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Hearing Loss

Are Balance Problems Related to Hearing Loss? There’s a Definite Possibility!

It’s common for people with hearing loss to have balance issues, and vice versa.

This phenomenon might even affect you or a loved one. Do they occur together as a coincidence, or are hearing and balance actually related? It turns out the answer is, “It depends.” Let’s look at some basics first.

The Inner Ear

The inner ear is also known as the bony labyrinth, and it consists of both the cochlea and the vestibular system.

  • The cochlea (hearing): The cochlea is where sound signals are captured, converted to electrical signals, and sent to the brain to be interpreted as sound.
  • The vestibular system (balance): This comprises three bony canals and two pouches. These work together to tell your brain where your head is in space, as well as when and how it’s moving.

 

Hearing and Balance Problems

Both hearing and balance depend heavily on the status of your inner ear, so it makes sense that what affects one may affect the other. But let’s look at some examples to see how parts of the inner ear can be affected to cause different conditions.

Noise-induced hearing loss

Noise-induced hearing loss is an example of hearing loss with no inherent balance problem. It is caused when the hair-like hearing cells in your cochlea are damaged. This damage means less (or distorted) sound input is sent to your brain. Because it’s only in your cochlea, this damage usually doesn’t affect your balance.

Benign paroxysmal positional vertigo

Usually abbreviated BPPV, this is an example of a balance problem with no hearing loss. It causes sudden, brief spells of vertigo (a false feeling of spinning) and may be triggered by certain head movements.

What causes BPPV? The two pouches in your vestibular system hold a gel filled with crystals. These crystals react to gravity and help you understand when you’re speeding up and slowing down. But sometimes a crystal gets loose and floats into one of the three bony canals. When enough of these crystals end up in a canal, the fluid in that canal doesn’t flow as it should, and incorrect balance signals get sent to your brain. Because this doesn’t involve your cochlea, it doesn’t affect your hearing.

Ménière’s disease

Ménière’s disease is an example of hearing loss and balance problems that are often related. In fact, those are the chief symptoms — hearing issues in conjunction with balance problems.

This condition results from a buildup of endolymph, a fluid that fills the chambers and tubes of your inner ear. The increased pressure from the buildup confuses the hearing and balance receptors throughout, resulting in incorrect signals getting sent to the brain.


It’s Not a Slam Dunk

Many things lead to hearing loss. Many things lead to balance issues. As specialists in all things inner ear, an audiologist is uniquely suited to consider all your symptoms and determine which parts of your inner ear are causing you trouble. If you’re worried about a balance problem — yours or a loved one’s — contact us today to schedule a consultation.

 

Is Weight Connected to Hearing Loss? Studies Say There’s a Connection.

Is Weight Connected to Hearing Loss?

Studies about weight often concern its relation to overall health. Common connections include weight and the risk for or prevalence of heart disease, diabetes, and sleep apnea, to name a few. One topic that doesn’t get as much attention is the connection between weight and risk for hearing loss. But is there a connection?

To understand how weight affects hearing, you need to know about something tiny but important in your inner ear: the hair cell.

The Hair Cell

Your brain doesn’t understand sound waves. Tiny, hair-like structures in your inner ear, called hair cells, translate sound waves into a language — electrical signals — your brain understands. It sends those signals to your brain through the auditory nerve, and your brain interprets the signals as sound information.

Care and Feeding of Your Hair Cells

Hair cells need plenty of oxygen, which they get from strong, rich blood flow. If you have poor circulation, your hair cells don’t get sufficient nourishment. This leads to cell damage or death. Your body can’t repair hair cells — the damage is done, leaving fewer opportunities for sound information to reach your brain. Hearing loss due to damaged or destroyed hair cells is permanent.

Weight and Blood Flow

The more fat tissue in the body, the harder the heart has to work to get blood where it needs to go. Despite the extra work and increased blood pressure, the blood doesn’t actually move through the body as easily. It’s harder for the blood to reach areas farther away from the heart, such as the tiny blood vessels in your inner ear. Again, the poorer the blood flow, the less nourishment for your hair cells.

Is the Belly the Culprit?

Results from a John Hopkins School of Medicine study reported that improvement in blood flow is directly related to a reduction in excess belly fat. How? As belly fat is lost, the arteries regain their ability to expand, allowing blood to flow freely. The greater the reduction of belly fat, the stronger the recovery of healthy blood flow.

So it stands to reason that reducing belly fat would lead to better hearing. And results from the Harvard Nurses’ Health Study support that reasoning: They found a direct correlation between amount of belly fat and risk of hearing loss. They also found that exercise protected against hearing loss.


If you suspect you might have hearing loss, contact us today to schedule an appointment!

Are Portable Music Players Putting Your Ears at Risk?

Turn the Music Up, Dude — But Not Past 85 Decibels

You probably use your tablet or smartphone often to stream music, TV shows, or movies. In fact, many websites these days auto-play videos regardless of whether you want them to.

Smartphones, tablets, and other types of portable music players (PMPs) are now commonplace, as are earbuds and headphones. But if your PMP is turned up too loud while wearing earbuds or headphones, you can damage your hearing quickly. Let’s look at why.

NIHL

This isn’t some new sports league — NIHL stands for noise-induced hearing loss, and it’s the second-largest cause of hearing loss worldwide.

You’re able to hear because of hair cells in your inner ear. These cells convert sound signals to electrical signals and send them to your brain, where they’re interpreted as sounds. But loud sounds can actually damage or destroy your hair cells.

Every time a hair cell gets damaged, you lose a little bit of your ability to hear, and that damage can’t be repaired. The result is NIHL.

How Headphones Hurt Your Hearing

Navigating noise is all about the decibels (a measure of sound pressure). You’re safe if the sound in question stays below 85 decibels (dB); above that, you’re in the action zone — protect your ears or risk hearing damage.

For comparison:

  • A clothes dryer = 60 dB
    No need for hearing protection
  • A gas lawn mower = 91 dB
    Exposure can damage hearing in 2 hours
  • A tractor =100 dB
    Exposure can damage hearing in 15 minutes
  • A chain saw = 112 dB
    Exposure can damage hearing in less than 1 minute

Some PMPs can generate 112 dB — in other words, if you like to listen to your PMP at full volume, you’re likely pumping a chain saw’s worth of noise at your ears from centimeters away.

Why Protecting Your Hearing Matters

Hearing loss is connected to overall health in surprising ways. It’s been linked to depression, cardiovascular disease, diabetes, cognitive decline, dementia, and other health concerns.

But it’s not just a concern for later in life: One study found that any degree of hearing loss early in life increases a child’s risk for language and learning problems.

Considering that one study of PMP use in 9-to 11-year-olds reported that 9 in 10 children and teens use some form of audio-streaming device for education or recreation, PMPs pose a considerable hearing health risk at all ages.

Indeed, that same study found that 14 percent of the children had measurable hearing loss. In addition, if a child listened to their PMP only once or twice a week, it doubled their chances of hearing loss compared to children who didn’t use a PMP.

What You Can Do

  • Enforce the 60/60 rule. Don’t turn the volume of your PMPs up past 60 percent of full volume, and turn the device off completely after listening for 60 minutes so your ears can have a break.
  • Use headphones instead of earbuds. With earbuds, you pick up background noise, which often leads to turning up the volume on the PMP to hear the audio better. Headphones that surround the ear keep the background noise to a minimum, allowing you to leave the volume at or below 60 percent. Even better, invest in noise-canceling headphones.
  • If you must use earbuds, make them in-ear earbuds. With these earbuds, the earpiece sits inside the ear canal, rather than just outside it. The sleeve around the speaker blocks out background noise and keeps your audio from escaping the ear canal.
  • Use the sound limiter built into the PMP. Many devices allow you to limit how loud the volume goes, or the device has a built-in alert telling you you’re risking hearing damage by pushing the volume higher.
  • For kids, get volume-limiting headphones. Though there are many child-friendly options for headphones that will keep the volume from going over 85, it’s best to read up on whichever pair you choose to buy. Research by Wirecutter found that, of more than 30 brands tested, almost half were not effective at keeping the volume below 85 dB.