In that case, I think I get a lot of occlusion from foam ear plugs... Maybe I'm not inserting them properly.
Also, I have constant ear fullness, I thought that was the case with all of us. Guess not.
You'll learn that hyperacusis is really different from everyone. Some may have fullness, some may not. The symptoms and causes vary wildly.
And it may be the case but also maybe not. Even with properly fitted earplugs I hear my footsteps booming, it's only natural. But it was so much worse with my shallow earplugs.
If you use foam earplugs, make sure you roll them tightly, use one hand to pull your ear up to straighten your canal, insert, keep pulling your ear, hold your finger on the end of the plug as it expands inside your canal, so it's fitted fully.
I've been thinking about the whole issue of "overprotection", and I'm just not convinced. I think that idea comes from the tinnitus theory that the brain is trying to fill in sounds that it is not receiving from destroyed hair cells. Then they just run with that and claim that any overall reduction in sound is somehow bad or leads to more tinnitus and hyperacusis. I would like to see some proof of that from studies that consistently show that effect. But, I am aware of none and I also don't hear of any personal experiences where people have claimed that to have occurred. I suspect that it is one of the many medical myths that have evolved over time. Someone has a theory and they speculate about what could occur based on their theory. They write a paper or a book where they talk about it. Other medical people pick that up and start repeating it as if it is a known medical fact, and the myth is born. This has happened in many different areas of medicine, and those myths can persist for many decades.
I have never noticed any such over-protection effect. I for years worked a night shift and would sleep during the day, requiring my to use earplugs all night to block out daytime noises. Never had any adverse effect. I used to work in an office with a too-noisey ventilation system, requiring me to use earplugs all day long every day. Never had an adverse effect.
So, either show me the proof, find a few people who have actually experienced this, or I am just not convinced.
Fully agree. The overprotection advice all come from one study done on people with normal hearing. They wore earplugs for about a week non-stop and then they had a very small reduction in dB tolerance, but it was temporary and went away quickly. Kind of like if you step out in the sun after being in the dark all day. So far all the subsequent information on hyperacusis I've read just cite that same study from the early 2000s and none others to back it up.
Is there maybe a chance that since hyperacute and damaged ears have this sensitivity more imprinted on them than normal, so it's less temporary? Maybe, but I don't see the evidence either. I do know people who claim they got worse from overprotecting, and maybe that is valid for them, but the ones who haven't, myself and you included, seem to outweigh them. It's a shame doctors don't pay attention to this though and just focus on the same old information.
And same as you I worked night shifts and would sometimes wear plugs. Didn't happen. Only got hyperacusis after an event that most likely did damage my ears and brain. My cousin is in air traffic control. If he winds up with hyperacusis or tinnitus I'd bet my life that he got it from noise exposure to airplanes and not because of using earplugs at work.
I want to believe that exposure and balance can help with hyperacusis, but I think that audiologists clinging to the overprotection stuff just does more harm than good. I wish they would suggest gradual exposure instead of just saying earplugs are the devil full-stop.
Contrary to what many doctors say, I don't believe using hearing protection in many everyday circumstances is a problem, especially when protecting from sounds moderate and above. What definitely can become an issue (for some, maybe not all?) is if one wears foam ear plugs or ear muffs for most hours of the day. That type of hearing protection completely cuts away lower level high frequency sound, which given a few weeks will make one very sensitive to those frequencies. It took me two weeks to not being able to be in the proximity of a toilet flushing. One year in and my tolerance to sound is completely broken.
My 2 cents,
~ Stacken
That's interesting but I'm also very sorry to hear that, and I'm wondering now if that is happening to me after all. Have you had any attempts with exposure at all? Does it just make you worse?