Most tinnitus presents as a steady ringing, buzzing, or hissing. But some people experience something different: a rhythmic sound that pulses in sync with their heartbeat. This is called pulsatile tinnitus, and it affects a distinct group of people who often feel confused and worried about what they are hearing.

Published research estimates that fewer than 10% of all tinnitus cases are pulsatile in nature. Unlike regular tinnitus, which is typically linked to hearing changes, pulsatile tinnitus is often connected to blood flow patterns near the ear. The good news: because it frequently has an identifiable source, many cases can be addressed once properly evaluated.

How Pulsatile Tinnitus Differs from Regular Tinnitus

Understanding the difference between these two types is the first step toward finding the right path forward. They have different characteristics, different typical origins, and different approaches to evaluation.

According to published research, the most critical step when someone presents with tinnitus is to determine whether it is pulsatile or non-pulsatile. This distinction guides the evaluation approach and can lead to very different outcomes.

What Causes Pulsatile Tinnitus?

Research indicates that pulsatile tinnitus usually results from the ear picking up the sound of blood flowing through nearby vessels. When that flow becomes turbulent or louder than normal, you may hear it as a rhythmic pulse. Published studies suggest an identifiable cause is found in up to 70% of cases when proper evaluation is performed.

Some causes are temporary and resolve on their own. Others may need professional attention. That is why evaluation matters — a healthcare provider can help distinguish between benign and more significant origins.

When to Seek Professional Evaluation

Pulsatile tinnitus is one of the tinnitus types most strongly recommended for professional evaluation. While not every case is cause for concern, having it checked gives you clarity and peace of mind.

Managing Pulsatile Tinnitus Symptoms with Sound Therapy

If you have pulsatile tinnitus, professional evaluation should always come first. Once a healthcare provider has assessed your situation, many people find that background sound therapy helps reduce the noticeability of the rhythmic pulsing — particularly at night or in quiet settings.

Published research notes that pulsatile tinnitus is often most bothersome in quiet environments and at bedtime. Gentle background sounds can help shift your attention away from the pulsing and support more restful sleep. The Tinnitus Relief App offers a library of masking sounds that users report finding helpful as a complement to their care plan.

Sounds That Users Report Helpful for Pulsatile Tinnitus

Brown Noise

Deep, steady masking

Ocean Waves

Natural rhythm blending

Rain on Roof

Consistent bedtime sound

Gentle Heartbeat

Rhythm-matching calm

Fan Noise

Steady white-noise alternative

One key advantage of the Tinnitus Relief App: your sound therapy keeps playing during phone calls, video meetings, and while using other apps. For people managing pulsatile tinnitus throughout the day, uninterrupted background sound means you do not have to choose between relief and your daily activities. Learn more about our full sound library.

Get Started in 3 Simple Steps

If your healthcare provider has evaluated your pulsatile tinnitus and you are looking for day-to-day symptom management support, here is how to begin.

Frequently Asked Questions About Pulsatile Tinnitus

Evaluated by a Professional? Let Sound Therapy Help You Manage Symptoms

If your healthcare provider has assessed your pulsatile tinnitus, Tinnitus Relief App can help you manage the day-to-day perception with background sound therapy that never stops — even during calls and meetings.

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