Am I hearing things (you don't) ????


About 5 years ago I started to notice a ringing in my ears. This is not a debilitating condition and I have learned
to tune it out. More disturbing however is an inability to tolerate high frequency "Noise". An example would be
the sound of plates clanging against each other as you remove them from the dishwasher. This type of sound
feels somewhat painful. At the RMAF last month after day one I found I could no longer listen to anything and enjoy it
as my ears felt fatigued. ( stayed too long at Raidho). I had a pair of ear plugs but failed to employ them at all times. Normally I listen at an average of 70 db. per my free phone app readings. 
I seem to notice during quiet moments a very low frequency off and on rumble sound. I thought it might be a piece of equipment in the home so I shut everything down, walked outside around all sides of the home thinking it might be emanating from a neighbor. No go. Its in my head. 
At age 60+ I have probably been subjected to my share of excessive noise but have never been an artillery man or Navy Gunner for example. 

Anyone else have similar experiences?
128x128firstnot
@ron17

I’ve read a little about Desyncra before. Though it hasn’t had nearly the amount of discussion (that I’ve seen) as TRT-like treatments.

It seems based on a similar idea, though I’ve seen a bit of skepticism cast it’s way by some TRT experts. (But then, there are often disagreements in these fields).

The main difference may be put down to the type of effort each demands. If I understand Desyncra, it would involve a more "dedicated" section of time to listen to the tailored noise. 4 to 6 hours. And the sound generators (look like tiny hearing aids) are physically attached to a device that looks like a smart phone.

In TRT, you just wear the little sound generators (essentially the same as you’d see in the Desyncra videos), which have been programmed with the tailored white noise. They are wireless and you just wear them the full day (or you can use them less...depends on comfort and advice in the personal treatment).

My main concern was my current hyperacusis, so I’m being treated for that first. I can tell you about my experience thus far if it helps.

First, my hyperacusis got, at points about a month ago, REALLY bad.
In fact, the day before my appointment to begin treatment, I woke up with my hearing completely screwed up: one ear sounding "dull" and the other like someone had eq’d all the upper frequencies way up, and painfully so. Though in the "dull" ear even just running water sounded like shrill bursts of white noise. It was brutal! I’ve never had it quite that bad.

Fortunately it somewhat resolved during the day. But the thing that p#sses me off when the hyperacusis is bad is not just that sound (especially upper frequency) "hurts," but the sound, particularly in my left ear, actually sounds wrong - like a raw nerve where everything sounds brighter in that ear. That’s when I know I’m having a bought of hyperacusis (though, as I’ve said, it’s been quite rare since my first onset in 20010.

So when, after a recent really loud noise exposure, my left ear went in to that "super bright, harsh sound" mode, I knew the hyperacusis had been triggered.

So, first day of the treatment, mid day, I was fitted with the little noise generators. For treating hyperacusis, they discourage as much as possible using ear plugs, because that tends to make the brain "crank up" the volume even more to hear, and only exacerbates the noise sensitivity when you take out your earplugs. (Anyone can experience this if they just wear earplugs for a while - things will sound a bit brighter and louder for a bit, after taking them out). So the portion that goes in your ear is not meant to occlude (block) the ear like an earplug. It’s perforated with large open areas to keep direct sound going in to the ear, while allowing the tailored white noise to be pumped in.

The audiologist, using a computer program, dialed in the right tone and loudness level for my comfort, and then the earbuds were programmed for me. They have volume controls if you want to turn it up, or down due to discomfort. The combination of the choice of molded frequency...something like a very dull, steady tone almost like a steady cold wind...combined with the open nature of the earbuds, means that external sound doesn’t sound at all damped. Speech etc are all clear (I have the musician’s earplugs that are are supposed to produce flat noise reduction, and even those aren’t nearly as "invisible" sonically as these noise generators in the ears).

One of the ways the noise helps is it provides something of a base-line buffer for external sounds. So a sudden sound, like a dish suddenly put down beside you, is not as dynamic and shocking to the ear. So right off the bat, my hearing felt more calmed during the first day I wore them.

I did worry that pumping continuous noise in to my ears could exacerbate my tinnitus, which unfortunately can be "reactive tinnitus" (reacts, gets louder, with noise). I’m happy to say that hasn’t been the case. Even after the first day, in fact when I took the noise generators out, my tinnitus ringing actually seemed to be more quiet!

Part of the therapy is to also use a white noise generator they give you, to put at your bedside, set to a "calming" volume. Personally, I’m a very light sleeper and have always slept in silence, so getting used to ANY new noise was a bit of a bummer. But it seems I’ve gotten used to it and sleep pretty well. The idea is to keep the subconscious part of the auditory system constantly stimulated, even when sleeping, to keep that "re-wiring" going on.

It is daunting that one is supposed to be prepared for up to two years of treatment! However, apparently many people report substantial improvement within a few months, so I’m hoping that’s the case.

I can report that, after almost two weeks in to the treatment, my ears do indeed already feel better. It’s incremental, but distinct. So for instance, when I take out the noise generators my hearing no longer sounds "wrong." That wonky "brightness eq" in my left ear seems to be gone and sound seems much more even, smooth and normal as it was before my hyperacusis started. That doesn’t mean I’m out of the woods yet. Sounds in the certain upper frequency range of my hyperacusis still stick out and annoy me. So for instance, if I try to listen to some funky or latin music with a horn section, the horns still annoy my ears. But they don’t sound "off" as in extra brightened, as they did a few weeks ago. So that’s a very good thing!

I’m feeling optimistic. Will report back in this thread if I make good progress in a few months.




Prof, I misspoke earlier in regard to TRT. I know very little about it but often suggest to my patients that they can try it since there isn't significant risk. Most have not found it worth the trouble.

In this discussion I had confused it with a form of cognitive behavioral therapy (CBT). Sorry if I caused confusion but I was primarily referring to CBT.

In regard to your observations on the mental aspect of tinnitus, well, I agree. Mine tends to be worse when I'm stressed, tired or sick. And I'm learning to mentally 'attenuate' the perception but it is far from foolproof. 

It has never been an issue in regard to sleep. I run a small floor fan in the room and that masks it fairly well.

In the past, when I would have those sudden bursts of very loud ringing I had the luxury of having one of my partners look at my ear drum and/or perform a quick tympanometry. Always normal.

I have not had formal audiometry but informally it is clear that it is mild presbycusis (old ears) and just high frequency and primarily just on the left.
n80, no need for anger or frustration, but I will let you off the hook this time because you’re a newbie. You just don’t know where I’m coming from, that’s all. My comments were in no way intended to be a dig or any such thing. It is your lack of knowledge on the subject of hearing and human perception of sound that is, perhaps ironically, the issue.

geoff kait
machina dynamica
advanced audio concepts
stevecham,

Once upon a time, truck drivers were known to have left-sided problems that traced to the open window while driving. With more prevalent air conditioners, it is probably not much of a problem anymore.

I have never heard of anyone doing what you do until now. Except me inconsistently, but many times, that is. Over time, I formed the opinion that internal noise should be very high on the list when picking a car. Sadly, many cars are tuned to make them noisier to enhance some "sporty" feeling.
geoffkait,

"You just don’t know where I’m coming from, that’s all."
Would you be so kind and tell us where you are coming from? We all have places we would rather not go so being prepared would be nice. We do not want same thing to happen to us.