Tinnitus, often described as a ringing, buzzing, or hissing sound experienced without an external source, affects a significant portion of the population. This auditory sensation can range in intensity and can sometimes interfere with daily life. Many individuals with tinnitus wonder if using headphones is safe or if it could worsen their symptoms. This article aims to clarify the interaction between tinnitus and headphone use, offering practical guidance for safe listening and exploring how headphones can even be a part of managing tinnitus.
Tinnitus and Headphone Interaction
Using headphones is generally not prohibited for those experiencing tinnitus, but it requires careful consideration. While headphones themselves do not cause tinnitus, improper use, particularly listening at high volumes for extended periods, can contribute to noise-induced hearing loss, which is strongly linked to the development or exacerbation of tinnitus. Extended, high-volume headphone use can lead to hearing difficulties. Hearing loss often precedes or co-occurs with tinnitus, suggesting a connection between auditory damage and the phantom sounds.
Conversely, headphones can offer temporary relief for some individuals by providing sound that masks the tinnitus. This involves introducing external sounds that compete with or cover the tinnitus, making it less noticeable. However, some people report that headphone use, especially at high volumes, can worsen their tinnitus symptoms or cause discomfort. Individual experiences with headphones and tinnitus can vary significantly.
Guidelines for Safe Headphone Use
Managing headphone volume is important for individuals with tinnitus. Experts suggest keeping the volume at a moderate level to avoid further auditory strain or damage. A common guideline, known as the “60/60 rule,” recommends listening at no more than 60% of the maximum volume for no longer than 60 minutes at a time, followed by a break. Some audiologists recommend listening levels between 60 and 85 decibels. Smartphones often include features or apps to monitor and limit maximum volume levels, which can be a helpful tool.
Listening duration also plays a role in safe headphone use. Taking regular breaks allows the auditory system to rest and can help prevent auditory fatigue. If tinnitus symptoms increase or sensitivity to sound develops, it is advisable to temporarily refrain from headphone use to allow for recovery.
The type of headphone can also influence the listening experience for someone with tinnitus. Over-ear headphones are safer than in-ear earbuds because they do not funnel sound directly into the eardrum and can often be used at lower volumes. In-ear earbuds can increase pressure in the ear canal and deliver sound more directly, potentially aggravating tinnitus for some individuals. Noise-canceling headphones can be beneficial as they reduce external noise, allowing for listening at a lower volume. Bone conduction headphones, which transmit sound through vibrations on the cheekbones, bypass the ear canal entirely and may be a comfortable option for some individuals with sensitive ears or tinnitus.
Therapeutic Applications of Headphones
Beyond general listening, headphones can serve as a tool for tinnitus management through sound therapy. Sound therapy involves introducing external sounds to help diminish tinnitus. This approach aims to redirect the brain’s attention away from the tinnitus, making it less bothersome. Headphones can deliver various background sounds, such as white noise, pink noise, or nature sounds, which can mask the tinnitus or blend with it. Many smartphone apps offer extensive sound libraries for this purpose, providing portability and privacy.
Headphones are also integral to Tinnitus Retraining Therapy (TRT). TRT combines sound therapy with counseling to help individuals habituate to their tinnitus, meaning their brain learns to perceive the sound as neutral and non-threatening. During the sound therapy component of TRT, a device worn in or on the ear plays low-level background noise. This constant, low-level sound helps decrease the contrast between the tinnitus and external sounds, encouraging the brain to filter out the tinnitus over time. While sound therapy and TRT can provide relief, they are management strategies rather than cures. Professional guidance from a healthcare provider or audiologist is recommended for personalized treatment plans.