Will My Tinnitus Get Worse?

Wear plugs while you ride. The depression from no riding and lack of exercise is far worse than riding imo.
Hopefully riding a bike does not make @Clerkp's tinnitus worse. Earplugs wouldn't be much good. If a person's tinnitus were made worse by riding a bike, it is the internal physical exertion of pushing the peddles that create vibrations traveling up through the feet, legs, upper body and head that would spike the tinnitus.
 
I do not wish to duel with you @Clerkp. I am merely giving you facts, that some exercises can not only aggravate tinnitus but make it worse. Continue riding your bike I didn't say you should stop. I have corresponded with many people that have noise induced tinnitus. Some have had to stop running because their tinnitus was made worse, others are not affected. Some have had to stop lifting weights or doing karate because their tinnitus increased. I use a cross-trainer/elliptical machine at home and my feet don't make contact with the floor so there is no impact.

Keeping the body fit and healthy is important and also the mind. Tinnitus is mostly mental and it can reach severe levels. If this is sustained it can be very debilitating. You have noise induced tinnitus. Ruling out hearing loss and other underlying medical conditions. The main cause for this type of tinnitus to increase is exposure to loud noise and using headphones, of any type even at low volume. Not everyone with noise induced tinnitus will be affected by headphones but many are.

A person with noise induced tinnitus can be using headphones for quite a while without any problems, then things can suddenly change. I know this from the people that have contacted me in distress with their tinnitus because of using headphones, headset, earbuds even at low volume. The unfortunate thing is, if the tinnitus increases because of exposure to loud noise or headphones, there is no guarantee it will reduce to its previous baseline level.

You might want click on the link below.

I wish you well.
Michael

https://healthfully.com/exercises-that-worsen-tinnitus-6321924.html
Apologies if I sounded combative - it was not my intention. I am slowly coming to accept that this condition is no longer something I can freely ignore as the increase is more than insignificant so I do need to focus on doing my best to make sure it doesn't get worse. Sadly just about everything I enjoy in life is linked to making the tinnitus worse - a beer in the evening, pizza, headphones, sporting events, concerts ... what a cruel disease. I will have to try to find a balance so the tinnitus doesn't overtake my enjoyment of life.

Regarding cycling, I cannot say with certainty that it does not affect my tinnitus. It's possible that it's slightly raised as a result of my increased BP, but it does allow me to take my mind off things and the wind completely masks the tinnitus so it's one of the few complete moments where the tinnitus is not present. I will investigate ways to reduce wind noise as much to my surprise, that in and of itself could cause hearing loss. Who knew! I have a few things on order from Amazon designed to reduce wind noise on the bike and will consider earplugs as well.

I do appreciate your responses and experience.
 
Hopefully riding a bike does not make @Clerkp's tinnitus worse. Earplugs wouldn't be much good. If a person's tinnitus were made worse by riding a bike, it is the internal physical exertion of pushing the peddles that create vibrations traveling up through the feet, legs, upper body and head that would spike the tinnitus.
I don't believe this happens to me. Thankfully I gave up running.
 
A bike ride on a trail shouldn't be much of a problem. If the noise bothers you, deeply inserted foam earplugs is great. I think there's quite a lot of people who experience spikes due to exercise, but my understanding is that it's quite benign, and not much to worry about. Spikes from noise on the other hand can be a little more scary.

Continue your bike rides, they're good for you. Just look after your ears, we live in an insanely noisy world.

Stacken
If my tinnitus increases following vigorous exercise which I do 7 days a week, I'm almost certain it is a temporary effect.
 
Apologies if I sounded combative - it was not my intention.
I accept your apology and I understand your disquiet. There is no reason why you cannot participate in the things that you want to as long as they are in moderation. You don't know for sure at the moment what has caused your tinnitus to increase? Therefore, my advice is calm down and take things slowly. I enjoy my glass of lager more than one to be honest and suffer no ill effects with my tinnitus. Please read my post: Food drink and tinnitus, in the link below.

Try not to think tinnitus is going to stop you from enjoying life, because if you think that way it surely will. This is negative thinking. This is the reason I have suggested to print my posts: The Habituation Process, Acquiring a Positive Mindset, Tinnitus and the Negative Mindset. Read them and refer to them often, this will reinforce positive thinking.

I said tinnitus is mostly mental and it certainly is. I do not mean the intensity of it can be controlled by thought, it is more to do with the way it affects or mental and emotional wellbeing. Please read posts by @fishbone. He has many years experience with noise induced tinnitus, and is one of the most positive thinking people that I know. His tinnitus is quite severe.

Michael

Food, Drink and Tinnitus | Tinnitus Talk Support Forum
 
As an aside, how do people handle planes? Regular earplugs?
I would not use earplugs. Pressure changes upon ascension with deeply sealed plugs can do damage to your ears. I would use earmuffs.

Side note: headphones are what caused my tinnitus initially, and through a little experiment I did, I found that with just 2 or 3 minutes of very low volume listening to music on headphones, my tinnitus would elevate ever so slightly. At first it would drop out completely, which was a temporary relief, before it would come back louder. Safe to say headphones are no good for me. You may be different. But I just thought I'd leave my experience here.
 
Hopefully riding a bike does not make @Clerkp's tinnitus worse. Earplugs wouldn't be much good. If a person's tinnitus were made worse by riding a bike, it is the internal physical exertion of pushing the peddles that create vibrations traveling up through the feet, legs, upper body and head that would spike the tinnitus.
Well, FWIW, I went for my first bike ride today sans headphones and sadly, that wasn't a good idea. The wind noise without protection was quite loud. Much louder than isolating IEMs plus low volume music. My tinnitus is definitely elevated right now but it's hard to know if it's from the wind or perhaps a BP spike or a little of both. Perhaps using my IEMs without the music turned on would have help cut down the wind noise. Hopefully it is only temporary but back to the drawing board. Gonna need a better solution as no cycling would devastate me.
 
I would not use earplugs. Pressure changes upon ascension with deeply sealed plugs can do damage to your ears. I would use earmuffs.

Side note: headphones are what caused my tinnitus initially, and through a little experiment I did, I found that with just 2 or 3 minutes of very low volume listening to music on headphones, my tinnitus would elevate ever so slightly. At first it would drop out completely, which was a temporary relief, before it would come back louder. Safe to say headphones are no good for me. You may be different. But I just thought I'd leave my experience here.
Thank you. I've concluded that headphones are out thanks to the collective wisdom here.
 
I think the danger with headphones and ear buds is that you underestimate the volume, especially with noise canceling. I believe, however, that carefully limiting your volume makes them safe. I know there is a lot of anecdotal evidence otherwise here, but I also know a tinnitus researcher who uses AirPods Pro all the time to help his brain plasticity, so there's anecdotal evidence to the contrary. I do favor over the ear headphones myself. There is so much that can spike your tinnitus, that I think common sense (use my Apple Watch to avoid anything > 80 dB) and living your life is the quickest way to habituation. I am not disputing anything previously said, it's just what works for me.
 
I think the danger with headphones and ear buds is that you underestimate the volume, especially with noise canceling. I believe, however, that carefully limiting your volume makes them safe. I know there is a lot of anecdotal evidence otherwise here, but I also know a tinnitus researcher who uses AirPods Pro all the time to help his brain plasticity, so there's anecdotal evidence to the contrary. There is so much that can spike your tinnitus, that I think common sense (use my Apple Watch to avoid anything > 80 dB) and living your life is the quickest way to habituation. I am not disputing anything previously said, it's just what works for me.
Thank you - if I may ask, how severe is your tinnitus?
 
I don't have enough experience with the headphone issue to agree or disagree with the "no headphone" theory (bone conduction and all that) but what I can tell you is that managing well controlled sound levels is one thing but accidents are quite another thing and I think that this is one factor that makes headphones potentially dangerous. I am a musician who has been trying to figure out a low volume non-headphone way to record music again and the other day I was in my recording software and I accidentally doubled up a setting and louder distorted music came out of my speakers. It wasn't a big enough event to set me back but had this been through headphones - holy crap!

One member here got tinnitus from this very process in a recording studio.

George
 
I don't have enough experience with the headphone issue to agree or disagree with the "no headphone" theory (bone conduction and all that) but what I can tell you is that managing well controlled sound levels is one thing but accidents are quite another thing and I think that this is one factor that makes headphones potentially dangerous. I am a musician who has been trying to figure out a low volume non-headphone way to record music again and the other day I was in my recording software and I accidentally doubled up a setting and louder distorted music came out of my speakers. It wasn't a big enough event to set me back but had this been through headphones - holy crap!

One member here got tinnitus from this very process in a recording studio.

George
Yeah agreed. This happened to me recently - I was able to get the IEMs out quickly but I took a burst at full volume. Although this risk seems to be everywhere in life. Absent wearing earplugs everywhere you go, it seems we are at risk for terribly loud noises all around us. Children screaming, vacuums, lawn machines, the risks are endless.

Anyway, sorry to hear about your condition. As a musician, this must be terribly cruel.

Good luck.
 
You don't know for sure at the moment what has caused your tinnitus to increase?
I missed this question earlier but wanted to answer it. In short, I do not know. I have been locked down due to COVID-19 for nearly 18 months. Certainly no major noise trauma. As mentioned, I do use IEMs about 3 hours a week but at very low volumes and have done so for years in varying amounts. Having recognized my tinnitus in my 20s, and since about 30, I've been very careful with my ears. Not perfect but careful.

As best I can tell, here are the possible triggers:

1. COVID-19 vaccines - 3 shots total. Never noticed anything "acute" after them so I"m skeptical of this as a cause.

2. I tried Propecia. Took about 10 pills total and quit when I read about PFS and potential tinnitus triggers. Hard to believe 10 pills could do this but it's possible. If so, it would be devastating as I didn't even want to take it but my wife convinced me.

3. Stress - I recently went through a VERY stressful period at work. On the verge of a breakdown level of stress. This is the closest "event" to my noticing my increased tinnitus.

4. Cumulative noise damage. I live in a house with a lot of "yellers" - it's just the way we are... I've had a few random spikes over the years but nothing significant that didn't go away. A few months ago, my 12 year old and I wrestled and I had a MAJOR spike in 1 ear that lasted about 4 hours and finally went away in the middle of the night.

I cannot pinpoint the cause. As best I can tell, I remember waking up in the middle of the night in the last 4 to 6 weeks with my ears screaming. The first few times I ignored it and didn't think much of it. Then it kept happening and then it caused me to "check" my tinnitus levels during the day. It's then that I realized it was louder than it used to be. Once I made the connection, I've been suffering from insomnia and anxiety. I guess ignorance is bliss. Wish I would have not made the connection. Right now typing this, I cannot really be sure what's going on. I'm relatively sure it's louder and worse. Maybe it's been getting worse incrementally and I've just now realized it.
 
As best I can tell, here are the possible triggers:
As I have previously said, ruling out hearing loss or an underlying medical problem within the auditory system. The main causes for noise induced tinnitus to increase are:

1. Exposure to loud noise or listening to any type of headphones even at low volume. This includes earbuds, AirPods, headsets and noise cancelling and bone conduction headphones. It doesn't matter how long a person has previously been using these devices without any increase in the tinnitus because things can suddenly change. Each time a person with noise induced tinnitus uses the devices mentioned, they are playing Russian roulette with their health. If the tinnitus spikes there is no guarantee it will reduce to its previous baseline level.

2. Stress can also increase increase tinnitus so needs to be managed. There are various ways this can be achieved. If necessary talk to your doctor who may advice medication to help.

3. Some aerobic exercises, can aggravate or permanently increase tinnitus for some people with noise induced tinnitus. This is due to impact underfoot and jarring up and down of the body. There is information online about this.

I have also said, the fluctuations in the tinnitus that you are currently experiencing is an indication, that your auditory system is being put under stress. From personal experience and corresponding with people that have noise induced tinnitus, it suggests exposure to loud noise or headphone use of any type, even at low volume are the cause. Either one or a combination of these things are responsible.

Michael
 
To Michael Leigh:

I can absolutely guarantee that there is such a phenomena as reactive tinnitus.

When I am driving, the combined high pitched sounds of the motor, the wind, et.al will definitely worsen my tinnitus sound. So will various, similarly high pitched sounds posted on YouTube Tinnitus Sites.

Can you explain why, for the looniest unsubstantiated reasons you insist that I deny the obvious reality of my experience?

Should I therefore have any respect for you?
 
Hopefully riding a bike does not make @Clerkp's tinnitus worse. Earplugs wouldn't be much good. If a person's tinnitus were made worse by riding a bike, it is the internal physical exertion of pushing the peddles that create vibrations traveling up through the feet, legs, upper body and head that would spike the tinnitus.
I respectfully disagree about bicycle riding and earplugs. Riding a bicycle is considered low-impact exercise and is recommended for people with hip, knee and ankle issues, unlike running. I ride a bicycle every day, and I fail to see how pedaling could possibly create more "vibrations" than, say, walking or, as you mentioned, using an elliptical.

What cyclists do need to be aware of is wind noise, which can reach 120 dBA (https://www.noisyplanet.nidcd.nih.g...ute-to-noise-Induced-hearing-loss-in-cyclists). Earplugs are likely to help with that, although I'm not sure which kind is best for wind noise.
 
I'm awfully sorry to hear that, @AVIYT.

Can you pinpoint why exactly it is getting worse? Do you have permanent spikes to low level noise constantly which raises the baseline, or does the baseline just raise itself without apparent reason?

Hoping the best for you,
Stacken
No apparent reason for many days. Some events like car horns, 2 dentist visits, loud exhausts on street (would cover ears), etc. normal activities but these would be rare events. Many times I'd wear earplugs or noise cancelling headphones on the street. I sit a lot at home. Maybe high blood pressure but apart from that, I was better in the summer. These past few months have drastically worsened without cause.
 
I respectfully disagree about bicycle riding and earplugs. Riding a bicycle is considered low-impact exercise and is recommended for people with hip, knee and ankle issues, unlike running. I ride a bicycle every day, and I fail to see how pedaling could possibly create more "vibrations" than, say, walking or, as you mentioned, using an elliptical
Thank you for your comments. Please be advised of the following: I said in my previous posts, certain aerobic exercises like running can make noise induced tinnitus worse for "some people". I did not say all. I have corresponded with people that have had noise induced tinnitus for quite some time. Some have told me they stopped running, doing karate and other forms of exercises because their tinnitus increased. A few have mentioned they have had to stop long distance bike riding for the same reason. I mentioned this to the member on this thread for consideration, I did not say riding a bike was the cause for the increase in his tinnitus.

We are all different and therefore, it is up to each person to decide for themselves what they want to do. My blood pressure medicine, is listed as can cause ringing in the ears. I have not noticed any increase in my tinnitus taking it.

I hope I have made myself clear and will not be commenting on this issue again.

Michael
 
Thank you for your comments. Please be advised of the following: I said in my previous posts, certain aerobic exercises like running can make noise induced tinnitus worse for "some people". I did not say all. I have corresponded with people that have had noise induced tinnitus for quite some time. Some have told me they stopped running, doing karate and other forms of exercises because their tinnitus increased. A few have mentioned they have had to stop long distance bike riding for the same reason. I mentioned this to the member on this thread for consideration, I did not say riding a bike was the cause for the increase in his tinnitus.

We are all different and therefore, it is up to each person to decide for themselves what they want to do. My blood pressure medicine, is listed as can cause ringing in the ears. I have not noticed any increase in my tinnitus taking it.

I hope I have made myself clear and will not be commenting on this issue again.

Michael
I think perhaps you misunderstood my comment. I don't disagree that cycling could potentially cause an increase in tinnitus. I merely suggested that using earplugs might be worth trying if you experience worsening tinnitus after cycling, as wind noise could be the culprit.

Best wishes to you.
 
I think perhaps you misunderstood my comment. I don't disagree that cycling could potentially cause an increase in tinnitus. I merely suggested that using earplugs might be worth trying if you experience worsening tinnitus after cycling, as wind noise could be the culprit.

Best wishes to you.
I am tackling wind noise next. I actually think the solution will be to just use my normal true wireless earbuds but without turning them on. They do a good job of isolating. I also picked up a few items that strap to your helmet and apparently cut wind noise - waiting on them. I never once considered wind noise a potential issue until I found this forum and then after riding yesterday with a nice breeze and no headphones I realized it is definitely louder than I would want.

That said, giving up cycling is just not an option for me. I will report back on trial and error on this. If I were a betting man, I would bet that anyone who has increased tinnitus from cycling has it from wind noise and not vibrations.
 
@Michael Leigh, do you have an opinion on what is a safe volume level for a home hi-fi system. Since headphones are largely out for me, I'm going to invest in something for my home office. What do you consider to be safe?
 
I respectfully disagree about bicycle riding and earplugs. Riding a bicycle is considered low-impact exercise and is recommended for people with hip, knee and ankle issues, unlike running. I ride a bicycle every day, and I fail to see how pedaling could possibly create more "vibrations" than, say, walking or, as you mentioned, using an elliptical.

What cyclists do need to be aware of is wind noise, which can reach 120 dBA (https://www.noisyplanet.nidcd.nih.g...ute-to-noise-Induced-hearing-loss-in-cyclists). Earplugs are likely to help with that, although I'm not sure which kind is best for wind noise.
The study is fascinating and not shocking but at least for me, a 15MPH wind would be fairly unusual. In addition, no one cycles to 60mph. That said, I do believe a 10MPH headwind combined with a 20MPH cycling speed likely gets you awfully close to 85 dBA based on my anecdotal experience.
 
@Michael Leigh, do you have an opinion on what is a safe volume level for a home hi-fi system. Since headphones are largely out for me, I'm going to invest in something for my home office. What do you consider to be safe?
We are all different so trust your ears and listen to music at a volume that is comfortable for you. If you want to listen to high quality music at home, then you need to do some research and buy the best equipment that you can afford. I have been an Audiophile since my teens, so the reproduction of music in high quality is very important to me. I used to listen to music through high-end headphones that eventually gave me tinnitus, because I wasn't aware of listening at levels that were too loud. I haven't used headphones in 25 years. I now listen to music through high quality speakers and enjoy it a lot.

Putting a good HI-FI system together takes time and a certain amount of skill otherwise one will make costly mistakes. When done correctly your HI-FI will reward you with hours of listening pleasure. The speakers will completely disappear and all you will hear is the music that will be presented to you in three dimensions: width, height and depth. To give you an idea of what I am talking about please read my post: Does your system sing? Click on the link below.

If you are serious about HI-FI, then buy some good magazines on the subject before buying any equipment. I live in the UK and recommend HI-FI World, HI-FI Choice and What HI-FI. Stereophile, is a US magazine. It is highly revered and considered one of the best. They regularly review high-end audio equipment.

If you want to listen to high quality music on a smaller scale for the office or home, then I recommend the Bose Wave music system. You have to hear this device to believe the level of sound quality. You will hear all the subtle nuances that it's rivals can only hint at. The Bose is not cheap, but if you want one of the best small size audio systems, that will deliver music in glorious three dimensions, then audition it and be prepared to be amazed.

Michael

Does Your Hi-Fi System Sing? | Tinnitus Talk Support Forum
Wave home stereo systems | Bose
 
@Michael Leigh, do you have an opinion on what is a safe volume level for a home hi-fi system. Since headphones are largely out for me, I'm going to invest in something for my home office. What do you consider to be safe?
Here's just my opinion when it comes to speakers; if you don't have any abnormal sensitivity to sound (like hyperacusis, or spikes to low-moderate sounds) then the general recommendations for safe volume levels should apply, and that means anything below 70 dB should be fine. However, if we spike to sounds below that level, the volume of the speakers should probably be turned down further to not cause further spiking.
 

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