[HN Gopher] AirPods Causing Tinnitus (600+ reports since 2019?)
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       AirPods Causing Tinnitus (600+ reports since 2019?)
        
       Author : albertTJames
       Score  : 181 points
       Date   : 2021-02-13 18:44 UTC (4 hours ago)
        
 (HTM) web link (discussions.apple.com)
 (TXT) w3m dump (discussions.apple.com)
        
       | piskov wrote:
       | I've always searched for studies about impact of the ultra high
       | frequencies (GHz i.e. billions as in bluetooth) on the brain and,
       | more importantly, on the thyroid gland.
       | 
       | I'm not talking about ionizing radiation, cancer, etc. (sure,
       | there's plenty of studies on that; we know, there isn't), but on
       | how those high-frequencies in close proximity may affect
       | metabolism or other normal functioning -- no such thing existed
       | during our evolution.
       | 
       | The reason I mention thyroid gland is that its disfunction may
       | have very bad consequences (wiki it). Cognitive, psychological,
       | etc.
       | 
       | Really would like to see studies about possible impact on that.
       | Until then, just to be safe, I try not use any bluetooth
       | headphones or use them wired (most have that option).
        
         | the_only_law wrote:
         | do you not use phones or any device utilizing WiFi near you
         | either?
        
           | piskov wrote:
           | Not placed against my head. I try to use speakerphone or
           | headset when I talk.
           | 
           | There's a reason standards have different values for head vs
           | other parts:
           | https://www.apple.com/legal/rfexposure/iphone13,3/en/
           | 
           | Also read the manual. For iphone 4 apple stated at least 15mm
           | separation between the iphone and the head (5mm? nowdays).
           | How many people just push it against the ear instead?
        
             | the_only_law wrote:
             | Fair enough, admittedly I'm not educated enough around RF
             | to be able to tell how exactly frequency / distance / power
             | can effect the human body.
             | 
             | > I've always searched for studies about impact of the
             | ultra high frequencies (GHz i.e. billions as in bluetooth)
             | on the brain and, more importantly, on the thyroid gland.
             | If you do have any, would you mind linking any of these
             | studies. Not trying to start a fight or nitpick them, I'm
             | genuinely curious.
        
         | jtth wrote:
         | I have some bad new for you about the world
        
           | piskov wrote:
           | Does that news include minimal distance between the body and
           | the emmiter? Check the FCC, SAR, W/Kg etc.
           | 
           | Not that you push cell tower or your wifi router against your
           | head, isn't it?
        
       | SirensOfTitan wrote:
       | I've had tinnitus since I was a teenager. It's never bothered me,
       | and I assumed everyone had it. I don't usually notice it while
       | focusing on anything else, and even sometimes use it as a
       | meditation object (paying attention to the oscillations of the
       | sound).
       | 
       | I sometimes wonder how many people have it, but don't notice the
       | existence of it until later into adulthood (because they're not
       | putting much attention on it).
        
         | dorchadas wrote:
         | Interesting, I've never thought of using it as a meditation
         | object. I might have to try that, as my tinnitus works the same
         | as yours (I only notice it when it's super silent and I'm not
         | working on something else)
        
       | brody_hamer wrote:
       | PSA: Don't listen to music in only one ear. It registers in your
       | brain as quieter than it is, and it's an easy way to cause
       | hearing loss.
        
         | naebother wrote:
         | This makes so much sense in hindsight. Like I'm conscious of
         | the decision to bump up the volume, but never even thought
         | about the possible damage. Thanks!
        
       | Ancapistani wrote:
       | I wonder if this could be related to the high-pitched whine that
       | AirPods Pro are somewhat known for after a while?
        
       | akersten wrote:
       | I've always wanted to ask an audiologist whether "active noise
       | cancelling" type technologies actually pose an auditory risk.
       | They kind of have to emit the same amplitude-at-the-ear of audio
       | of what they're cancelling out, right? And sure, most of the time
       | the waves cancel, but maybe the algorithm gets it wrong a couple
       | milliseconds at a time and - while possibly not perceptible - are
       | those high peaks of audio-cancelling-sound damaging?
        
         | maeln wrote:
         | The thing is, noise cancelling is a very simple physical
         | process. If it "miss" you _will_ ear it. So there is no
         | invisible danger, it _cannot_ be not perceptible, either it
         | cancel, or it add to the noise. The worst that ANC can do is
         | add noise to the noise. Plus, most ANC focus on low frequency
         | sound since they are the easiest one to cancel.
        
           | ckemere wrote:
           | This assumes that active noise cancellation doesn't introduce
           | energy in audible parts of the pressure spectrum.
        
             | stouset wrote:
             | This is no more a risk than normal audio you listen to
             | doing the same.
        
               | sudosysgen wrote:
               | Of course not. If your driver is trying to cancel 95dB
               | and creating a harmonic then that harmonic has 100 000
               | times more energy than the same harmonic when playing at
               | 80dB without noise cancelation.
        
           | NathanielK wrote:
           | If you're trying to cancel out a loud 100dB+ environment,
           | that means the driver needs to be blasting at at least 100dB.
           | 
           | Any harmonic distortion in the headphones will be introduced
           | relative this, as well as being in the higher frequencies
           | where it's less noticable, but still may cause hearing loss.
           | 
           | I've used ANC IEMs instead of proper hearing protection
           | around loud machinery before and although it may have felt
           | quieter, my ears still "rang" afterwards so I was causing
           | permanent hearing damage. People who think ANC "sounds
           | quieter" and use it instead of proper hearing protection (or
           | just turn the music too loud) will definitely suffer hearing
           | loss, though not directly because of the ANC.
           | 
           | I am not an audiologist, but an interesting similar issue
           | happens with our eyes. If you wear tinted lenses with no UV
           | filter, your body will be happy that it looks darker, and
           | open your iris more. Now since your iris is open more, you
           | actually cause more UV damage to your eye without noticing. I
           | remember this being a big story when polarized 3D movie
           | glasses came out and people were keeping them on outdoors.
        
           | trhway wrote:
           | > If it "miss" you will ear it. So there is no invisible
           | danger, it cannot be not perceptible
           | 
           | not always true. Minor phase mismatch will create higher
           | frequency sound. You wouldn't hear ultrasound, though how bad
           | it is to have an ultrasound source in you ears i don't know.
           | 
           | The phase mismatch can be temporal - circuitry reacting
           | either a bit too fast or too slow - as well as spatial - the
           | sound wave front most probably aren't parallel to the
           | speakers frontal plane.
        
             | nyanpasu64 wrote:
             | A noise-cancelling system can be designed to filter out and
             | not produce high-frequency sound, to not worsen the
             | problem. I'm not sure if properly designed noise cancelling
             | can produce increased pressures felt by any parts of the
             | eardrum or ear canal or outer ear.
        
             | kortilla wrote:
             | Phase mismatch won't change frequency
        
             | ants_a wrote:
             | What is the mechanism for this? From what I remember of
             | signal processing, linear combination of waves of a
             | specific frequency can only result in a combined signal of
             | the same frequency but different phase and amplitude.
        
         | fortran77 wrote:
         | I find active cancelling headphones to be very unpleasant. I've
         | switched to custom molded in-ear monitors which do an even
         | better job of eliminating external sound (musicians wear them
         | on-stage to protect their hearing), sound better, and don't
         | bother me the way active cancelling earphones do.
         | 
         | I have no idea if active headphones are "bad", just that they
         | make me feel very uneasy.
         | 
         | The downside is that Custom In Ear Monitors are pricy (>
         | $1000). When you have them made, you can often choose how many
         | db of ambient sound attenuation you want.
        
         | jiofih wrote:
         | There is a running conspiracy theory that manufacturers found
         | out about possible damage around 2018, and coincidentally all
         | the popular models like the Sony WH1000 got firmware upgrades
         | that perceivably downgraded the quality of ANC. I have a model
         | from 2016 and can easily tell the difference from a newer one,
         | now if that is the real reason or not... we'll find out in the
         | coming decade.
        
           | fauria wrote:
           | This theory was brought up during a previous thread on HN by
           | @novok, in response to
           | https://news.ycombinator.com/item?id=22080228
           | 
           | I wonder... would this be theoretically possible? If so, are
           | there any peer-reviewed papers published?
        
         | someonehere wrote:
         | Ten years ago I was interested in buying Bose noise cancelling
         | headphones. Someone warned me that they had read somewhere on
         | the internet that noise cancelling creates problems with your
         | hearing.
         | 
         | At the time I couldn't find anything on Google about this, but
         | I still bought the headphones anyway.
         | 
         | Using the headphones the lingering thought of that statement
         | bothered me. Using the headphones something didn't feel right.
         | 
         | Flash forward to now, people are talking about this so I can't
         | find relevant info on this without the well (Google) being
         | poisoned by armchair doctors.
         | 
         | I still feel noise cancelling is not healthy for ears.
        
           | jiofih wrote:
           | I feel like WiFi is damaging my brain /s
        
         | vages wrote:
         | These "peaks" should all be within what you are able to hear,
         | because there's no reason for having the headset produce
         | cancelling waves with supersonic frequencies.
         | 
         | If you want to worry about sudden sounds, there are probably
         | more dangerous sources of them out there.
        
           | addcninblue wrote:
           | That's only the produced sound, right? If the produced sound
           | is at a frequency that coincides with the original sound (as
           | opposed to being half a wavelength off), wouldn't it amplify
           | the sound and make it up to 2x? Apologies if I misunderstood
           | your comment.
        
             | lukevp wrote:
             | I am not an audiologist... but I don't think it would
             | result in 2x the sound. I believe a sound originating from
             | 2 sources with the same amplitude results in either phase
             | cancellation or the same resulting amplitude, not 2x. This
             | is similar to what happens with line arrays.
        
               | addcninblue wrote:
               | I don't think so? This is classic wave interference
               | right?
               | 
               | https://en.wikipedia.org/wiki/Wave_interference
        
         | spockz wrote:
         | This is anecdotal but I do feel a sense of pressure when using
         | the Bose QC35. This pressure lasts for 30-60m when I've used
         | them all day. I also have my ears popping after using them.
        
           | thomasqm wrote:
           | I noticed the same. Disabling or lowering noise cancellation
           | in-app fixed everything.
        
           | Ekaros wrote:
           | I too feel it. Then again it might make sense that even if we
           | don't hear it, the pressure is still there. As conservation
           | of energy. After all active noise cancelling is destructive
           | interference. Which has funny meaning that the energy is
           | actually doubled. As we produce noise of equal power but
           | opposite phase. Now does the energy end up in your ear or the
           | headphone or outside? Or is it divided between these.
        
             | Baeocystin wrote:
             | The energy is dissipated as heat in the speaker coils.
             | Energy is removed from the air. Think of it as using brakes
             | to slow down a car. Yes, energy is consumed to do so
             | (that's why the rotors get hot), but the car doesn't have
             | 'hidden' energy, just because it was both accelerated, then
             | decelerated. It really is at rest. The energy it embodied
             | while in motion has been converted into other forms.
        
           | jiofih wrote:
           | This is one the most popular topics in the Sony vs Bose war.
           | For reasons I haven't seen any explanation for, Sony
           | headphones have much less of that vacuum feeling.
        
             | Cu3PO42 wrote:
             | Anecdotally I strongly agree. I notice no such feeling at
             | all when using my WH1000-XM3, but it's very perceivable
             | when wearing the QC35 or QC25.
             | 
             | I have tinnitus, but I've had it for way longer than I've
             | been using noise cancelling headphones or in-ear earbuds.
        
           | ryanmarsh wrote:
           | Yes. This can cause sinus issues.
        
         | ryanmarsh wrote:
         | Yes they cause a number of problems. I experience nasty sinus
         | headaches after prolonged use in loud environments (where the
         | speaker driver is having to match the high amplitude of
         | external noise).
        
         | Someone wrote:
         | Unless the active noise cancelling gets it spectacularly wrong,
         | the high peaks won't be higher than the peaks in the to-be-
         | cancelled noise.
         | 
         | So, you'd have to argue that short, sudden peaks are more
         | damaging than continuous sounds. There is adaptation to sound
         | volume (https://asa.scitation.org/doi/10.1121/1.1906477), but I
         | think you'd need more than that.
        
         | Maxburn wrote:
         | Mistakes in the cancelling might make peaks outside of human
         | audible ranges that cause problems? I'm speculating here but
         | wondering if anyone is looking into this.
        
       | briefcomment wrote:
       | EMFs and other waves so close to sensitive biological parts seems
       | unwise. I haven't switched out my iPhone 6 because I trust the
       | headphone jack.
        
         | Avery3R wrote:
         | Wired headphones use an electromagnet to move the speaker too,
         | they create EMFs just as powerful...
        
           | briefcomment wrote:
           | https://besynchro.com/blogs/blog/why-i-stopped-using-
           | apple-s...
           | 
           | https://emfacademy.com/airpods-radiation-safe/
        
       | gabagool wrote:
       | Is this actually the AirPods?
       | 
       | Many people get tinnitus. Many people have AirPods. Could this be
       | correlation not causation?
       | 
       | Does anyone more knowledgeable know the details of how AirPods
       | (or similar) could cause tinnitus?
        
         | faitswulff wrote:
         | That's what I was wondering. ANC might just make tinnitus more
         | obvious.
        
           | eznzt wrote:
           | Yep. I have tinnitus and when I enable ANC all I hear is
           | tinnitus... as expected
        
           | steve_adams_86 wrote:
           | This was what I wondered too. When I'm using good ANC, I can
           | hear my body really well. It's like when you go under water
           | and suddenly hear those sounds instead of terrestrial sounds
           | - ANC is like going in my body rather than under water,
           | though.
        
       | sjg007 wrote:
       | One thing people who have tinnitus should do is get their blood
       | pressure checked.
       | 
       | https://www.mayoclinic.org/diseases-conditions/tinnitus/symp...
        
       | jancsika wrote:
       | I want to be part of a forum where these are the pre-requisites:
       | 
       | * wear a mask and social distance with anyone outside your bubble
       | during a pandemic
       | 
       | * don't put shit in your ears unless advised by a doctor to do so
       | 
       | * if the sounds at a concert are so loud as to be uncomfortable
       | to you, leave
        
       | rhexs wrote:
       | I've had tinnitus my entire life and think my case is genetic.
       | There was a brief period in my life where I started reading about
       | it and got pretty stressed I could hear it while trying to sleep.
       | That compounded in on itself and it had me worried for a while.
       | Eventually started meditating, stopped really caring, and never
       | think about it anymore. Every now and then I'll hear it, but I
       | can focus on my breathing and just get back to life. If I focus,
       | sure, it's always there, but why bother?
       | 
       | From what I understand some people can get very loud cases. I'm
       | not sure how I'd deal with that.
       | 
       | Daily user of airpods for years, and no changes to my tinnitus.
        
         | salex89 wrote:
         | Same here. I think I have it as long as I can remember. At a
         | few points in my life it was slightly "noisier" but I think it
         | was some kind of ear infection (once confirmed) or debris. In a
         | very quiet room I would hear it, and if I investigate online I
         | only get very anxious. It might be related to sinus issues I
         | also have.
         | 
         | But what helped me with those other issues (like itchy ears) is
         | to listen to my doctor (no pun intended) to "forget" I have
         | ears. Only wash the outer most part of the ear and leave it to
         | do it's part. Wax, although unappealing, is nothing bad and is
         | actually protective. I cleanse it with a hydrogen and olive oil
         | spray mixture from the pharmacy every few months.
        
       | vages wrote:
       | What is the hypothesis here? Do these earplugs have some hidden
       | power compared to other Bluetooth headsets that gives people
       | tinnitus?
        
         | ckemere wrote:
         | Active noise cancellation?
        
         | monopoledance wrote:
         | Other earplugs could have the same issue, but cases are
         | distributed over a wider range of distinct support cases.
         | 
         | Maybe this isn't down to something obvious with the audible
         | sounds, but interference, or amplification of some other thing
         | the Airpods radiate. See old mattresses picking up radio
         | signals.
         | 
         | Maybe it's a hit-piece on the Apple stock.
         | 
         | Maybe this is just numbers and chance.
         | 
         | I wouldn't straight dismiss it, since it's not exactly
         | unbelievable and Apple has a history of delivering innovation
         | without paying due diligence to/testing the not UI details.
        
       | PragmaticPulp wrote:
       | There aren't actually 600+ reports in here, as the headline
       | (currently) suggests. It appears over 600 people have pressed the
       | "I have this question, too" button, but the number of people
       | posting reports is much smaller.
       | 
       | Keep in mind that Apple sells a massive number of AirPods. On the
       | order of 100,000,000 units per year. The prevalence of tinnitus
       | is estimated to be in the range of 10% of the population.
       | 
       | It's also possible to impact earwax against the eardrum when
       | inserting anything into your ear, Airpods or otherwise. Earwax
       | compacted against the ear can worsen or modulate tinnitus. That
       | would be my most likely explanation for any sudden-onset tinnitus
       | following earbud use.
       | 
       | Source: https://www.mayoclinic.org/diseases-
       | conditions/tinnitus/symp....
        
         | deanclatworthy wrote:
         | I just had my ears cleaned and had a clump of ear wax around
         | the size of a kidney bean come out. Quite frankly I was
         | horrified but had had suspicions about hearing issues in the
         | prior weeks.
         | 
         | The nurse essentially has an angled syringe that they use to
         | repeatedly spray warm water at the wax until it's dislodged.
         | It's not a nice sensation but tolerable.
         | 
         | After the procedure was done, the nurse had asked if I
         | regularly had in ear headphones or earplugs - which was the
         | case. So be aware of this issue.
        
           | tptacek wrote:
           | The first time this happened to me it was so profound it made
           | me question the nature of my reality. I left the doctors
           | office slightly nauseous and with bionic super-hearing.
        
           | PragmaticPulp wrote:
           | To make matters more complicated, there are reports of
           | chronic tinnitus being reported after earwax (aka cerumen)
           | removal: https://www.tinnitusjournal.com/articles/chronic-
           | tinnitus-re...
           | 
           | It's a complicated topic, though, because many people first
           | notice their tinnitus because they start paying attention to
           | their ears for some reason, such as an earwax removal
           | procedure, or using noise-cancelling headphones which lower
           | the noise floor so much as to make tinnitus obvious over the
           | reduced noise floor.
        
             | underwater wrote:
             | No joke, I read this comment and realised my ears are
             | ringing.
        
               | PragmaticPulp wrote:
               | It's a very real phenomenon.
               | 
               | Now imagine if you had inserted air-cancelling earbuds
               | that reduced background noise to levels well below
               | ambient. The ringing would feel even louder.
               | 
               | Tinnitus sufferers hate isolation tanks for this reason.
               | Background noise masks tinnitus quite well, so
               | eliminating it makes tinnitus subjectively worse.
        
               | RHSeeger wrote:
               | And then go into one of those noise cancelling rooms, and
               | the only sounds you can hear are your blood pumping
               | through your body and the tinnitus ringing.
        
         | mmaunder wrote:
         | Nope. This is a real problem. I own the AirPods Pro, older
         | version and the newer Max. Immediate onset of tinnitus when
         | using pro. Went away after I stopped. Extensive use of the Max
         | and regular AirPods don't produce the same. Never had tinnitus.
         | I also use AKG studio headphones, and I've had ultimate ears
         | custom moulded for me by an audiologist for on stage use. I've
         | also used a hell of a lot of other audio gear for on stage
         | performance, production, phone calls and casual listening with
         | no tinnitus or other effects.
         | 
         | Trust me when I tell you that this is the tip of the iceberg
         | and may result in a massive lawsuit over permanent hearing
         | damage. I avoid AirPods Pro like the plague now.
         | 
         | I posted this 3 months ago:
         | https://news.ycombinator.com/item?id=24805366
        
           | jiofih wrote:
           | Well, half of the reports in the forum thread are for _other
           | models_ , not only the AirPods Pro, including the original
           | AirPods causing tinnitus..
        
           | croutonwagon wrote:
           | Correct me if im wrong. But tinnitus doesnt come and go. Its
           | something you have or you dont, and once you have it, its
           | there and will only get worse as more damage accumulates.
           | 
           | https://www.nidcd.nih.gov/health/tinnitus
           | 
           | I have it, mostly from hunting without ear pro. I dont always
           | notice it, but its always there. Its usually mostly
           | noticeable when im going to bed at night,when scuba diving,
           | or when on a plane and I havent cleared by ears.
           | 
           | OR if/when i have headphones that create a seal in my ear,
           | like the silicon earbuds that create, which is why you can
           | hear yourself chewing/swallowing. Its a main reason i don't
           | wear those types of earphones.
           | 
           | Tinnitus is always there, its permanent. But it just may be
           | noticeable under certain conditions or circumstances.
        
             | PragmaticPulp wrote:
             | Tinnitus is simply the perception of sound when no actual
             | sound is present.
             | 
             | There are many different sub-categories of tinnitus,
             | including the type you describe that results from permanent
             | hearing damage.
             | 
             | However, there are other causes of tinnitus that can come
             | and go, or be worsened by different conditions. Some people
             | have tinnitus that changes volume by clenching their jaw,
             | for example.
             | 
             | Classic subjective tinnitus is thought to be similar to
             | phantom limb syndrome, where the patient experiences
             | sensory inputs that are not actually present.
             | 
             | There is even a category called Objective Tinnitus, which
             | is tinnitus that an external observer can hear (with the
             | right tools). This is usually caused by strange blood flow
             | patterns or muscle spasms.
        
               | cko wrote:
               | Wow I have chronic tinnitus and just clenched my jaw a
               | few times. The pitch just got higher. Never noticed that
               | before.
        
               | bredren wrote:
               | Me either. I know my normal hz but now I want to go
               | figure out the clenched jaw one.
        
               | ysavir wrote:
               | I used to get the same. I was able to help it by getting
               | in the habit of stretching my jaw often, and shifting my
               | neutral jaw "posture". The neutral state used to be me
               | keeping my jaw closed, meaning bringing my teeth together
               | (not tight enough to clench, but just enough for
               | contact), but I retrained myself to let my jaw "hang"
               | when in a neutral state. It's helped a lot with tinnitus,
               | ear pressure, jaw pain, etc.
        
             | heavyset_go wrote:
             | Tinnitus is a symptom whose cause may or may not be
             | permanent. It comes and goes for me.
        
             | wtvanhest wrote:
             | Mine comes and goes. I find that if I drink from a water
             | bottle with a straw, I'll get it periodically for about 24
             | hours after.
        
             | ryanmarsh wrote:
             | This. Temporary ringing in the ears is not tinnitus.
             | 
             | I think people without tinnitus are having the normal
             | symptoms associated with use of noise cancelling
             | headphones. Those symptoms admittedly can be pretty nasty
             | including sinus headaches and ringing in the ears.
        
               | DanBC wrote:
               | https://www.nhs.uk/conditions/tinnitus/
               | 
               | > You may hear these sounds in 1 or both ears, or in your
               | head. They may come and go, or you might hear them all
               | the time.
        
             | furyofantares wrote:
             | > Tinnitus is always there, its permanent. But it just may
             | be noticeable under certain conditions or circumstances.
             | 
             | I don't get this. Tinnitus is a ringing in my ears. When I
             | don't notice it, it's not there.
             | 
             | Maybe you're saying that if it's being caused by some
             | physical damage in the ear then that damage is still there.
             | Sure, but it doesn't seem like that's always a component.
             | From your link:
             | 
             | > Although we hear tinnitus in our ears, its source is
             | really in the networks of brain cells (what scientists call
             | neural circuits) that make sense of the sounds our ears
             | hear. A way to think about tinnitus is that it often begins
             | in the ear, but it continues in the brain.
             | 
             | Personally, I develop tinnitus any time I take a vacation,
             | or if I'm consistent with meditation practice. But when my
             | brain is instead constantly active, it's totally absent.
        
               | croutonwagon wrote:
               | You are describing scenarios where it's noticeable. It's
               | like saying if a tree falls in the woods and no one is
               | there.
               | 
               | However my point is, just because some may become aware
               | of their tinnitus when wearing say...AirPods Pro, that
               | doesn't mean they are the cause. I would notice it with
               | those just as I would with the silicon earbuds that come
               | with Roku remotes. But don't notice it with my regular
               | AirPods.
               | 
               | There are times it's worse for me. Like when I'm stressed
               | and times it's suppressed, like when my adrenaline is
               | pumping. And there are times when it's more noticeable,
               | like when it's dark and quiet and my primary senses are
               | dampened.
               | 
               | But regardless I would be part of that % of the
               | population that has tinnitus.
               | 
               | And just because it's noticeable with x device doesn't
               | mean that's the cause.
        
               | RHSeeger wrote:
               | > When I don't notice it, it's not there.
               | 
               | It's there, you're just not noticing it. It may be more
               | correct to say "When I don't notice it, it's not a
               | problem". A bad analogy might be the noise of cars at
               | night if you live in a city. Eventually, you get to the
               | point where you don't notice it most of the time; it's
               | not a problem. That doesn't mean the noise isn't there,
               | just that it's not a problem for you.
               | 
               | Tinnitus is the damage and noise it causes. This can be
               | annoying, but the fact that it's not annoying sometimes
               | doesn't mean it's not there; you're just ignoring it.
               | 
               | Caveat: It is possible to damped/stop the noise caused by
               | tinnitus for periods of time. Generally, this is done by
               | "distracting" your brain in some way.
        
           | Maxburn wrote:
           | As someone with tinnitus and just got Airpods Pro two days
           | ago this news disturbs me. I don't want it to get worse.
           | 
           | I'm wondering if this is caused by ultrasonics? Someone must
           | have measured these somewhere...
        
         | ehsankia wrote:
         | In general, wouldn't listening to any headphone/earphone at a
         | very high volume (which happens very often when you're
         | listening in a loud environment like in the subway) eventually
         | cause tinnitus? I know on android there's actually a specific
         | warning about this if you go above a certain volume. What
         | specifically about AirPods would cause this that other earbuds
         | wouldn't?
        
           | codazoda wrote:
           | And to flip that again, wouldn't having anything in ear ear
           | dampen the noise of trains and such to actually help your
           | ears?
           | 
           | I rode a diesel electric locomotive commuting daily for about
           | 8 years. These machines are very, very loud.
        
             | Delk wrote:
             | Maybe, if the noise from outside the earbuds is loud
             | enough, and the earbuds are blocking at least some of that.
             | But even if the earbuds block some of the outside noise,
             | some of it is still going to get through, and that makes
             | hearing the music harder and makes people want to crank up
             | the music volume.
        
             | cellularmitosis wrote:
             | Only if it creates a seal.
        
               | bluescrn wrote:
               | The lack of any real seal/isolation with the hard plastic
               | of the non-Pro AirPods may lead to people turning the
               | volume up even further.
               | 
               | I've certainly found myself turning mine up quite high
               | when listening to audiobooks while walking (with
               | background traffic noise)
        
               | Applejinx wrote:
               | It takes a lot more than just that to really isolate. I
               | use Remote Audio HN-7506: physical mass plays a part.
               | Those are heavy, have gel earcups that are physically
               | solid and bulky, and clamp really hard on your head.
               | Earbuds aren't physically big enough and can't produce a
               | rigid enough seal to compare... at least not AirPod style
               | ones.
               | 
               | I've not worked with rigid, custom-molded in-ears.
               | Something like that might be enough of a barrier, but
               | remember if sound waves can physically move the earphone
               | against the seal, that's going to be sound leakage. The
               | Remote Audio cans aren't designed for comfort, they're
               | designed to control sound pressures that'd instantly
               | wreck your eardrums, like high-caliber nearby gunfire for
               | extended periods. The headphone drivers are literally an
               | afterthought, added by a separate company if I remember
               | correctly.
        
             | ehsankia wrote:
             | It dampens the sound of the train, but people generally end
             | up boosting the volume of the music to the highest level it
             | goes on the phone, and that can cause issues long term.
             | Blocking one sound doesn't help anything if you're
             | replacing it with an equally (if not more) loud sound.
        
           | Applejinx wrote:
           | Absolutely. Pete Townshend's deaf in one ear and has severe
           | tinnitus, and he doesn't blame Marshall stacks (or even the
           | still louder Hiwatt amps he actually used), he blames
           | headphones in the studio.
           | 
           | It's a very serious thing and it's dead simple to produce
           | dangerous loudnesses, that close to the eardrum. What I ended
           | up doing for tracking drums and loud things, is investing in
           | some heavy isolation headphones, Sony drivers in the same
           | kind of heavy tight enclosures used for ear protection at gun
           | ranges. They're pricey, but they work.
           | 
           | Otherwise, you're still getting close to the sound pressure
           | levels of whatever drums or amps you're playing, and then
           | you're trying to turn up the backing tracks in your
           | headphones to be enough louder than that, so you can hear
           | what you're working on. And that's super dangerous.
           | 
           | Same thing with music to drown out noisy subway rides or what
           | have you. You'll go deaf. Extra fast.
        
         | 3327 wrote:
         | Keep in mind 600 is a high number, the barrier to discovery,
         | association, research, reporting is pretty high.
        
           | PragmaticPulp wrote:
           | The massive volume of Airpods sold multiplied by the high
           | number of hours used by each customer should surface these
           | issues quickly due to scale alone.
           | 
           | 600 out of 200,000,000-300,000,000 units sold is a reported
           | incidence of around 0.0002%.
           | 
           | It's possible that earbud usage has some negative effects in
           | certain people due to earwax impaction or changing pressure
           | in the inner ear, but Apple may be getting the blame because
           | they're the only vendor operating with such large market
           | share.
        
             | monopoledance wrote:
             | Tho, you don't compare it to the absolute number of units
             | sold, but to the typical engagement in the support forum.
             | How many people would even make the connection between
             | Airpods and tinnitus? Same with the dead M1 macbooks and
             | USB-C hubs. I agree the "600" isn't exactly science, but
             | your argument isn't either.
        
         | [deleted]
        
         | echelon wrote:
         | Even so, I find it hard to outright dismiss claims of earbuds
         | causing damage.
         | 
         | Tinnitus can be a lifelong condition and deserves
         | investigation.
         | 
         | It already seems like a platitude to tell folks not to listen
         | at peak volume for extended periods of time. It'd be
         | interesting to see if there are common behaviors, such as use
         | at max volume, reported amongst those affected.
        
       | airpppp2 wrote:
       | Most of the posts there appear to be about AirPods Pro -- which
       | have ANC. FWIW, I have only ever used the regular AirPods (1st
       | and 2nd gen) for hours on end every day for years and have no
       | issues with them or tinnitus.
        
       | RcouF1uZ4gsC wrote:
       | Studies have shown that the prevalence of tinnitus in a
       | population likely ranges from 5%-30%[0]. Looking at sales figures
       | for AirPods, 50 million users would be a very conservative
       | estimate. Given those numbers 600+ reports is not very
       | convincing.
       | 
       | 0.
       | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5812683/#S8titl...
        
       | mattlondon wrote:
       | Anecdotal but I have experienced similar with QC35s. Wear them
       | for a bit for meetings etc (not loud) and tinnitus is noticeable
       | when in bed that evening. Don't use them for a few days and
       | tinnitus is not noticeable. It certainly feels like there is a
       | definite correlation.
       | 
       | I assume the ANC is still pumping in a lot of frequencies that do
       | not get 100% cancelled-out, but are outside of my hearing range
       | so I do not notice them in the "silence" but which is hammering
       | my physical ear bits with audio energy.
        
         | finger wrote:
         | I use QC35 II and have noticed the same issue. I use mine at
         | very low volumes (max 10%), sometimes even without any audio
         | but my tinnitus is much more noticeable after using noise
         | cancellation. The difference is large enough that I have
         | decided to minimize my use of the ANC.
         | 
         | For me the ANC is audible when used without audio, but I
         | imagine the ears get stimulated whether you can perceive it or
         | not.
        
           | [deleted]
        
         | enaaem wrote:
         | There also seems to be a correlation between Tinnitus and neck
         | tension. Wearing headphones definitely adds some extra load to
         | your neck. Perhaps you could determine the cause by wearing the
         | headphone and not turning it on.
        
       | nikolay wrote:
       | They do! Just like all earbuds. Probably I'm the only modern
       | human who's never stuck these things in my ear canals. I'm sure
       | the damage goes beyond tinnitus.
        
       | ctdonath wrote:
       | Blasting audio in a noisy environment for hours can cause
       | tinnitus, AirPods included and not exclusive. Trust me.
       | 
       | Another case of "OMG Apple!" click bait.
        
         | anonuser123456 wrote:
         | This is my thought too. I have another brand of ear buds, and
         | even at the lowest level setting it's a little loud for me. But
         | the average Joe just jams them in their ear and sets the volume
         | to down out a lawnmower. And then is surprised when they get
         | hearing damage?
        
           | monopoledance wrote:
           | Do you assume the average Joe is that much dumber than you?
        
       | qbasic_forever wrote:
       | Tinnitus is one of many symptoms many long haul COVID-19
       | sufferers complain about. Just as an anecdote Dr. Drew Pinsky was
       | ill with COVID-19 around Christmas and complained about severe
       | tinnitus as a result of his infection. So I'd be a little careful
       | trying to draw sweeping conclusions about tinnitus right now
       | without trying to account for and control the pandemic over the
       | last year.
        
       | jamesu wrote:
       | I'm not surprised given mine seem to play notification sounds at
       | FULL BLAST.
        
       | mmaunder wrote:
       | This really is a thing. I mentioned it here 3 months ago:
       | https://news.ycombinator.com/item?id=24805366
       | 
       | It's the AirPods Pro specifically. I have not experienced this
       | with the regular AirPods or the Max. Never had tinnitus, got it
       | immediately when using Pro and went away immediately when I
       | stopped using them.
        
         | philshem wrote:
         | Some other comments in this thread better describe it, but a
         | ringing in your ears _that goes away_ is not tinnitus.
        
       | matt_oriordan wrote:
       | Amusingly as I read this my tinnitus is hugely amplified and
       | unescapedly present. I have also feared this onset last year may
       | have been caused by my AirPods. Sadly I am unwilling to draw that
       | conclusion based on hundreds of people reporting this issue. If
       | 1,000 people reported getting heartburn after buying AirPods,
       | we'd laugh at the stupidity of this ridiculous correlation. I
       | want my tinnitus to go and I want to blame Apple. I won't thought
       | ugh unless a clinical study is carried out.
        
       | tommaho wrote:
       | 20+ year tinnitus sufferer here, and recent owner of AirPods Pro.
       | I can deal with the condition well enough, mostly by distraction,
       | but just last week stumbled upon a supposed audio treatment on
       | Spotify.
       | 
       | I gave it a listen and sure enough it seemed to diminish the
       | tinnitus while playing. For the three or so days afterward,
       | though, I experienced the worst and most piercing spell of
       | ringing I can recall. Never again.
       | 
       | Im now curious about research in therapeutic use of headphones
       | and related manipulative technologies. They're clearly capable of
       | doing _something_.
       | 
       | Any connection here would be interesting.
        
         | monopoledance wrote:
         | Have you tried this "finger tapping trick"?
         | 
         | IIRC you press your ears shut with one or two fingers on each
         | hand, and then tap with another finger on top of the pressing
         | one. This should make an almost uncomfortable, punching, loud
         | noise. Or maybe shut your ears with the heel of your hand and
         | then use your fingers to tap on the back of your head.
         | Forgotten how long you supposed to do it. Maybe a minute? The
         | idea is to safely "overload" the hearing apparatus, pushing it
         | into "self-protection mode", but allowing it to relax in the
         | off-beat phase. For many people this seems to enable them to
         | easily achieve a temporary period of peace from symptoms.
         | 
         | Loud white noise seems to do something similar.
         | 
         | I assume this breaks the perceptual feedback and offers the
         | brain a chance to expect something else, before it rediscovers
         | the chronic noise again.
        
           | tommaho wrote:
           | No luck with that method for me. Wtf anecdata: I've had about
           | 24 hours of peace from this my adult life and the only thing
           | I could ever attribute that silence to was that it followed
           | some random supermarket probiotics I started taking, for no
           | good reason than it was a new fad and I wanted to see if
           | anything would happen. That was apparently a one time deal,
           | no repeats.
           | 
           | I can usually ignore or distract it away. Until I'm reminded
           | of it by articles like these and it tries to consume me.
        
             | monopoledance wrote:
             | Sorry, you stuck with this so far. I think for most people,
             | it fades away over the years. Luckily my episode of noise
             | faded and was probably triggered by some lifestyle change
             | at the beginning of the pandemic. However, I also have
             | visual snow and think my brain just isn't very good at
             | hiding its inner workings from me, may be just a matter of
             | attention, rather than some "somatic" defect. I think the
             | fact, you had a period of absence is promising and worth
             | exploring and playing around.
        
           | akvadrako wrote:
           | This certainly works for me and lots of people, but the fix
           | only lasts a few minutes.
        
             | monopoledance wrote:
             | I think it's valuable, because it may prevent people going
             | all-in van Gogh style. Sometimes it's enough to know there
             | _is_ another experience to your case possible, even if it
             | 's only ever a moment of different.
        
       | therealasdf wrote:
       | I use noise cancelling headphones and I think tinnitus becomes
       | noticeable because of the noise cancellation rather than it being
       | caused by it. Usually my environment has noises that make it
       | harder to notice that I have tinnitus.
        
       | ryanmarsh wrote:
       | The best noise cancelling ear muffs you can find are for
       | shooters, such as Motorola ComTac. The muffs passively block all
       | noise and instead use a speaker/mic to mirror outside sounds (or
       | audio devices) at an acceptable volume.
        
         | Ekaros wrote:
         | They don't cancel sound they attenuate it. For best effect
         | using both muffs and plugs is possible. That would be the
         | preferable solution for ear protection in noisy environment.
        
       | Havoc wrote:
       | Decidedly speculative, but when Apple released that firmware
       | update which caused people complained it had weakened the ANC
       | effect there was talk of it being a response to this.
       | 
       | ...then again was just a theory based on precisely zero hard
       | facts.
        
       | [deleted]
        
       | carlosrg wrote:
       | All earplugs or headphones, whatever they are in-ear or not, can
       | give tinnitus. You're blasting loud sounds directly to your ear.
       | I don't understand why this is on the front page.
        
       | jlnthws wrote:
       | Not specific to AirPods: I've had the same issue before with Bose
       | Quiet Comfort 25. After using noise cancelling a few hours for a
       | few days I was having this high pitch issue for a day or two. So
       | not a permanent tinnitus (for me), still doesn't sound good.
        
         | sneak wrote:
         | Another theoretical explanation: your tinnitus is always there,
         | but you're not normally in extremely quiet places, and the
         | quiet from the ANC lets you notice it better.
        
         | finger wrote:
         | I had a similar experience long before I got a real tinnitus.
         | 
         | I had been playing computer games countless of hours per day,
         | not with any loud volumes at all and I started getting insane
         | tinnitus when going to sleep. One day I stuck my head real
         | close to the monitor and noticed a high pitch coil whine-like
         | sound. Either the frequency range changed over time or it was
         | always audible but I didn't notice it in the beginning. It
         | turned out the monitor had been blasting high pitch whine all
         | this time and being exposed to this barely audible loud sound
         | caused me to have this crazy temporary tinnitus.
         | 
         | A few days after getting replacing the monitor the issue was
         | completely gone and I never had it again.
        
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