Managing Tinnitus for Better Sleep

Written by
Reviewed by
Dr. Goutham Gosu
January 22, 2026

The quiet of nighttime should be peaceful, but for millions of Americans with tinnitus, bedtime often brings heightened awareness of ringing, buzzing, or hissing in their ears. When external sounds fade away, tinnitus symptoms can feel louder and more intrusive, making it difficult to fall asleep or stay asleep.

At Hearing & Balance Solutions in Charlotte, we understand how exhausting this nightly battle can be. The good news? There are proven strategies that can help you reclaim restful sleep, and we're excited to share them with you.

Why Tinnitus Feels Louder at Night

During the day, your brain processes countless sounds from your environment. Traffic noise along Sharon Road, conversations at South Park restaurants, and other background sounds compete for your attention, often masking tinnitus symptoms. At night, when you're lying in a quiet bedroom, these environmental sounds disappear, leaving nothing to distract your brain.

Understanding this can be empowering because it means you can take control by reintroducing gentle sounds into your environment.

Creating a Sleep-Friendly Environment

One of the most effective strategies for managing nighttime tinnitus is introducing gentle background sound into your bedroom. Sound masking gives your brain something else to focus on besides the tinnitus, and the results can be truly life-changing.

Consider using a white noise machine, which produces consistent, neutral sound that effectively masks tinnitus. Many of our Charlotte patients have had great success with nature sounds—rainfall, ocean waves, or forest ambiance. Smartphone apps and smart speakers offer countless options for sleep sounds, so you can experiment and find what feels right for you.

A fan can serve double duty, providing both gentle air circulation (perfect for those warm Carolina summer nights) and steady background noise. Some people prefer classical music or podcasts played at a low volume. The key is finding a sound level that partially masks your tinnitus without preventing sleep.

Your bedroom temperature matters too. A cooler room (around 65-68 degrees) promotes better sleep. Make your room as dark as possible with blackout curtains, and remove electronic devices that emit light or sound notifications.

Establishing a Consistent Bedtime Routine

Your body thrives on routine, and a consistent bedtime schedule can make a real difference in sleep quality when you have tinnitus. Try to go to bed and wake up at the same times each day, even on weekends. Many of our patients tell us this regularity has been a game-changer.

Create a wind-down routine starting 30 to 60 minutes before bed. This might include reading a book, taking a warm bath, practicing gentle stretches, or listening to calming music. Skip the screens during this time—the blue light from phones and tablets can interfere with sleep.

What you consume in the evening plays a role too. Caffeine stays in your system for hours, so skip that afternoon coffee at your favorite South Park café if sleep is a struggle. Alcohol might make you feel sleepy initially, but it disrupts sleep quality and can worsen tinnitus symptoms.

Relaxation Techniques for Bedtime

When tinnitus is keeping you awake, relaxation exercises can help calm both your mind and body. Deep breathing exercises are wonderfully simple: breathe in slowly through your nose for a count of four, hold for four counts, then exhale through your mouth for four counts.

Progressive muscle relaxation involves tensing and then releasing different muscle groups throughout your body. This technique helps release physical tension that might be contributing to sleep difficulties, and it's something you can do right in bed.

Mindfulness practices can help you observe tinnitus sounds without reacting emotionally to them. Rather than fighting against the sound, mindfulness teaches you to acknowledge the tinnitus and then redirect your attention. This shift in perspective can be incredibly freeing.

How Hearing Aids Can Help

Here's something that surprises many people: hearing aids can provide significant relief from tinnitus, especially at night. When we evaluate your hearing at our Colony Road office, we can determine if hearing aids might be the solution you've been looking for. Modern hearing aids include tinnitus masking features that play soothing sounds designed to reduce tinnitus perception.

We use Real Ear Measurement to verify that your hearing aids are programmed correctly for your specific hearing needs, giving you the best possible outcome.

Finding Relief and Better Rest

Living with tinnitus can be challenging, but poor sleep doesn't have to be part of your reality. We've helped countless Charlotte-area residents find relief from nighttime tinnitus, and we're confident we can help you too.

If you're tired of lying awake at night, call us at (704) 912-4422 to schedule an appointment at our South Park location. Better sleep is possible, and we'd love to be part of your journey toward quieter, more restful nights.

Dr. Goutham Gosu has been practicing Audiology for the past 18 years and specializes in pediatric and adult hearing healthcare. He completed his graduate degree at Ohio University and received his doctorate in Audiology from AT Still University.