Thank you very much Michael.
I am going to start CBT therapy next week with the audiotherapist, and will take it from there. I hope it can help.
I have a question for you though about headsets. I have stopped using them just to be safe, but I do wonder. How do they damage ears even at low volume? When I used my AirPods Pros for example, I put the volume limit at the lowest setting, 75 dB, and when listening to podcasts or watching videos I set the volume to about half. That exposes me to about 50 to 56 dB according to my iPhone. How do these volumes make tinnitus worse?
You are welcome
@Dogwhistlehead.
I have written numerous posts about the risks a person with noise-induced tinnitus takes, if they listen to audio through any type of headphones even at low volume. They are available by perusing my post history. I realize that you are new to this forum and therefore I will cover it briefly. At a later date, I hope to write a more in-depth post on headphones and noise induced tinnitus, so that it's easily accessible on my started threads.
I have counselled and corresponded with many people that have noise-induced tinnitus, with or without hyperacusis. Typically, these conditions are caused by listening to audio through some type of headphones at too high a volume. Other forms of exposure to loud noise can cause these symptoms too.
Due to the amount of people that have contacted me and those I have corresponded with at internet forums, complaining their noise-induced tinnitus increased after they had successfully habituated, a picture began to emerge. In most instances the reason their tinnitus increased, was returning to listen to audio through headphones even at low volume. This applies to AirPods, headsets, earbuds, noise cancelling and bone conduction headphones. To me the evidence was overwhelming, that for anyone that has noise-induced tinnitus, risks making it worse if they listen to audio through any type of headphones even at low volume.
I hasten to add, I am specifically referring to people whose tinnitus was caused by exposure to loud noise. Those with other types of tinnitus are not so easily affected by headphone use. However, I still advise people that have any type of tinnitus not to listen to audio through headphones even at low volume. It is true that some people with noise-induced tinnitus are not adversely affected by headphone use, but the risk is always there in my opinion. Type headphones in the search box at the top of this page and read the posts.
I don't believe the ear and auditory system are ever quite the same after a person develops noise-induced tinnitus, with or without hyperacusis. They may successfully habituate in time, but the auditory system, in my opinion, is always vulnerable if exposed to overly loud sounds or listens to audio through headphones. The ear canal is approximately 25mm in length. When listening to audio through headphones, earbuds, headsets etc even at low volume, sound waves are generated and have no place to go other than in one direction, straight towards the ear drum. Some people argue that hearing aids and white noise generators are the same as earbuds but this is not the case.
White noise generators and hearing aids don't usually irritate the auditory system due to the volume being kept low and its frequency range remaining constant, which is unlike music that is constantly changing in pitch, rhythm and timber. In addition to this, the sound through white noise generators and hearing aids is delivered through a small plastic tube, that goes over the back of the ear and enters the entrance to the ear canal. At the end of the tube there is a tiny aperture/hole where sound emits. Therefore these devices are not speakers.
Headphones and earbuds use a large speaker/diaphragm in comparison. They make music by generating sound waves into the ear which can cause irritation. My post: Can I Habituate to Variable Tinnitus?, mentions the risk anyone takes that has noise-induced tinnitus and uses headphones or is exposed of overly loud sounds regularly. A person with this type of tinnitus shouldn't put total trust in hearing protection either. The reason being, if external sound is loud enough, it can pass through the head and transfer to the inner ear by bone conduction and spike the tinnitus. If the person is fortunate the spike will reduce and the tinnitus returns to baseline level, however, the tinnitus could increase to new permanent level.
Michael