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Jigsaw

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Posts: 25
Reply with quote  #1 
I never quite understood one thing:

Most of us get hyperacusis from too much noise and thus experience an acoustic shock.
This has the consequence that the hyperacusis occurs and is getting worse by further loud noises.

Is that formulated correctly?

The whole thing can only be resolved by exposing oneself to noise again.
Somehow this is paradoxical because the sounds originally led to the formation of hyperacusis or worsened it.
And then, the only way to break up the hyperacusis is to hear noises?
I never really understood that. That's actually a contradiction, isn't it?

What is the difference between noises that trigger a hyperacusis and noises that heal a hyperacusis?

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Aplomado

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Posts: 627
Reply with quote  #2 

Noises that are "too loud" can aggrevate hyperacusis.

Lack of noise that is not too loud will also aggravate hyperacusis.  I can absolutely tell you that wearing earplugs "all the time" will make it a lot worse.

Of course if you don't wear ear plugs around very loud stuff that will make it worse too.

It is a fine line, unfortuantely.

Hyperacusis is a sensory disorder, one of many.

For example some people, such as burn victims, have a very painful sensation when their skin is touched.  My mother treated a lady with this condition.  The treatment?  Rubbing the skin with a very soft cloth gently.  Over time, it very slowly desensitized the skin to touch.  That is how sound therapy works also.  However, imagine if my mother had used sandpaper on the patient's skin... it would have made it worse.

Same idea.

The brain must learn to tolerate sound again, but it must not overwhelm the tolerance you have.

It is extremely frustrating, as I can tell you.

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Pamela

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Posts: 13
Reply with quote  #3 
Quote:
Originally Posted by Aplomado

Noises that are "too loud" can aggrevate hyperacusis.

Lack of noise that is not too loud will also aggravate hyperacusis.  I can absolutely tell you that wearing earplugs "all the time" will make it a lot worse.

Of course if you don't wear ear plugs around very loud stuff that will make it worse too.

It is a fine line, unfortuantely.

Hyperacusis is a sensory disorder, one of many.

For example some people, such as burn victims, have a very painful sensation when their skin is touched.  My mother treated a lady with this condition.  The treatment?  Rubbing the skin with a very soft cloth gently.  Over time, it very slowly desensitized the skin to touch.  That is how sound therapy works also.  However, imagine if my mother had used sandpaper on the patient's skin... it would have made it worse.

Same idea.

The brain must learn to tolerate sound again, but it must not overwhelm the tolerance you have.

It is extremely frustrating, as I can tell you.



Thank you for that excellent analogy. Is this explanation for Hyperacusis With Pain, or Hyperacusis With Loudness, or both? I have pain and fullness even in quiet, but worse pain with noise. I couldn’t do TRT (because the sound generators hurt), but over the past 5 years, I have gone from only being able to be around whispers for 10 mins to being able to be around a small group of people (if there is no crosstalk) for 2 hours about 6 times a year. But, I seem to have plateaued in the past couple of years. Is there ever a physical component to Hyperacusis? Especially with auditory cell damage?

Thanks for the help!
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rodmccain

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Posts: 219
Reply with quote  #4 
That is an  excellent question jigsaw.

I have debilitating T and H, or if you will, acoustic GAIN, from a too loud MRI.  Normal environment sound, does not sound normal to me, but too loud, and still aggravates and spikes my T, which in turn makes me even more sensitive to sound.

For me sound therapy only helped me the first couple of years. I am considered a category 4 so  TRT does not help either.

I seriously hope that someone will solve this puzzle within my life time.  I am absolutely hating a reclusive life. 

Take care,
Kathy Mc
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Aplomado

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Posts: 627
Reply with quote  #5 
" Is this explanation for Hyperacusis With Pain, or Hyperacusis With Loudness, or both?"

Both I think.  I have pain also.

"Is there ever a physical component to Hyperacusis?"

No one knows for sure.  It is possible.  However, improvement can be made by adjusting the brain's response to noise even if the signals from the ear are abnormal.  When my mother did therapy on the burned woman, her problem started with physical damage- but the brain was able to adjust to reduce sensitivity.

As far as my personal experience, I have had much improvement with sound therapy but have been unable to make a complete recovery do to loud noise induced relapses.  I am not really the best model to follow because of this, but I do think people need to make an effort to adjust their sound tolerance with gentle exposure over time.
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EDogg

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Posts: 167
Reply with quote  #6 
Quote:
Originally Posted by Aplomado

Noises that are "too loud" can aggrevate hyperacusis.

Lack of noise that is not too loud will also aggravate hyperacusis.  I can absolutely tell you that wearing earplugs "all the time" will make it a lot worse.

Of course if you don't wear ear plugs around very loud stuff that will make it worse too.

It is a fine line, unfortuantely.

Hyperacusis is a sensory disorder, one of many.

For example some people, such as burn victims, have a very painful sensation when their skin is touched.  My mother treated a lady with this condition.  The treatment?  Rubbing the skin with a very soft cloth gently.  Over time, it very slowly desensitized the skin to touch.  That is how sound therapy works also.  However, imagine if my mother had used sandpaper on the patient's skin... it would have made it worse.

Same idea.

The brain must learn to tolerate sound again, but it must not overwhelm the tolerance you have.

It is extremely frustrating, as I can tell you.



This.. is an excellent answer! Thank you, Aplomado.
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Jigsaw

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Posts: 25
Reply with quote  #7 
Thank you very much for the answers and the explanations!
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