Welcome to Connect @wishbone. Tinnitis is such a chronic problem with few successful solutions. Mine is from an acoustic neuroma, and radiation damage to my other ear. I find that loud noises worsen it and certain sleeping positions result in it being terribly loud when I awaken. Have you had a medical workup for this? I ask because I have a friend who had worsening pulsatile tinnitis and a scan showed an aneurysm near her ear which was successfully treated to alleviate the symptom. Hopefully more folks will chime in with their suggestions.