Struggling with Tinnitus Spike from Headset Use at Work: Any Advice?

shasta0863

Member
Author
Jun 17, 2015
329
Tinnitus Since
11/2007
Cause of Tinnitus
Noise Induced
Hello all,

As my tinnitus has been relatively stable for the last year or so (though I've had ups and downs over the past 10 years), I'm having a hard time coming to terms with my current situation.

I recently put in time and training to transition into a new position. During that time, I intermittently had to use a headset for Zoom meetings. I kept the volume at the lowest possible level and seemed to be doing alright.

However, since moving into the actual job, I've had to use a headset for seven hours a day to speak with individuals—many of whom have poor connections, speak incredibly loudly, or are too quiet to hear properly. This often forces me to increase the volume just to understand what's being said. Instead of my usual volume setting of 8–10, I now frequently find myself raising it to 35–40.

I was advised early on by many here to avoid headphones for music, and I took that advice to heart—I haven't used them in over a decade. I assumed that using a headset for phone calls at work wouldn't be a big deal. But after two weeks, I'm struggling. I've fallen back into the depressed, angry state I used to be in when I constantly heard my tinnitus above everything else. It seems to be making my baseline tinnitus louder, and now I'm trying to figure out whether these are just temporary spikes or if I could be causing permanent damage.

So, I suppose I'm looking for opinions on the risks of using a headset for phone calls. Could this truly be causing harm, or is it more likely just tinnitus spikes from prolonged exposure to direct noise in my ear canal? Many have said to avoid headsets altogether, as even at low volumes, the sound enters the ear canal directly without the dissipation you'd get from a speaker a few feet away.

I really need this job right now, but I don't want to end up in a suicidal state again. I feel like a deer in the headlights and don't know what to do.
 
Has anyone used a bone conduction headset for business calls and found it helpful in avoiding the need to increase the volume on a regular headset to hear people? Would this be a good alternative?
 
Has anyone used a bone conduction headset for business calls and found it helpful in avoiding the need to increase the volume on a regular headset to hear people? Would this be a good alternative?
I am sorry to hear about the difficulties you are having with your tinnitus at the moment. My advice is not to use bone-conduction headphones, as you risk making your tinnitus worse. I suspect that your tinnitus was originally noise-induced. People with this type of tinnitus risk making it permanently worse if they listen to any type of audio through headphones, headsets, earbuds, AirPods, noise-canceling, bone-conduction headphones, or headbands with speakers, even when the volume is low.

Some people who have noise-induced tinnitus use headphones without their tinnitus being affected. However, the risk of tinnitus spiking or becoming permanently worse is always there. It is like playing "Russian roulette" with one's health. It doesn't matter how long a person has habituated to noise-induced tinnitus; if they listen to audio, even at low volume, through any type of headphones, they risk making their tinnitus worse! Sorry to sound so sobering.

Many people have contacted me over the years in distress because their tinnitus has spiked due to using headphones. Some of them follow the wrong advice that if the volume is kept low when using headphones, they will be safe. Sadly, this is not necessarily true.

I hope you start to feel better soon,
Michael
 
People with this type of tinnitus risk making it permanently worse if they listen to any type of audio through headphones, headsets, earbuds, AirPods, noise-canceling, bone-conduction headphones, or headbands with speakers, even when the volume is low.
@Michael Leigh, that's useful to know, but where did you get that information? Is it backed by research? And why don't audiologists mention it?

On the contrary, I've heard that it shouldn't have an effect at low levels. Also, I wonder why ENTs perform hearing tests with headphones when someone has tinnitus.

I'm affected by this too, since headphones are usually the norm for Zoom meetings in the workplace.
 
I am sorry to hear about the difficulties you are having with your tinnitus at the moment. My advice is not to use bone-conduction headphones, as you risk making your tinnitus worse. I suspect that your tinnitus was originally noise-induced. People with this type of tinnitus risk making it permanently worse if they listen to any type of audio through headphones, headsets, earbuds, AirPods, noise-canceling, bone-conduction headphones, or headbands with speakers, even when the volume is low.

Some people who have noise-induced tinnitus use headphones without their tinnitus being affected. However, the risk of tinnitus spiking or becoming permanently worse is always there. It is like playing "Russian roulette" with one's health. It doesn't matter how long a person has habituated to noise-induced tinnitus; if they listen to audio, even at low volume, through any type of headphones, they risk making their tinnitus worse! Sorry to sound so sobering.

Many people have contacted me over the years in distress because their tinnitus has spiked due to using headphones. Some of them follow the wrong advice that if the volume is kept low when using headphones, they will be safe. Sadly, this is not necessarily true.

I hope you start to feel better soon,
Michael
@Michael Leigh, do you ever worry about your hyperacusis returning? Has it kept you from attending loud outdoor events, concerts, parties, etc., or are you avoiding those places? I don't want to stop living my life.

If I have mild hyperacusis—mostly an aversion to high-pitched noises like dishes, laughter, and alarms—is it safe for me to keep going to restaurants and pushing through day to day? I'm two months into hyperacusis from an MRI.
 
@Michael Leigh, do you ever worry about your hyperacusis returning? Has it kept you from attending loud outdoor events, concerts, parties, etc., or are you avoiding those places? I don't want to stop living my life.

If I have mild hyperacusis—mostly an aversion to high-pitched noises like dishes, laughter, and alarms—is it safe for me to keep going to restaurants and pushing through day to day? I'm two months into hyperacusis from an MRI.
I know this was intended as a follow-up to @Michael Leigh, but I just want to point out that continuing to attend concerts, nightclubs, and other extremely loud events poses a significant risk if you have mild hyperacusis.

This isn't about stopping life altogether—we just have to adjust.

Giving advice about "pushing through" is challenging because there are no definitive answers. You have to find what works best for you personally. Take a step back when needed, and don't push yourself too hard. Trust the process, and give it time.

It will get better, but the effects of the "trauma" often linger, and setbacks are common.
 
@Michael Leigh, do you ever worry about your hyperacusis returning?
No. I haven't experienced any form of hyperacusis in 27 years.
Has it kept you from attending loud outdoor events, concerts, parties, etc., or are you avoiding those places? I don't want to stop living my life.
I haven't had any desire to go to concerts or loud outdoor events. I have been to many parties over the years and have my noise-reducing earplugs to hand, just in case the music gets too loud. Normally, I wouldn't stay at any event for long if the music is too loud, as I don't think it's a good idea to put trust in earplugs. Earplugs are good to have, but unfortunately, if external sounds are too loud, they can pass through the head and transfer to the inner ear by bone conduction and spike the tinnitus. Earplugs or other types of hearing protection can prevent this from happening if external sounds are too loud.
If I have mild hyperacusis—mostly an aversion to high-pitched noises like dishes, laughter, and alarms—is it safe for me to keep going to restaurants and pushing through day to day? I'm two months into hyperacusis from an MRI.
I see that you are new to tinnitus and hyperacusis. I advise you to go to my started threads and read the posts listed below which I think you will find helpful.
  • New to Tinnitus, What to Do?
  • Hyperacusis, As I See It
  • The Habituation Process
  • How to Habituate to Tinnitus
  • Acquiring a Positive Mindset
  • Tinnitus and the Negative Mindset
  • Keeping Things Simple with Tinnitus
If I have mild hyperacusis—mostly an aversion to high-pitched noises like dishes, laughter, and alarms—is it safe for me to keep going to restaurants and pushing through day to day? I'm two months into hyperacusis from an MRI.
We are all different. My advice to you is to take things slowly and don't push yourself too hard. Read the posts I have listed. There are more articles on my started threads that you might find helpful. I advise you to print my posts; that way, you will absorb and retrain the information much better than reading them on your phone or computer screen.

All the best,
Michael
@Michael Leigh, that's useful to know, but where did you get that information? Is it backed by research? And why don't audiologists mention it?
The information that I have submitted is based on my 29 years of living with tinnitus. I have been counseling and corresponding with people who have noise-induced tinnitus, with or without hyperacusis, for many years. Many of them noticed their tinnitus spiked or got permanently worse using headphones, earbuds, headset, etc, even at low volume. Some had habituated to their tinnitus to the point where they rarely heard it. Unfortunately, this can give a false sense of belief that they are cured. They return to using headphones or attending places where loud music is played, thinking they will be safe using noise-reducing earplugs. This is not necessarily true. If the external sound is too loud, it can pass through the head and transfer to the inner ear by bone conduction. This can spike the tinnitus.

Tinnitus cannot be learnt from a book or at medical school in any great depth. The only way to learn about tinnitus is to live with it. Preferably, for 3 to 5 years. Have knowledge of it being mild, moderate, and severe. Most audiologists who practice CBT and TRT for tinnitus were either born with tinnitus or acquired it at some time in their life.

A lot of audiologists have not experienced "sustained" severe levels of tinnitus like many of the people in this forum.

I have two audiologists. One knows nothing about tinnitus. She does hearing tests and administers hearing aids and white noise generators to tinnitus patients. The other audiologist was born with tinnitus. She does everything her co-worker does, and she practices CBT and TRT with tinnitus patients.

ENT doctors do not usually treat tinnitus. If necessary, they will prescribe certain medications to help a person cope with their tinnitus. ENTs treat underlying medical conditions within the auditory system that cause tinnitus, and there are many.

Please go to my started threads and read: Can I Habituate to Variable Tinnitus?
I wonder why ENTs perform hearing tests with headphones when someone has tinnitus.
Hearing tests using headphones do not usually last long. All one hears is a series of tones. This is totally different from listening to music or podcasts through headphones, where the duration is for a longer period of time.

The advice I have given is meant for people who have noise-induced tinnitus.
If you want to believe that using headphones at a low volume will not affect people who have noise-induced tinnitus, then use them. Just remember, you were warned.

Michael
 

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