I'm truly sorry OP what's happened to you. I do think there is a cure on the horizon.
Your post is really helpful. I have hyperacuisis and intermittent noxacusis which has gotten worse lately.
I'm wondering if it's because I'm not protecting myself from dishes clanking and such. I do get reactions to sounds that hurt and I have some panic attacks. I live 300 feet from a country road, surrounded by trees. If a loud truck goes by I will put my fingers in my ears.
What I don't get is these trucks aren't high in decibels, 50 dB max. But should I use my Earasers earplugs to take the edge off? At 5 dB attenuation it doesn't seem like they would do much.
My ringing is also getting worse and not going down so I'm wondering if it's some noise exposure I don't know about.
I can't drive in a car because of vibration so I've been trapped in home since May.
After your post I'm wondering if it's because I'm not protecting my ears, but I'm not around loud music or bars, it's everyday clanking sounds, or the like that that I'm not protecting enough from?
When you say protect your ears at all costs, is there some guidance?
Hey Sam, thanks for your kind words. I would be careful with clanking dishes for a while, just have some earmuffs in the kitchen and throw them on. I stopped using dishes entirely and eat like an animal lol. If I have anything that needs a container I use plastic tubs and plastic forks. Before the kitchen was hell, now there's no issues, it's nice. Ears do whatever they want to be honest and we can never know what's gonna happen.
And when I say protect your ears at all costs, I mean wear hearing protection in any environment you can't control, if you already have noxacusis. The environments you can't control is when you will get screwed. If you live alone at home, I would wear them only when you need it. I would stay away from anything earbud related, even with moderate tinnitus before noxacusis I still didn't put my AirPods in my bad ear. Grocery store, restaurants, anywhere anything loud has the potential to happen, it can't hurt to wear plugs. Use Mack's Comfort earplugs. They are skin colored and when I have them deep in you can't tell I'm wearing earplugs at all. I like black earplugs or those Mack's. You said you're not driving, so this doesn't apply but always wear earplugs in the car, I can't stress it enough. Those airbags will ruin your ears.
Part of the reason why I'm so bad is because I couldn't accept having this condition. Like any young guy I said I'm not giving up my life just yet and kept trying, but it kept worsening. I'm worse than many many people with this condition, and I protect less than some of them. There's quite a few people I know who are nowhere near as bad as me, but they are so scared they wear double hearing protection and don't leave their room ever. My house is usually quiet so I try to let my ears breathe as long as I can.
Everybody has different pain triggers too. When I got really bad from sound therapy, everything hurt like crazy, then I started to get tolerance to some frequencies. My trigger ones never recover and I cannot be exposed to them or I will be in terrible pain. From May to June I was doing better and had pain free days. I was exposed to thunder when I was inside my house, no pain, double hearing protection to acupuncture and back and be ok, had friends over and talked without hearing protection for hours, I was ok. But if I was exposed to one wrong noise, the pain would come right back. I cannot hear door squeals, car brakes, most artificial audio, anything in that region or I will suffer horribly. Even through double hearing protection I will think I'm ok, then 10 minutes later the pain will kick in. I'll get severe pain right away from really bad triggers.
I think it's important for every sufferer to determine which noises their ears like and which noises their ears don't. I definitely think of this like a torn muscle approach but 100x worse. There is the healing time, then you slowly work your way back to noise you can handle without pain. A lot of the long term noxacusis people who were like me but got a little better, they all said their tolerances capped out at a certain point and made sure to not go over.
The longer I go without pain, the more my chronic nerve pain reduces. Truly I need 5 years in a sound proof chamber but that's not going to happen nor do I have the will to do it. I don't know, this condition is so different for everyone but my point is, avoid noises that cause you actual nerve pain. It has to be nerve pain, not ouch, that's too loud. My loudness hypy got better from sound therapy, but noxacusis got worse.