What is Sudden Hearing Loss (SSHL)?

Q: What is the best hearing aid model for me?

In general, any audiologist will always recommend to you the hearing aid model that best suits your needs . Here is a useful checklist to make sure that is the case. Audiologist's level of knowledge: The audiologist you have seen will hopefully have a wide knowledge of all available hearing aids ; however, some will only be familiar with a small number of brands and, therefore, may not really be in a position to know which model is the best for you. It is OK to challenge their recommendation and ask them to justify why this particular brand is the one for you. Do research: Read about the hearing aid that was recommended. Does it seem like it will suit your lifestyle? Does it have more or fewer features than you need? Be aware of sales targets: Many high street retailers have specific tie-ins to a particular manufacturer/brand. The hearing aid they have suggested may still be the correct one for you, but do your research so that you know why they might have recommended it.

Q: What are the benefits of rechargeable hearing aids?

For most people, the main benefit of a rechargeable hearing aid is simple convenience. We are used to plugging in our phones and other devices overnight for them to charge up. Here are some other pros and cons: For anybody with poor dexterity or issues with their fingers, having a rechargeable aid makes a huge difference, as normal hearing aid batteries are quite small and some people find them fiddly to change. One downside is that if you forget to charge your hearing aid , then it is a problem that can't be instantly fixed. For most, a 30-minute charge will get you at least two or three hours of hearing, but if you are the type of person who is likely to forget to plug them in regularly, then you're probably better off with standard batteries. Rechargeable aids are also a little bit bigger and are only available in Behind-the-Ear models. Finally, just like with a mobile phone, the amount of charge you get on day one is not going to be the same as you get a few years down the line. Be sure to ask what the policy is with the manufacturer's warranty when it comes to replacing the battery.

Q: Are Behind-the-Ear hearing aids better than In-the-Ear hearing aids?

For most people, the answer is yes. But it's never that simple. The majority of hearing problems affect the high frequencies a lot more than the low ones. Therefore, open fitting hearing aids sound a lot more natural and ones that block your ears up can make your own voice sound like you are talking with your head in a bucket. Therefore, in-ear aids tend to be less natural. However, the true answer is we can't tell until we have had a look in your ears to assess the size of your ear canal, and until we have tested your hearing to see which frequencies are being affected. People with wider ear canals tend to have more flexibility, also there are open fitting modular CIC hearing aids now that do not block your ears. There is also the age-old rule to consider, that a hearing aid will not help you if it's sat in the drawer gathering dust. If the only hearing aid you would be happy wearing is one that people can't see, then that's what you should get. Most people can adapt to any type of hearing aid , as long as they know what to expect. Have an honest conversation with your audiologist as to what your needs are.

Q: What are channels, and how many do I need?

Generally speaking, six or more. Unless it's none at all. The number of channels a hearing aid has is often a simplistic way an audiologist will use to explain why one hearing aid is better than another, but channels are complex, and it is really not that straightforward. Here are some reasons why: Hearing aids amplify sounds of different frequencies by different amounts. Most people have lost more high frequencies than low, and therefore need more amplification in the high frequencies. The range of sounds you hear is split into frequency bands or channels, and the hearing aids are set to provide the right amount of hearing at each frequency level. Less than six channels, and this cannot be done with much accuracy, so six is the magic number. However, a six-channel aid is typically very basic with few other features and is suitable only for hearing a single speaker in a quiet room. The number of channels is not what you should be looking at; it's more the rest of the technology that comes with them. As a final note, different manufacturers have different approaches. One method is not necessarily better than any other. For example, some manufacturers have as many as 64 channels in their top aids. Most tend to have between 17 and 20. One m anufacturer has no channels at all.

Q: What's covered in a manufacturer's warranty?

Manufacturer's warranties typically last between 2-5 years, depending on the brand and model, and cover defects in materials and workmanship. This includes repairs for component failures, electronic malfunctions, and manufacturing defects, but excludes damage from misuse, accidents, or normal wear. Most manufacturers also include loss and damage insurance for the first year. We handle all warranty claims on your behalf, liaising with manufacturers and ensuring you get replacement devices quickly when needed. This comprehensive warranty coverage, combined with our lifetime aftercare, gives you complete peace of mind.

Q: How much does the hearing test cost?

Our hearing tests are completely free, whether at our clinics or in your home . Unlike other providers who charge £30-£100 for home visits, we believe hearing healthcare should be accessible without financial barriers. Our comprehensive assessments include examination by a registered audiologist, audiogram results, and personalised recommendations. All testing, future adjustments, and ongoing support are included at no extra cost. While NHS tests are also free, typical 6-week waiting periods often lead people to seek immediate private testing. We provide prompt, professional assessments that fit your schedule and budget.

Q: Do you offer home visits, and are they included in the price?

Yes, we offer completely free home visits throughout the UK, and this service is included in our prices with no additional charges. Home visits are particularly valuable for people with mobility issues, busy schedules, or those who simply prefer the comfort and convenience of their own environment. Our audiologists can conduct full hearing tests, fit hearing aids, and provide ongoing support in your home. This service sets us apart from many providers who either don't offer home visits or charge extra for them.

Q: Why are your hearing aids cheaper than what I'd pay on the high street?

We can offer prices up to 40% lower than high street retailers because of our business model. As a network of 200+ independent audiologists , we don't have the massive overheads of large retail chains - no expensive high street premises, no sales targets pushing audiologists to sell the most expensive options, and no costly marketing campaigns. However, we maintain the same buying power as the big chains because we purchase on behalf of our entire nationwide network. This means you get access to the same premium hearing aids with professional service, but at genuinely competitive prices.

Q: How long do I have to try the hearing aids before committing to keep them?

We offer a comprehensive 60-day money-back guarantee, which gives you twice the industry standard time to properly assess whether your hearing aids are right for you. This extended period recognises that adjusting to hearing aids takes time, and your brain needs several weeks to adapt to the amplified sounds. Unlike many providers who offer just 30 days, we believe 60 days gives you the confidence to test your hearing aids in all the situations that matter to you - from quiet conversations at home to busy restaurants and outdoor activities.

Q: Can I really buy hearing aids online without visiting a clinic first? Why can't I do this with your company?

While some companies do sell hearing aids online without professional involvement, we don't offer this service because we genuinely believe it's not in your best interests. Hearing aids aren't like buying glasses online - they require professional assessment, precise programming to your specific hearing loss pattern, and proper fitting to work effectively. Through our network of over 200 qualified independent audiologists across the UK, we ensure you receive a proper hearing test, expert guidance on the right device for your needs, and professional fitting. This approach means you're far more likely to be satisfied with your hearing aids and actually use them regularly.

What is Sudden Hearing Loss (SSHL)?

The causes, risks, symptoms and treatments

An instant decrease in hearing

Sudden hearing loss is an abrupt decrease in hearing, often occurring within a few days. Causes may include viral infections, vascular issues, or inner ear disorders. Symptoms can include hearing loss in one or both ears, tinnitus, or dizziness.

Imagine waking up one morning and realising you can’t hear out of one ear, or even worse, the world sounds muffled. You might be concerned, thinking it’s just a temporary blockage, but it’s crucial to seek medical help straight away.

Prompt medical evaluation is crucial for potential treatment with steroids or other interventions. In this article, we discuss the causes, risks, symptoms, and treatments available.

Causes of sudden hearing loss

Sudden hearing loss is a serious and potentially debilitating condition that can occur without warning. It is defined as a hearing loss of at least 30 decibels in three or fewer days, usually affecting one ear.

For example, you might be at a family gathering, chatting with a few people, and then realise that one ear is barely picking up any sound. This could be a sign of SSHL.

What is the most common cause of sudden hearing loss? Sudden hearing loss can be caused by a variety of factors, including infection, inflammation, trauma and exposure to loud noise.

Because of this, it is important to seek medical attention immediately if you experience sudden hearing loss, as prompt treatment can improve outcomes and the success of the treatment.

Imagine enjoying a day at a festival, surrounded by music and chatter, and suddenly, your hearing in one ear goes – that’s a classic scenario where SSHL could occur, and you need to act fast.

Symptoms of sudden hearing loss can include a decrease in hearing in one ear, a feeling of fullness in the ear, tinnitus (ringing in the ear), and dizziness or vertigo.

You may also notice that when you're driving, the sounds on your radio are no longer as clear in one ear, or when watching TV, it’s harder to follow the dialogue.

The onset of symptoms can be sudden and may occur during everyday activities, such as listening to music or watching television. It could even happen during a quiet evening at home, making it all the more alarming.

Other things that can cause sudden hearing loss include:

Infection: An ear infection can cause inflammation and swelling in the ear, leading to sudden hearing loss. For example, bacterial and viral infections can both cause sudden hearing loss.

Prompt treatment with antibiotics or antiviral medication may be necessary to prevent further damage. Picture yourself waking up with a sore ear after a cold and realising that your hearing is affected.

Trauma: Trauma to the head or ear can cause sudden hearing loss. This can be caused by a blow to the head, a fall, or exposure to a loud noise. In some cases, trauma can cause damage to the tiny hair cells in the inner ear that are responsible for detecting sound waves.

A construction worker who’s been exposed to loud machinery or someone at a football match might be at higher risk.

Autoimmune disorders: Some autoimmune disorders, such as lupus or rheumatoid arthritis, can cause sudden hearing loss. These disorders can cause inflammation and damage to the blood vessels and nerves in the ear, leading to hearing loss.

Ototoxic medications: Some medications, such as certain antibiotics or chemotherapy drugs, can be ototoxic, meaning they can cause damage to the inner ear and lead to sudden hearing loss.

If you've recently undergone chemotherapy or been on strong antibiotics for an infection, you might notice changes in your hearing.

Meniere's disease: Meniere's disease is a disorder of the inner ear that can cause sudden episodes of vertigo, hearing loss, and tinnitus. The exact cause of Meniere's disease is unknown, but it is thought to be related to changes in the fluid pressure within the inner ear.

If you've suddenly experienced vertigo along with a reduction in hearing, Meniere’s disease may be the culprit.

Tumours: Tumours in the ear or near the auditory nerve can cause sudden hearing loss. These tumours can be benign or malignant, and prompt medical attention is necessary to determine the cause and appropriate treatment.

Idiopathic sudden sensorineural hearing loss: In some cases, the cause of sudden hearing loss is unknown, and it is classified as idiopathic.

It is thought that idiopathic sudden sensorineural hearing loss may be related to a viral infection, blood vessel problems, or immune system disorders.

What is sudden hearing loss?

Sudden Hearing Loss

Diagnosing this type of hearing loss

Diagnosing sudden hearing loss

Diagnosis of sudden hearing loss typically involves a thorough medical history, physical examination, and hearing tests. Your healthcare provider may also order imaging tests, such as an MRI or CT scan, to look for any abnormalities in the ear or auditory nerve.

If you’re unable to hear properly after an incident or wake up with muffled hearing, seeking an audiologist’s opinion is vital to determine the next steps.

Sudden hearing loss treatments

Treatment options for sudden hearing loss may include medication, such as steroids, to reduce inflammation and swelling in the ear.

Hyperbaric oxygen therapy, which involves breathing pure oxygen in a pressurised chamber, may also be used to improve blood flow and reduce inflammation in the ear.

An individual who works in a noisy environment may receive steroids to reduce inflammation if a viral infection is suspected, or they may be offered hyperbaric therapy in a specialist clinic.

In most cases, hearing aids or cochlear implants may be recommended to improve and support your hearing health.

Other treatments for sudden hearing loss can be:

Hyperbaric oxygen therapy: This involves breathing pure oxygen in a pressurised chamber, which can help improve blood flow to the inner ear and promote healing.

Hearing aids: If SSHL results in permanent hearing loss, hearing aids are highly recommended to help improve hearing.

Cochlear implants: In some cases, cochlear implants may be recommended for people with severe or profound hearing loss.

Vestibular rehabilitation therapy: This involves exercises and other therapies to help improve balance and reduce dizziness or vertigo associated with SSHL.

For instance, if you experience frequent bouts of dizziness, these rehabilitation exercises can help you regain balance and confidence in your day-to-day activities.

How can you prevent sudden hearing loss?

In addition to medical treatment, there are several things you can do at home to help manage sudden hearing loss:

Protecting your ears: Avoiding exposure to loud noises is key to preventing SSHL. This means wearing earplugs or other protective gear when in loud environments, such as concerts, sporting events, or when operating power tools or machinery.

If you’re a music lover who attends concerts regularly, investing in a quality pair of earplugs could save your hearing in the long run.

You should also limit the amount of time you spend listening to music or other loud sounds through headphones or earbuds and turn down the volume to a safe level.

For example, reducing your volume to no more than 60% when listening to music on public transport can help protect your hearing.

Managing underlying health conditions: Certain health conditions, such as high blood pressure, heart disease, and diabetes, can increase the risk of SSHL.

If you have these conditions, it is important to manage them effectively through lifestyle changes, medication, or other treatments. This can help reduce the risk of SSHL and other related health complications.

Maintaining a healthy lifestyle: Adopting a healthy lifestyle can help reduce the risk of SSHL and other health conditions. This includes eating a balanced diet rich in nutrients, staying physically active, getting enough sleep, and avoiding smoking.

Avoiding ototoxic medications: Certain medications can cause hearing loss as a side effect, particularly if taken in high doses or over a prolonged period.

If you are taking medications that have the potential to damage your hearing, such as certain antibiotics or chemotherapy drugs, talk to your doctor about alternative treatments or ways to minimise the risk of hearing loss.

Monitoring your hearing: Regular hearing tests can help identify hearing loss early before it becomes more severe or permanent.

If you notice any changes in your hearing, such as difficulty understanding speech, ringing in the ears, or muffled hearing, see an audiologist or other hearing specialist right away.

Conclusion

So, is sudden hearing loss an emergency? Sudden sensorineural hearing loss (SSHL) is a medical emergency that requires prompt diagnosis and treatment.

While the exact cause of SSHL is often unknown, there are several lifestyle changes that can help reduce the risk of SSHL or prevent its recurrence.

Protecting your ears from loud noises, managing underlying health conditions, maintaining a healthy lifestyle, avoiding ototoxic medications, and monitoring your hearing regularly can all help reduce the risk of SSHL and promote good hearing health.

Whether you’re working with noisy machinery, enjoying a concert, or simply managing your health, protecting your hearing should be a top priority.

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