing a glimpse into this lesser-known aspect of the condition. From pulsating hums to deep throbbing sounds, we’ll uncover the unique characteristics that define low frequency tinnitus and shed light on the challenges individuals with this type of tinnitus face.

Causes of Low Frequency Tinnitus

Outer Ear Abnormalities

Low frequency tinnitus can be caused by abnormalities in the outer ear. These abnormalities may include a blockage or damage to the ear canal, such as earwax impaction or a foreign object lodged in the ear. In some cases, structural deformities or malformations of the outer ear can also lead to low frequency tinnitus.

Middle Ear Problems

Problems in the middle ear can also contribute to the development of low frequency tinnitus. Conditions such as otitis media, which is an infection or inflammation of the middle ear, and Eustachian tube dysfunction, where the tube that connects the middle ear to the back of the throat becomes blocked or fails to open properly, can result in low frequency tinnitus.

Inner Ear Conditions

Certain conditions affecting the inner ear can cause low frequency tinnitus. These conditions may include Ménière’s disease, a disorder characterized by recurrent episodes of vertigo, hearing loss, and tinnitus. Other inner ear conditions such as labyrinthitis, vestibular schwannoma, and presbycusis, which is age-related hearing loss, can also lead to low frequency tinnitus.

Medication Side Effects

Some medications have been known to cause tinnitus as a side effect, including low frequency tinnitus. Certain antibiotics, diuretics, nonsteroidal anti-inflammatory drugs (NSAIDs), and chemotherapy drugs have been associated with tinnitus. If you suspect your tinnitus may be caused by medication, it is important to consult with your healthcare provider to explore alternative options or adjust your dosage.

Noise Exposure

Exposure to loud noise, such as from machinery, concerts, or even prolonged use of headphones at high volumes, can damage the delicate structures of the inner ear and lead to tinnitus. The low frequency sounds associated with noise-induced tinnitus can be persistent and may require intervention and management.

Vascular Disorders

Certain vascular disorders, such as high blood pressure, atherosclerosis, or turbulent blood flow, can contribute to low frequency tinnitus. These conditions can affect the blood vessels and blood flow in the ear, leading to the perception of tinnitus. It is important to address any underlying vascular conditions to help manage low frequency tinnitus effectively.

Characteristics of Low Frequency Tinnitus

Pitch and Tone

Low frequency tinnitus is characterized by a pitch or tone that is lower in frequency compared to other types of tinnitus. It may be described as a deep, rumbling sound or a low hum.

Volume and Intensity

The volume and intensity of low frequency tinnitus can vary from person to person. Some individuals may experience mild, barely noticeable tinnitus, while others may be significantly troubled by a loud and intense sound.

Pulsatile or Non-Pulsatile

Low frequency tinnitus can be either pulsatile or non-pulsatile. Pulsatile tinnitus is often described as a rhythmic sound that coincides with the individual’s heartbeat, while non-pulsatile tinnitus is a continuous sound without a specific rhythm.

Intermittent or Continuous

Low frequency tinnitus can occur intermittently, with periods of silence followed by episodes of tinnitus, or it can be continuous, where the sound is present at all times. The duration and frequency of episodes can vary among individuals.

Pattern and Rhythm

Some individuals with low frequency tinnitus may notice patterns or rhythms in their tinnitus sounds. These patterns can be helpful in determining potential underlying causes or triggers of the tinnitus.

Description of Low Frequency Tinnitus Sounds


Low frequency tinnitus can often be described as a low hum, similar to the sound of a distant engine or machinery. It may have a steady, constant quality or fluctuate in volume and intensity.


Another common sound associated with low frequency tinnitus is a buzzing noise. This buzzing can be persistent or sporadic, and it may be accompanied by a vibrating sensation within the ear.


For some individuals with low frequency tinnitus, the sound may resemble a roaring or rushing noise, similar to that of a strong wind or waves crashing on the shore.


Low frequency tinnitus can also present as a rumbling sound, akin to the low rumble of thunder or a distant earthquake. This rumbling may be continuous or intermittent in nature.


Some individuals may experience low frequency tinnitus as a thumping or pulsing sensation, similar to the beat of a drum. The thumping may be synchronized with the individual’s heartbeat or occur at irregular intervals.


In cases of pulsatile low frequency tinnitus, the sound is often described as a pulsing or throbbing noise that coincides with the individual’s heartbeat. This pulsing sensation can be unsettling and disruptive.


Low frequency tinnitus may also manifest as a clicking sound, similar to the sound of a camera shutter or the clicking of a clock. This clicking can occur intermittently or as a continuous sound.

Effects of Low Frequency Tinnitus on Daily Life

Sleep Disturbance

Low frequency tinnitus can disrupt sleep patterns and make it difficult to fall asleep or stay asleep. The persistent or intermittent nature of the tinnitus sound can cause insomnia or lead to poor quality of sleep.

Concentration Issues

The presence of low frequency tinnitus can make it challenging to concentrate on tasks or activities that require focus. The constant background noise can be distracting and interfere with cognitive processes.

Emotional Distress

Living with low frequency tinnitus can lead to emotional distress and psychological impact. The persistent presence of the tinnitus sound may cause frustration, anxiety, depression, and overall reduced emotional well-being.

Interference with Communication

The noise generated by low frequency tinnitus can interfere with communication, making it difficult to hear and understand others. This can impact personal relationships, professional interactions, and overall social engagement.

Reduced Quality of Life

The combination of sleep disturbance, concentration issues, emotional distress, and communication difficulties can significantly impact an individual’s overall quality of life. Low frequency tinnitus can affect various aspects of daily life, leading to reduced enjoyment and fulfillment.

Diagnosis and Evaluation of Low Frequency Tinnitus

Medical History and Physical Examination

Diagnosing low frequency tinnitus begins with a thorough medical history and physical examination. Your healthcare provider will ask you questions about your symptoms, medical conditions, and any medications you are taking. They will also examine your ears to check for any abnormalities or underlying causes.

Audiometric Testing

Audiometric testing, such as pure-tone audiometry, can help evaluate your hearing abilities and determine any hearing loss associated with low frequency tinnitus. This test measures your ability to hear different frequencies and can provide valuable information about your auditory system.

Tinnitus Matching

Tinnitus matching involves using a series of sounds at different frequencies and volumes to determine the precise characteristics of your low frequency tinnitus. This process helps to quantify and qualify your tinnitus, which can assist in identifying potential treatment options.

Imaging Tests

In some cases, imaging tests such as magnetic resonance imaging (MRI) or computed tomography (CT) scans may be ordered to rule out any structural abnormalities or underlying conditions that could be causing low frequency tinnitus.

Blood Tests

Blood tests are sometimes conducted to check for any underlying conditions or systemic factors that may contribute to low frequency tinnitus. These tests can help identify potential causes, such as vascular disorders or medication side effects.

Treatment Options for Low Frequency Tinnitus

Sound Therapy

Sound therapy involves using external sounds or white noise to help mask or distract from the tinnitus sound. This can be achieved through the use of wearable devices, such as hearing aids or sound generators, or by playing ambient sounds or soothing music in the background.

Cognitive Behavioral Therapy

Cognitive behavioral therapy (CBT) can help individuals manage the emotional and psychological impact of low frequency tinnitus. CBT techniques aim to identify and modify negative thoughts and behaviors related to tinnitus, promoting coping strategies and improving overall well-being.


Certain medications, such as antidepressants or anti-anxiety drugs, may be prescribed to manage the emotional distress associated with low frequency tinnitus. However, it is important to note that these medications may not directly target the tinnitus itself.

Earwax Removal

If low frequency tinnitus is caused by a blockage or accumulation of earwax, removing the buildup can help alleviate the symptoms. This can be done by a healthcare professional using specialized instruments or through the use of over-the-counter earwax removal solutions.

Tinnitus Retraining Therapy

Tinnitus retraining therapy (TRT) is a comprehensive approach that combines sound therapy with counseling and education. TRT aims to change the perception of tinnitus by helping individuals habituate to the sound and reduce its impact on daily life.

Lifestyle Changes

Making certain lifestyle changes can also help manage low frequency tinnitus. These may include reducing exposure to loud noises, adopting stress management techniques, maintaining a healthy lifestyle, and avoiding ototoxic medications.

Prevention and Coping Strategies for Low Frequency Tinnitus

Protecting Hearing from Loud Noise

Protecting your hearing from loud noises is crucial in preventing low frequency tinnitus. Wearing earplugs or earmuffs in noisy environments, keeping the volume of personal devices at a safe level, and taking regular breaks from loud sounds can help preserve your hearing health.

Avoiding Ototoxic Medications

Being aware of the potential side effects of medications and avoiding those that are known to be ototoxic can help prevent low frequency tinnitus. If you need to take medication, discussing potential alternatives or adjusting the dosage with your healthcare provider can be beneficial.

Managing Stress and Anxiety

Stress and anxiety can exacerbate tinnitus symptoms, including low frequency tinnitus. Engaging in stress management techniques, such as exercise, meditation, or relaxation techniques, can help reduce the impact of stress on your tinnitus.

Creating a Relaxing Environment

Creating a calm and relaxing environment can help alleviate the perception of low frequency tinnitus. This can involve playing soft music, using white noise machines, or employing other sound masking techniques to create a soothing atmosphere.

Support Groups and Counseling

Joining support groups or seeking counseling can provide valuable emotional support and coping strategies for individuals with low frequency tinnitus. Sharing experiences and learning from others who are going through similar challenges can be comforting and empowering.

Maintaining a Balanced Lifestyle

Maintaining a balanced lifestyle that includes regular exercise, a healthy diet, adequate sleep, and healthy coping mechanisms can improve overall well-being and potentially reduce the impact of low frequency tinnitus.

Research and Advancements in Low Frequency Tinnitus

Neuromodulation Techniques

Neuromodulation techniques, such as transcranial magnetic stimulation (TMS) and transcranial electrical stimulation (TES), are being explored as potential treatment options for low frequency tinnitus. These techniques aim to modulate neural activity and reduce the perception of tinnitus sounds.

Pharmacological Interventions

Researchers are investigating various drugs and compounds that may potentially target the neural mechanisms involved in low frequency tinnitus. These pharmacological interventions aim to develop medications that can directly alleviate the symptoms of tinnitus.

Device-based Therapies

Advancements in technology have led to the development of innovative device-based therapies for low frequency tinnitus. These include devices that use electrical stimulation, cochlear implants, and implants that stimulate the auditory nerve or brain regions associated with tinnitus.

Brain Stimulation

Brain stimulation techniques, such as deep brain stimulation (DBS) or transcranial direct current stimulation (tDCS), are being explored as potential options for modulating neural activity and reducing the perception of low frequency tinnitus.

Genetic Studies

Research into the genetic factors involved in tinnitus is ongoing. By identifying specific genes associated with tinnitus, researchers hope to gain a better understanding of the underlying mechanisms and develop more targeted treatments for tinnitus.

Regenerative Medicine

Regenerative medicine approaches, such as stem cell therapy and gene therapy, hold promise for treating low frequency tinnitus by repairing or regenerating damaged cells in the auditory system. While still in the early stages of research, these advancements offer hope for future treatments.

When to Seek Medical Help for Low Frequency Tinnitus

Persistent and Worsening Symptoms

If you experience persistent low frequency tinnitus that does not improve or worsens over time, it is important to seek medical help. A healthcare professional can evaluate your symptoms, assess potential underlying causes, and recommend appropriate treatment options.

Associated Dizziness or Vertigo

If your low frequency tinnitus is accompanied by dizziness or vertigo, it may indicate an underlying condition that requires medical attention. These symptoms can be signs of a vestibular disorder or other related issues that should be assessed by a healthcare provider.

Bilateral Tinnitus

Bilateral low frequency tinnitus, where the perception of sound is present in both ears, may indicate a more systemic or central nervous system involvement. It is important to consult with a healthcare professional to determine potential underlying causes and appropriate management strategies.

Unusual Tinnitus Sounds

If your low frequency tinnitus is accompanied by unusual sounds, such as clicking, squeaking, or pulsing, it may indicate an underlying condition that needs medical evaluation. Unusual tinnitus sounds may be associated with more complex or rare causes that require specialized care.

Accompanying Ear Pain

If you experience ear pain along with your low frequency tinnitus, it is essential to seek medical help. Ear pain can be a sign of an infection, structural damage, or other conditions that may require medical intervention.


Low frequency tinnitus can be caused by various factors, including abnormalities in the outer ear, middle ear problems, inner ear conditions, medication side effects, noise exposure, and vascular disorders. It is characterized by a deep, rumbling sound or low hum, and can have various effects on daily life, including sleep disturbance, concentration issues, emotional distress, and reduced quality of life. Diagnosis involves a comprehensive evaluation, including medical history, physical examination, and various tests. Treatment options for low frequency tinnitus include sound therapy, cognitive behavioral therapy, medications, tinnitus retraining therapy, and lifestyle changes. Preventive measures and coping strategies can also help manage low frequency tinnitus. Ongoing research and advancements in the field offer hope for future treatments, such as neuromodulation techniques, pharmacological interventions, device-based therapies, and regenerative medicine. It is important to seek medical help if symptoms persist or worsen, if there are associated dizziness or vertigo, if bilateral tinnitus is present, if there are unusual tinnitus sounds, or if there is accompanying ear pain. With proper evaluation and management, individuals with low frequency tinnitus can find relief and improve their overall quality of life.