T.Rahko,V.Häkkinen:Carbamazepine in the treatment of ob-
jective myoclonus tinnitus.Journal Otol.Laryngol.93,127-

Rahko T. Medical treatment of tinnitus. In: New di-
mension in otorhinolaryngology. Ed.E.N.Myers.
Exerpta Medica, Amsterdam-New York-Oxford,
1985: 1:468-470.

T Rahko and V Kotti Tinnitus treatment by transcutaneous nerve stimulation (TNS). Acta Otolaryngol Suppl 529():88-9 (1997)  

 T Rahko PAVE ja TNS tinnituksen hoidossa ( Gravitational traction and transcutaneous nerve stimulation in tinnitus treatment) in a book T Rahko P Lieke toim. Digitaaliset kuulokojeet kokleaimplantit tinnituksen hoito
ISBN 951-95725-5-4 Tampere 50-56

 Kotti, Voitto: Tinnituskurssit TAYS:n kuulokeskuksessa ( The tinnitus rehabilitation courses in hearing center) 1997:31-39  in a book T Rahko P Lieke toim. Digitaaliset kuulokojeet kokleaimplantit tinnituksen hoito
ISBN 951-95725-5-4 Tampere 50-56

Soronen, Hannu Tinnituksen psykologinen hoito (The psychological treatment of tinnitus) 1997 :40-49  in a book T Rahko P Lieke toim. Digitaaliset kuulokojeet kokleaimplantit tinnituksen hoito
ISBN 951-95725-5-4 Tampere 50-56

Estola-Partanen Marja :Muscular tension and tinnitus: an experimental trial of trigger point injections on tinnitus
  Tampere University Press
2000, Acta Universitatis Tamperensis ; 782
ISBN: 951-44-4965-7


The publications listed above represent my earlier  experience in tinnitus treatment as head of  Tampere University Hospital  Department audiology  and equilibrium during 30 years .

Because the results were of very modest level, another aproach was necessary.

When treating OCI ( part of them with clinical BPPV) patients, muscle relaxation, vasodilatation, blood pressure decrease, sympaticotonia decrease, alarm reaction decrease, better coordination, better body cognition, better visual field, accuracy, 3-D sight, more intense colors, brightness, faster visual cognition ,rescaling of the brightness, and better auditory cognition , and rescaling of sound intensity modified  the functions and responses of the body to the amount, that it should have an effect on tinnitus.      For references on these, see dyslexia and other chapters on this home page.

 The most important part is the change from sympaticus exitation to vagal nerve dominance. It is seen clinically and has been measured objectively.

Thus it was logical since 2005 to try to test the effect of BPPV positional treatments on tinnitus.

First repeated RahkoWRW test with closed eyes to increase sensitivity , with 30 sec follow up time was applied as test.

 Later I moved to easier system, see update and shortcut. As you tube video: Expansion of precise visual field in dyslexia. This video explains the test and treatment system basis in dyslexia; the same model applies to tinnitus test and treatment.

The process is as follows. First one enquires the intensity of tinnitus  in VAS scale 10 to 0.

Then Rahko test is performed as many times as necessary to obtain the side of treatment to begin with.

Lempert treatment on that side is performed.

When the patient sits in a chair with arm supports 2 minutes, the VAS value is measured. If some decrease is seen, the sitting is continued as long as VAS decreases. Other parameters to follow up are. localization of sound, frequency of sound. It the frequency gets lower, prognosis is better.( In gravitational traction method to tinnitus, the maximum response got to  lower frequency area in evoked otoacoustic emission measurements, when treatment helped).

 When the situation has stabilized, Rahko maneuver is performed. Again the sitting period is continued as long as there is change.

Thereafter Epley in younger patients and Semont in older patients is performed. Sitting as before.

If there is still tinnitus, the same procedure on the other side. After the last Epley or Semont the final result will be evident. One must wait as long as there is change.

The problem is, that so far there is no anamnestical information on, when the treatment helps and when no help is seen.

During these years the writer has had far better results with this system than with anything described in the scientific litterature.

In the cases where tinnitus  intensity does not decrease anyhow the disturbance level decreases.

The system has been teached in Finland during last over 10years.