[HN Gopher] AirPods causing tinnitus?
       ___________________________________________________________________
        
       AirPods causing tinnitus?
        
       Author : makk
       Score  : 158 points
       Date   : 2023-03-04 19:42 UTC (3 hours ago)
        
 (HTM) web link (discussions.apple.com)
 (TXT) w3m dump (discussions.apple.com)
        
       | fwlr wrote:
       | Lifelong tinnitus sufferer here. The prevailing theory (edit:
       | this is misleading, it is not the "prevailing theory", I typed
       | that without thinking. It is actually a new-ish/fringe-ish
       | alternative to the actual prevailing theory of accumulated damage
       | to ear fibers):
       | 
       | The theory I subscribe to is that tinnitus is a breakdown of the
       | ears' and/or brain's noise filtering and suppression mechanisms.
       | Long-term use of white noise makes tinnitus worse, which is a
       | particularly cruel irony since white noise also provides short
       | term relief from tinnitus. Active noise cancelling likely shares
       | enough properties with white noise to cause the same effect.
       | 
       | Some users of noise cancellation are reporting another
       | experience, that a sudden loud noise is perceived as
       | extraordinarily and painfully loud, to the point that even a
       | single incident can have long-lasting effects. This is called
       | hyperacusis, and it is highly co-prevalent with tinnitus.
       | Essentially, every loud noise you've ever heard has been pre-
       | dampened by your ears/brain's natural noise suppression
       | mechanisms, and in hyperacusis sometimes this dampening isn't
       | applied and you get the full force of the noise - meaning that
       | noise is literally the loudest thing you've ever experienced
       | (even though it is not the highest decibels you've ever been
       | exposed to).
       | 
       | Interestingly, one treatment for tinnitus and hyperacusis I've
       | had success with is listening to audio with significant
       | instantaneous jumps and dips in volume and frequency. The
       | suggested mechanism of action is you're stressing your natural
       | noise suppression and it strengthens itself in response. Similar
       | principle to weightlifting to stress your muscles so they grow
       | stronger in response. Perhaps active noise cancellation is
       | causing these problems because it's relieving the usual stresses
       | placed on the mechanisms and thus they are atrophying.
       | 
       | I avoid active noise cancellation and white noise. I have found
       | passive noise cancellation works well - ear plugs and ear muffs,
       | basically. They have their own drawbacks as they will affect
       | different frequencies differently, with usual speech frequencies
       | often being the most suppressed. Thankfully, Etymotic Research
       | (an absolutely incredible auditory-health-first audio gear
       | company) has the excellent ER20XS and EtyPlugs designed to reduce
       | all frequencies equally. I can't speak highly enough of them and
       | how much they've helped me with my auditory issues.
       | https://www.etymotic.com/product/er20xs/
       | 
       | Most unfortunately, it seems tinnitus is highly responsive to
       | attention: the more attention you pay to it, the worse it gets.
       | Obsessive researching and reading about your tinnitus can and
       | will make it worse. Sorry. Believe me I know it sucks.
        
         | mdmglr wrote:
         | My ENT recommended white noise long term especially for
         | sleeping which I've been using for months. Based on everything
         | I've googled the last few months this is the first time I'm
         | reading the claim that " breakdown of the ears' and/or brain's
         | noise filtering and suppression mechanisms." so I'm a little
         | skeptical in what you are saying.
         | 
         | My understanding is that tinnitus is the damage to the hairs in
         | the cochlea. Which causes the audio processing nerves to have
         | issues. Not anything to do with noise filtering.
         | 
         | However as I've been suffering from tinnitus I don't want to
         | discount anything you are saying. Do you manually adjust volume
         | or are you doing something automated? How can I do the same?
        
           | fwlr wrote:
           | I'm not a doctor and your ENT is, you should listen to them
           | and not me. I shouldn't have said "Prevailing theory", that
           | gives the wrong impression. Makes it seem like "this is what
           | doctors think" when it's actually just what I think. I'll
           | edit that.
           | 
           | I did have a semi-automated method for causing those noise
           | jumps, I'll see if I can find it for you. Well, I looked, and
           | can't find it. It's on a lost machine. One should always keep
           | backups, but one rarely does. I do recall the basic structure
           | of my solution, it was a kludge job with an AppleScript that
           | set system volume to a random amount and a shell script that
           | slept a random number of seconds, ran the AppleScript, and
           | ran itself again. I vaguely recall it was hard to find
           | programmatic system-wide equalizer settings but that may be
           | different now, and it may be different in Linux/Windows too.
           | It was not a comfortable experience, it definitely made
           | listening to music into an exercise like running on a
           | treadmill, but subjectively it was very helpful. I do recall
           | getting the idea for this from reading medical literature on
           | hyperacusis, so theoretically there might be some scientific
           | support for it, but I have no citations to give.
        
           | DHPersonal wrote:
           | I've only heard or read various sources referencing the nerve
           | / hair damage that you mention, with the audible noise being
           | sometimes associated with the auditory system increasing its
           | sensitivity in those frequencies in an effort to hear
           | something from the damaged sensors.
        
         | lloeki wrote:
         | > a sudden loud noise is perceived as extraordinarily and
         | painfully loud
         | 
         | AIUI this is normally handled by the stapedial reflex[0], which
         | is not simply "passive" dampening, but indeed active muscle
         | action! So the comparison below may be very apt:
         | 
         | > similar principle to weightlifting to stress your muscles so
         | they grow stronger in response
         | 
         | Interestingly enough, I find that since I started WFH + being
         | unable to go out less (parenthood) I have a hard time bearing
         | sudden loud noises (feels like being punched while caught off
         | guard and not having time to brace for impact)... It may turn
         | out that this reflex which used to be very efficient is now
         | dramatically less so these days. Never thought about it this
         | way, I just thought that I was, like, "getting older"...
         | 
         | Tangentially: I cannot stand active noise cancellation, it
         | creates an instant feeling of pressure on my eardrums, which is
         | uneasy for a few minutes until I "get used" to it... until I
         | disable it or remove the headset, and the immediate feeling of
         | relief only highlights that there was some form of constant
         | stress applied unto my ears. Consequently you'll pry my
         | collection of (wired) earcans from my cold dead hands.
         | 
         | [0]: https://en.wikipedia.org/wiki/Acoustic_reflex
        
         | itsmartapuntocm wrote:
         | Took me a long time to get over mine when I first got it. I
         | think white noise, while a helpful temporary distraction, does
         | ultimately become a crutch. Ultimately what helped me get over
         | it was just letting myself hear it and ultimately making peace
         | with it.
         | 
         | It's kind of ironic in that the "cure" is to train your brain
         | to stop seeing as a threat the noise that it's generating
         | itself.
        
           | hanniabu wrote:
           | Yeah i imagine it being like how your brain ignores your
           | nose, it will get used to the tinnitus and block it out over
           | time. Likewise, the more you focus on it the harder it'll be
           | to ignore it
        
             | itsmartapuntocm wrote:
             | It's unfortunately a negative feedback loop at first.
             | Hearing it causes you to stress about it, which makes it
             | seem worse. That's why stuff like white noise helps at
             | first. But ultimately you need be comfortable with when you
             | do hear it, which is the really hard part to come to terms
             | with.
        
       | danieldk wrote:
       | I have pretty much stopped using my AirPods (and mostly
       | headphones connected to the iPhone) after reading that emergency
       | alerts can cause hearing damage:
       | 
       | https://old.reddit.com/r/apple/comments/c8s6yi/eardrums_dest...
       | 
       | https://www.vice.com/en/article/n7naqg/apple-airpods-hearing...
        
         | anonymouskimmer wrote:
         | Are there any software approaches that can properly modulate
         | and equalize sound based on the various hardware factors and
         | user preference? It seems like it should be possible.
        
       | cebert wrote:
       | The man reason I used ACN is to block the sounds and disruptions
       | from a noisy open office floorpan at work. I wish more firms
       | would consider giving knowledge workers their own small offices
       | if they're going to mandate regularly visiting an office.
        
       | BonoboIO wrote:
       | Mhmmm that could explain my tinnitus...
        
         | tracerbulletx wrote:
         | Please be open to the possibility that it also might not
         | explain it. There is going to be a natural overlap between
         | people developing tinnitus and using Airpods considering the
         | number of people that have them. But is there an increased rate
         | of tinnitus among people who use Airpods?
        
           | lotsofpulp wrote:
           | I am under the assumption constant use of any headphones at
           | the volumes most people listen to inevitably causes tinnitus.
        
             | pwthornton wrote:
             | If you don't set a volume limit on your iPhone, it will
             | damage your hearing. Apple has a mode to do this, and I've
             | set mine at 80 decibels and rarely have the volume all the
             | way up. The iPhone can output over headphones at 100+.
             | 
             | The smart move is to get headphones that fit well that
             | naturally dampen outside noises and to set your volume
             | limit judiciously.
        
       | thih9 wrote:
       | Can we add (2019) to the title to indicate that the original
       | report comes from that year?
        
       | CommanderData wrote:
       | A popular YouTube channel recently recommended wearing Airpods
       | with noise cancelling on the London underground because sounds
       | routinely exceed 100 decibels sometimes.
       | 
       | Unless my understanding is flawed but the mechanical / energy
       | potential is still reaching your ear drums, cochlear and in turn
       | the hair cells. How would equalising the sound with an opposite
       | sound help reduce the damaged caused here?
        
         | projectazorian wrote:
         | If you're wearing headphones you have a physical object
         | blocking external sound waves from reaching your eardrums. Kind
         | of like wearing earplugs but not as effective, although
         | properly fitted airpods pro probably come close.
        
         | davesmylie wrote:
         | The energy is reaching your ear in the form of sound waves.
         | 
         | The ANC tech (when done correctly) is sending an antiphase
         | (inverse) wave with the same amplitude but inverted phase timed
         | exactly to the original sound wave.
         | 
         | Effectively the two waves destructively interfere with and
         | cancel each other out - it's not 100% but when done well is
         | pretty effective for regular/consistent sounds
        
           | akira2501 wrote:
           | If it's not 100% for any particular reason then you are
           | effectively adding noise and prolonging it's duration. I
           | certainly wouldn't trust the speaker response to exactly
           | match what the DSP is trying to produce over the wide range
           | of audio that you could be listening to.
           | 
           | It may even be worse if you're here a wide spectrum of noise
           | as some components may be canceled while others, particularly
           | high frequencies, may be amplified.
           | 
           | I would always try to make passive cancellation work for my
           | use case first, and only use active cancellation if it was
           | absolutely required.
        
         | JonathonW wrote:
         | Airpods Pro are not exclusively reliant on active noise
         | cancellation to reduce noise alone-- the tips seal in your ear
         | canal and provide passive isolation as well, similar to how
         | earplugs or conventional IEMs (in-ear monitors) work. AirPods
         | are not rated as earplugs and I wouldn't suggest relying on
         | them alone to prevent hearing damage in loud environments (buy
         | real earplugs for that), but they will provide some reduction
         | in the noise that reaches your ears even when turned off.
         | 
         | Also, active noise cancellation _does_ actually cancel noise
         | (it 's not some kind of psychological effect making noise
         | "invisible"); sound is a pressure wave and ANC works by moving
         | air in the opposite direction to eliminate or reduce that
         | pressure wave-- the mechanical energy from that sound is not
         | reaching your ear drum if you don't hear it. This doesn't work
         | perfectly, of course (the higher the frequency, the harder it
         | is to eliminate with ANC for a bunch of acoustic and
         | processing-related reasons), but, generally, if you're not
         | hearing it, it's not reaching your eardrums and it's not doing
         | damage.
        
       | llanowarelves wrote:
       | Hearing loss is very serious. You know your body better than
       | anyone else so don't be afraid to be its biggest advocate and
       | protector. Nobody else will.
       | 
       | I once had tinnitus for a week after a concert and it was one of
       | the worst weeks of my life, it felt like it would last forever
       | (and for some people, it does). I had pristine, "golden ears" for
       | audio engineering and was afraid about how much I'd be able to
       | recover. I missed even the boring high pitched squeaks of
       | doorknobs, faucets, etc. Everything was muffled. Since then, I've
       | been wearing Etymotic earplugs at concerts (the few I went to).
       | 
       | There is research on proper restoration of the cilia (ear hair
       | that allows us to hear), but we don't know if it's a "hardware"
       | problem (these hairs), "software" problem (brain), or both, in
       | what amounts. So it's far away (EDIT: if it's even possible at
       | all...). Hearing aids are not something you want to fall back on.
       | It's not like eyes with glasses and contacts. Be careful.
        
         | FuckShadowBans wrote:
         | [flagged]
        
         | CommanderData wrote:
         | There is no cure for hearing damage. Your body can recover from
         | slight damage after a few weeks but generally trauma to hair
         | cells, synapses and auditory nerve is accumulative and overtime
         | they loose their ability to recover.
         | 
         | There's currently no way to regenerate these. There was a
         | promising company attempting to do this and they recently
         | announced discontinuation of phase 3 trials as their drug
         | showed no significant change against placebo.
         | 
         | The drug was in development for almost 9 years before it
         | reached phase 3 and failed.
        
           | AnthonBerg wrote:
           | In my experience and according to literature, there _are_
           | cures for hearing damage. N-acetylcysteine, for one.
           | 
           | I had been taking N-acetylcysteine (NAC) regularly for a
           | while for reasons completely unrelated to hearing. I
           | unmistakably noticed my hearing to improve. High frequency
           | hearing once lost came back.
           | 
           | I didn't believe it. Looked on Google Scholar. The effect is
           | known.
           | 
           | The literature supports it; here's just one paper: https://ww
           | w.frontiersin.org/articles/10.3389/fcell.2021.6594...
           | 
           | Antioxidant properties seem to be what's helping, and I'd
           | guess it's the mucolytic aspect of NAC as well.
        
           | llanowarelves wrote:
           | Thanks for that update, I heard about it only once years ago.
           | Yeah safest thing is to assume it can't come back, and be
           | aware of the accumulation, as you said.
        
           | torstenvl wrote:
           | > _There is no cure for hearing damage._
           | 
           | There's no silver-bullet cure for hearing damage, but there
           | are cures and effective treatment for the underlying causes,
           | which can result in a cure for hearing damage.
           | 
           | The treatment and prognosis is highly dependent on the
           | underlying cause. Cilia damage probably won't be curable
           | until after a lot more stem cell research. Neurological
           | damage is hard to impossible to cure depending on the age and
           | neuroplasticity of the patient. TMJ or Eustachian tube
           | dysfunction can lead to hearing damage that goes away once
           | the underlying issue is treated.
           | 
           | This misinformation has killed people. Texas Roadhouse CEO
           | Kent Taylor committed suicide after being diagnosed with
           | tinnitus and being told it was untreatable, even though his
           | tinnitus was caused by a COVID-19 infection causing
           | inflammation. The treatment for that, which is highly
           | effective, is two weeks of prednisone, with intratympanic
           | steroid injections in severe cases.
        
         | rejectfinite wrote:
         | I got tinnitus at 15 from an airplane ride maxxing out my
         | headphones. So 15 years ago. Its fine, you get used to it after
         | 2-3 weeks. Yes it never went away. Buckle up butter cup.
         | 
         | t. not american.
        
         | Traubenfuchs wrote:
         | > I once had tinnitus for a week after a concert
         | 
         | This is impossible for me. As a self proclaimed hypersensitive
         | person with hyperacusis and misophonia, I would rather fight
         | and claw my way out of any kind of concert or disco rather than
         | suffering from the loud noises. Any kind of concert or disco
         | noise means intense pain to me. Like getting stabbed in the
         | ears.
         | 
         | I found a solution and peace in ear plugs, with them I can
         | enjoy discos and anything else like normal people.
         | 
         | Now one question for you: I do realize the majority of humans
         | can stand those levels of noise without earplugs and without
         | any apparent discomfort. Do all you normies and neurotypicals
         | simply do not have this intense pain reaction to loud noise?
         | How the hell could you suffer through a concert so loud it gave
         | you tinnitus without passing out from pain?
        
           | projectazorian wrote:
           | > Now one question for you: I do realize the majority of
           | humans can stand those levels of noise without earplugs and
           | without any apparent discomfort. Do all you normies and
           | neurotypicals simply do not have this intense pain reaction
           | to loud noise? How the hell could you suffer through a
           | concert so loud it gave you tinnitus without passing out from
           | pain?
           | 
           | Most venues have terrible sound. This can be the result of
           | bad acoustics, a poor quality/poorly tuned sound system, or
           | performers who don't know what they are doing and think loud
           | = good sound. When I'm in one of those I have your reaction.
           | 
           | In venues with a well-tuned, high quality soundsystem being
           | used properly, your ears shouldn't hurt much.
           | 
           | But why run the risk of damaging your hearing? Everyone
           | should be wearing earplugs at live events anyway.
        
           | hn92726819 wrote:
           | I'm the exact same way. I assume our brain translates loud
           | noises into physical side effects while normal brains just
           | don't. Same way anxiety, or an anxiety disorder, can cause
           | physical effects like sweating or increased heart rates when
           | having symptoms.
           | 
           | Personally, I like it because I worry about hearing loss and
           | it's a kind of protective measure, while other people don't
           | seem to care when they're damaging their ears. I also hate it
           | because I can look like a lunatic getting physically
           | uncomfortable when everyone else is fine.
        
             | Traubenfuchs wrote:
             | Yes, yes, I prefer having this warning mechanism over not
             | having it. I keep ear plugs in all my pockets, you never
             | know when you end up in clearly harmfully loud environments
             | even if it's just walking past a jackhammer.
             | 
             | I can not even imagine what normal people experience and
             | feel at that point where noise and loudness turn into PURE
             | PAIN for me. The accoustic equivalent of looking into the
             | sun or lasers!
             | 
             | I also use airpod pros as alternative to earplugs and I do
             | feel the ANC pressure and weirdness, but it doesn't feel
             | painful in any way.
        
           | throwaway049 wrote:
           | Most people don't feel pain at the concert and they only
           | notice the tinnitus the following day.
           | 
           | I used to go to thrash punk gigs years ago - but not many so
           | didn't do noticeable damage before I learned about the risk
           | and started wearing ear plugs.
        
         | FuckShadowBans wrote:
         | [flagged]
        
           | FuckShadowBans wrote:
           | [flagged]
        
         | projectazorian wrote:
         | Yeah it can't be stressed enough, if you go to live events, get
         | concert earplugs and wear them religiously. You hear the music
         | better anyway.
         | 
         | It's been sad to see friends fail to heed this advice. You
         | don't want to be that person who needs hearing aids at age 50
         | due to something you could have prevented with a little
         | forethought.
         | 
         | Etymotic are great and were my standby for years. Recently
         | upgraded to Earasers on the recommendation of a musician friend
         | and I am very happy with them, frequently forget they are even
         | there.
        
           | wkat4242 wrote:
           | +1 for etymotic also. Really great stuff. I had customs when
           | I worked in PA but now ER-15s suffice just fine.
        
           | agreement5051 wrote:
           | I recently got earasers, mainly to make it easier to hear
           | people over music (I have auditory processing disorder),
           | however I have found them just to muffle everything, making
           | the music a good level, but speech unbearable.
           | 
           | Is this your experience?
           | 
           | Wondering because maybe I'm doing something wrong or maybe I
           | chose the wrong level of them (I think I chose the regular EU
           | level).
        
       | wnevets wrote:
       | Whenever I find myself saying this music isn't loud enough I
       | better turn it up, I stop and assume that actually means I need
       | to do the opposite or turn it off.
       | 
       | Even moderate volume is bad over time, the louder the sound the
       | less time your ears can be exposed to it. I wouldn't be surprised
       | if this rule also applies to ANR.
        
       | sourcecodeplz wrote:
       | Could this lead to a class action lawsuit?
        
       | blindriver wrote:
       | I wonder if it's the noise cancellation causing problems. I
       | definitely hear a high-pitched noise from the noise cancellation
       | feature and rarely use it at all specifically because of that,
       | except very infrequently like on planes. Maybe the high frequency
       | noise is damaging the ear drums at high frequencies?
       | 
       | But I can definitely say I do not have tinnitus despite wearing
       | AirPod Maxes quite often.
        
         | qwertox wrote:
         | I'm convinced that this is it. The DSPs and speakers aren't
         | fast enough to instantly create a counterwave, so I guess
         | sometimes it will amplify the external sound, even in some kind
         | of distorted manner since even the amplification-component
         | won't be identical to the incoming external sound.
        
         | pwthornton wrote:
         | I also don't have tinnitus, and like you don't use noise
         | cancellation much at all (planes being just about the only
         | time). I find the Maxes sound very good in normal mode and
         | block out a lot of noise on their own. But these noise
         | cancellation modes could be a cause for concern.
        
         | garyfirestorm wrote:
         | Ummmm. ANC attenuates certain frequencies and fails to
         | attenuate other frequencies. Which you would end up hearing
         | anyway if you weren't wearing the headphones. So effectively
         | the sound power reaching your ears didn't change for those
         | frequencies.
         | 
         | I have worked on ANC systems in automotive applications.
        
           | a-dub wrote:
           | theoretically. it's never going to match the input exactly
           | though and therefore it will generate noise of its own. it's
           | conceivable that there would be less variation in this noise,
           | due to quantized nature of the system that synthesizes the
           | cancellation, and that a fixed synthesized signal for long
           | durations could exhaust parts of the cochlea that are used to
           | the high variability of natural sounds and/or trigger an
           | adaptation in auditory cortex.
           | 
           | or the software is bad or the anc mic fails, and it generates
           | a high pitched whine that causes short term tinnitus.
           | 
           | just spitballing because it's fun. would be interesting to
           | analyze the frequency responses to benchtop and realistic
           | scenarios for anc in modern earbuds.
           | 
           | also would be interesting to understand the psychophysical
           | response to those behaviors!
        
             | makk wrote:
             | Thank you. I would love for someone go down this rabbit
             | hole and see what they find. Maybe it turns out the answer
             | is "none of the above" but these feel like productive lines
             | of inquiry.
        
           | noarchy wrote:
           | > Ummmm
           | 
           | Serious question, because I see it so often: what are these
           | fillers meant to achieve?
        
             | khazhoux wrote:
             | They are a attempt to replicate, in written form, the
             | rhythm of conversation that is typically encountered when
             | two or more people speak in person, face to face.
             | 
             | The "Ummmm" we see in the present example, expresses doubt
             | in what was just said ( _written_ , really), and
             | foreshadows that the statement to follow (from speaker #2)
             | may be disagreeable to the other person (speaker #1).'
             | 
             | Similarly, it is not uncommon to find the word "Hmmm" as a
             | preface to some statement. This expresses a notion of "I
             | will need to think about this." But in some contexts,
             | "Hmmm" can convey skepticism. In real-life conversation,
             | people frequently exploit this ambiguity, as a clever way
             | to signal that they are skeptical but will not state so out
             | loud.
        
             | rajamaka wrote:
             | Shortcut to passive aggressiveness
        
               | garyfirestorm wrote:
               | It wasn't meant to come across as passive aggressive.
               | When I make a statement that contradicts the original
               | post, I try to be mindful and human. Instead of saying
               | 'you're blatantly wrong' I am hoping to not come across
               | as a rude guy on internet. I'll probably explore other
               | ways.
        
             | dsr_ wrote:
             | Replication of speech habits into text.
             | 
             | In this case, it signifies skepticism.
        
           | NathanielK wrote:
           | Your ears are a complex system. Just like when your eyes
           | think it's darker, your pupils dilate, your ears have a
           | similar method of controlling how much sound gets to the
           | sensitive bits.
           | 
           | It's possible that ANC convinces your ear to open up a bit
           | more, leading to damage in the frequencies that it doesn't
           | attenuate.
        
         | data-ottawa wrote:
         | I wonder if the ANC is actually bringing out latent tinnitus
         | that was already there, but we don't often experience sudden
         | transitions to and from silence where tinnitus becomes most
         | notable.
         | 
         | There's evidence that in urban environments street noise is
         | loud enough to cause hearing loss over time. Millennials or
         | younger have basically worn headphones their whole lives as
         | well, and only recently have devices started alerting for
         | dangerous exposure. If you've listened to music or a podcast on
         | a plane or the bus with earbuds then the volume would have been
         | at dangerous levels.
         | 
         | I don't want to imply ANC may not cause tinnitus (this should
         | be explored), but I suspect the reason people feel it wares off
         | also has to do with the brain acclimating to background noise
         | again.
        
         | npteljes wrote:
         | I was looking for this comment - I have a different ANC
         | headphone, and I definitely noticed that it puts a new kind of
         | pressure on my ears. Not often, but only when the ANC is
         | activated, and when I have been using it for an extended time.
         | No tinnitus here either, just something I noticed.
        
       | prpl wrote:
       | I stated having tinnitus after wearing airpods (gen3, but dropped
       | to gen 2 ) last year. I'd used big headphones and standard issue
       | wired headphones for years. Even went to an audiologist to get
       | hearing checked. I'd concurrently had a bad sinus infection, but
       | the tinitius started earlier. I think the tinnitus has gone down
       | in the last several months finally (or I am more used to it?) but
       | it was intense.
       | 
       | For the record, I've played guitar for 20+ years, in bands, and
       | listened to thousands of hours of music, been to thousands of
       | shows, etc... so I know what tinnitus from loud music feels like.
       | This was something else.
       | 
       | I stopped using headphones at home almost completely
        
       | tfeldmann wrote:
       | My AirPod Pros emit some loud, short static noise bursts from
       | time to time. Mostly in situation where there is a single loud
       | noise in the environment.
        
         | DayDollar wrote:
         | Like ultra sonic bursts from devices trying to identify other
         | devices in the room? What a irony that would be, add tech
         | destroying the hearing with which they try to reach the
         | audience.
        
         | bavent wrote:
         | I think there is a replacement program for this issue -
         | https://support.apple.com/airpods-pro-service-program-sound-...
        
       | PragmaticPulp wrote:
       | Keep in mind that Apple sells around 100 million sets of AirPods
       | per year: https://9to5mac.com/2022/12/05/airpods-pro-2-sales/
       | 
       | At this scale, it's nearly impossible to separate coincidence
       | from causality in scattered anecdotes.
        
         | Terretta wrote:
         | And all of them used with current iOS, iPadOS, and MacOS offer
         | default volume limits and proactive notifications about excess
         | decibels, set quite low, and iPhones themselves offer
         | environmental volume warnings as well now.
         | 
         | To get hearing damage generally requires disabling or raising
         | levels on this feature not on offer from most players+headsets.
        
           | makk wrote:
           | Generally, sure. But some of us are raising the possibility
           | that there's something else going on that isn't captured by
           | the limits, notifications and warnings. I didn't mention it
           | in my original post but I always used my AirPod Max with the
           | hard cap decibel limit set to the minimum value, and even
           | then I wouldn't have them turned all the way up.
        
       | causality0 wrote:
       | Sometimes I wonder about electronic noise cancellation. On most
       | of the headphones and earbuds I've tried it on, it's felt like
       | having cotton rammed into my ears. It almost feels like a sonic
       | version of having minor surgery/dental work with local
       | anesthetic, like my ear is being absolutely blasted with
       | something I can't actually hear. I worry about what the side
       | effects could be. After all, you can't see ultraviolet light but
       | it can still destroy your retina.
        
         | coffeebeqn wrote:
         | To me it feels like pressure or a vacuum. I don't know enough
         | about physics is it just that active noise cancelling is
         | increasing the total stimulus to your eardrum and it just
         | sounds better because they cancel each other out but physically
         | it's still more soundwaves to absorb.
         | 
         | I only use active when I vacuum pretty much. Sometimes if the
         | kids are really loud or there's some obnoxious background noise
        
           | mattmaroon wrote:
           | No, it's the opposite actually, when it works. Sound is just
           | a pressure wave traveling through air. By outputting a
           | diametrically opposed sound wave, you're zeroing out the
           | pressure. Noise canceling, when it works, lessening the
           | pressure hitting your ear. If it really want to learn more,
           | just look up YouTube videos on destructive interference.
           | 
           | The problem is that it isn't always able to do that perfectly
           | so it could situationally increase the decibels for very
           | short times.
        
         | Applejinx wrote:
         | I'm wondering if there might be some kind of interaction with
         | the drivers and amplifiers?
         | 
         | They've gotta be pretty wide-range drivers, and I wouldn't be
         | surprised if there's class D amplifiers in there. That can
         | produce loads of power, efficiently, but high-frequency
         | switching noise could be a concern.
         | 
         | Might be worth measuring these with a reference microphone,
         | capturing at something like 192k. Might only need 96k. You want
         | to find out if it is producing 'ultrasonic' noise, particularly
         | at high amplitudes.
        
         | rr808 wrote:
         | Me too, I feel something pressing my eardrum. I can't use noise
         | cancelling.
        
       | roncesvalles wrote:
       | Anecdotal but I also had tinnitus after using ANC headphones for
       | a year. Got a hearing test and an MRI scan (to rule out acoustic
       | neuroma) and they found nothing. Switched off ANC, tinnitus went
       | away after a few weeks.
       | 
       | If you search for ANC-induced tinnitus on forums, there are
       | hundreds of anecdotes. Yet all the (few) studies that I looked at
       | showed ANC to be completely safe and not related to tinnitus.
       | 
       | This incident made me consider scientific papers and my
       | interpretation of them a whole notch more critically than before.
        
       | LeoPanthera wrote:
       | I wonder if a reduced noise level makes existing tinnitus more
       | noticeable.
        
         | brundolf wrote:
         | I noticed some mild tinnitus I must have already had when I
         | first tried out the ANC. It didn't take me long to acclimate
         | and stop noticing it, but it was pretty noticeable at first
        
         | mdmglr wrote:
         | Yes it does. I think with wfh initiatives in COVID a lot of
         | people who previously where oblivious to ringing are hearing
         | it.
        
       | bornfreddy wrote:
       | This is my biggest reservation against using (any) noise
       | cancelling headphones.
       | 
       | IIUC, they work by emitting the same frequency sound, a bit
       | delayed, which cancels the sound in the targeted place - but
       | doubles its amplitude in vicinity, because this is how waves work
       | (feel free to correct me if I'm wrong).
       | 
       | I can't imagine being blasted with a loud sound in the vicinity
       | of our hearing organs is very healthy. Instead, I just use those
       | big headphones that cover my ears and dampen surrounding sounds
       | somewhat. They're not stylish though.
        
         | pas wrote:
         | you would hear it, and it would not work. it works because it
         | emits at the right time, not delayed, to cancel it so perfectly
         | that it's below the noise floor for your ears
         | 
         | usually what we hear is the shitty Bluetooth and coil whine
        
         | WalterSear wrote:
         | Early forms of active noise reduction did create the comb
         | filtering effects that you describe, but these were never
         | inaudible. Modern noise reduction is much better about this,
         | however, and higher level products are actually used for
         | hearing protection - this is used in headphones for fighter
         | pilots.
         | 
         | The problem isn't the noise cancelling as much as people
         | turning up the volume in loud environments, since earbuds don't
         | reduce the outside volume as much as covered headphones do. So
         | then they get the outside noise, plus the increased volume from
         | the earbuds.
         | 
         | OT tip - I bought a pair of cheap $30 noise protection ear
         | muffs that I am rarely without when travelling on damagingly
         | loud public transit, such as when I'm commuting on underground
         | rail. They are conspicuously large and odd looking, but my
         | earbuds fit nicely under them, and the travel and listening
         | experience is greatly enhanced, and pleasantly much quieter.
        
         | [deleted]
        
         | deergomoo wrote:
         | I'm no expert, but I thought they worked by destructive
         | interference? i.e. they emit the _opposite_ sound, and
         | (providing they can match the amplitude) reduce the incoming
         | wave to nothing, which is why we don't hear anything.
        
           | krackers wrote:
           | That energy has to go somewhere. As I understand that
           | resulting energy is mostly not directed towards the ear
           | (probably as heat?). But tinnitus isn't purely physical,
           | there are psychoacoustic mechanisms at play as well, which
           | noise canceling might cause.
        
       | lampshades wrote:
       | I have used active noise cancelling headphones for almost two
       | decades and have used them a lot. I have tinnitus but I assumed
       | it was because I was drinking too much.
        
       | mo_42 wrote:
       | Probably not, especially considering how many items have been
       | sold.
       | 
       | In contrast, I think ANC can be protective for your ears. The
       | AirPods itself block loud noise a bit and the ANC helps me
       | listening to low-volume music. For example, the Berlin
       | underground trains make extremely loud noises. The speakers are
       | so loud I think they should be forbidden.
        
       | thenerdhead wrote:
       | AirPods may contribute to it, but we did just go through a few
       | years of excessive emotional stress, a virus known to do all
       | sorts of strange stuff, and used our wearable devices much more
       | often.
       | 
       | Don't just blame the AirPods in other words.
        
       | anonymousiam wrote:
       | The noise cancelling feature might be emitting ultrasonic sound,
       | which might be causing damage. I've had tinnitus for a few
       | decades, but I don't blame my airpods and it doesn't seem to be
       | getting worse. (I had a hearing test a few years ago and my
       | results were "perfect" despite the constant ringing.)
        
       | 23B1 wrote:
       | Listening to loud stuff directly piped into your ear certainly
       | seems like a good way to get tinnitus...
        
         | rajamaka wrote:
         | You just described all hearing
        
       | jchw wrote:
       | I have tinnitus and I do not see any issues with my WH1000XM4s
       | making it any worse. It does feel like I can hear the tinnitus a
       | bit worse with the headphones on, but I think that's just the ANC
       | cutting out low frequency noise as expected. I've been using XM4s
       | and XM3s for years, and my tinnitus has been steady, so I assume
       | not all ANC makes tinnitus worse inherently. It is possible
       | AirPods Max would also not increase tinnitus for me, but I am not
       | going to use them because I do not use Apple products for much
       | currently and so I am sure it'd be a pain to update and configure
       | them. (Not to mention, it's nice being able to use LDAC in
       | Pipewire, or Multipoint, and I don't know if Apple supports
       | either of these options.)
        
       | larrykubin wrote:
       | Any promising cures for tinnitus in the future? I've had it since
       | 2018 and it appeared during a time when I was very stressed out.
       | I have learned how to tune it out and live with it most of the
       | time, but wish I could eliminate it all together. At the
       | beginning I would look up different tricks for dealing with it,
       | but they all seemed to make it worse. The most effective for me
       | was to learn to ignore it.
        
       | jokoon wrote:
       | I suspect all ear plugs will always cause tinnitus. Having sound
       | emitted so close to your ear drum is not a good idea.
       | 
       | Not to mention that often, air cannot escape, which increase
       | energy and/or air pressure inside the ear canal.
       | 
       | A better alternative would be to have helicopter-type headset
       | (not as much soundproof, though), so that you won't increase
       | volume to mask surrounding noise in public transport or outside.
        
         | mumblemumble wrote:
         | There are also Etymotic earbuds. I swear by them for listening
         | to music in noisy environments such as the subway or airplanes.
         | They cost less than ANC They do a _much_ better job of reducing
         | ambient noise -- I can keep the volume to a whisper even in
         | environments where having a conversation is uncomfortable. And
         | there aren 't any batteries to worry about keeping charged.
        
         | xattt wrote:
         | I thought the specific purpose of a helicopter headset was
         | noise isolation, given the high noise levels of rotorcraft.
        
       | unixhero wrote:
       | Of course they are. Edit: Sound this close to the hearing organs
       | which is too loud, will destroy hearing and cause tinnitus. This
       | is well known.
        
       | clbrmbr wrote:
       | Poor man's AirPods: construction earmuffs over old-school wired
       | Apple earbuds. You can keep the actual volume setting quite low,
       | and the suppression of outside noise is powerful. Feels like
       | you're underwater or you're Frodo wearing the One Ring.
        
         | drewg123 wrote:
         | I used to do this to make life in the cube farm at Google
         | tolerable. The advantage of construction/shooting earmuffs is
         | that they also cancel out conversations really well.
        
         | bredren wrote:
         | I have done this with APP2's on noise cancellation while
         | running a leaf blower. Pretty amazing, just can't use hey siri.
        
         | antibasilisk wrote:
         | Barnucles Nerdgasm made a video a while ago where he combined
         | construction earmuffs with headphones and it turned out pretty
         | well: https://www.youtube.com/watch?v=KjjgLcAUyRE
        
       | layer8 wrote:
       | If true, it's probably either defective AirPods or less-than-
       | stellar (but maybe within specs) ANC.
       | 
       | You can get a kind of tinnitus from long exposure to even low-
       | volume continuous noise, because the ear starts to compensate for
       | the noise (in a fashion very similar to ANC, I imagine, just on
       | the level of the auditory neurons or the cochlea), and then
       | continues to compensate even when the noise is gone.
        
       | 1-6 wrote:
       | This is anecdotal but B12 seems to help my tinnitus. Sometimes
       | the issue is neurological and not mechanical.
        
       | jws wrote:
       | More anecdotes! I use the AirPod Pros many hours a day and have
       | mild tinnitus. I find the noise canceling makes me more aware of
       | the singing in my ears. I don't live in a place where silence
       | happens, but the cancelling will kill the outside noise enough
       | for me to remember that the ears are always singing to
       | themselves.
       | 
       | For people experiencing loud noises, be aware that if the
       | microphones can come loose, then they can get weird transients
       | from vibration, shock, or even the sound being driven through the
       | AirPods. The original AirPods were subject to that, I had mine
       | replaced once and when they came loose again stopped using them.
       | (Gross note: the original ones made me more subject to disgusting
       | things happening best left unmentioned when used many hours a
       | day. That was most of the reason for not getting them replaced
       | again. The new ones definitely breathe better and don't cause me
       | trouble.)
        
         | brundolf wrote:
         | Yeah, I got a very early pair and they started to break down
         | after about a month. Random pops and sharp high-pitched sounds,
         | before eventually they stopped working at all
         | 
         | A few months ago I decided to see if they'd worked out the
         | kinks and got a new pair of Gen 2 ones. Those have been working
         | pretty much flawlessly
        
       | splap wrote:
       | I started getting spasms of my tensor tympani muscle around the
       | time I began using AirPods with noise cancellation. Could hear it
       | clearly and had a doc visually confirm.
       | 
       | Correlation not causation, but weird enough that a stopped using
       | them.
        
         | jjcon wrote:
         | Interesting same thing happened to me - a very strange
         | sensation. I was using Galaxy Buds every day for work and have
         | since stopped using any earbuds and the issue has pretty much
         | gone away. Can't say for sure it was the buds but... felt
         | correlated enough that I'm wary to use them again.
        
           | benatkin wrote:
           | If it was the buds maybe they caused temporary harm while the
           | Apple ones are causing lasting harm. To date Samsung's
           | innovations haven't been like Apple's butterfly keyboard. I
           | have Samsung buds and they are pretty impressive but I think
           | if they were more powerful it would be weird.
        
       | FollowingTheDao wrote:
       | Could EMFs be at play here?
       | 
       | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2657824/
        
       | karaterobot wrote:
       | Between music, podcasts, audiobooks, zoom calls, etc. I've spent
       | probably years of my life with earbuds in. Maybe sad, but
       | definitely true. I've expected some noticeable hearing loss or
       | tinnitus the whole time, but haven't developed any yet. This is
       | anecdotal, like the original post.
        
       | grogenaut wrote:
       | I highly suspect wearing mx3s in my home office with needless
       | noise cancellation on during the first 1.2 years of the pandemic
       | gave me tinnitus... Esp paired with a barely perceptible
       | capacitor wine from a printer. That probably enter frequency is
       | about where my tinnitus frequency is. I don't use noise
       | cancellation anymore. Switched to some Sennheiser game ones ...
       | Noise cancellation was useful in the office... But home office is
       | silent
       | 
       | I'm betting there will be some huge class actions
        
         | rajamaka wrote:
         | I have worn mx4s for 4 years in my home office for over 10 each
         | day with noise cancelling. No issues.
        
           | bl4ckneon wrote:
           | Simular situation. For the mx4's they sound so much better
           | when ANC is turned on rather than off imo. Especially the
           | bass/lower frequencies.
        
             | grogenaut wrote:
             | I agree with that, they sound great... The tinnitus doesnt.
        
       | cwales95 wrote:
       | This is very interesting. I've noticed my tinnitus has seemed to
       | be worse as of late. I exclusively use AirPods Pro. I wouldn't
       | say I listen to loud music, but I'm wondering if the noise
       | cancellation could have something to do with it...
        
         | zdragnar wrote:
         | I have had tinnitus for years, and have never felt comfortable
         | with noise cancelling headphones. Purely anecdotal, of course,
         | and even regular headphones are uncomfortable after awhile, but
         | active noise cancellation is unbearable for me
        
           | brundolf wrote:
           | I wonder how much of this is _causing_ tinnitus, vs the total
           | silence _revealing_ (or intensifying) tinnitus
        
             | emptysea wrote:
             | Yeah I feel like the total silence causes me to focus on
             | the ringing, which raises the intensity -- I think it's a
             | mental thing.
             | 
             | Whenever I use noise cancelling headphones (or really any
             | headphones), I always have something playing even at a
             | really low volume to drown out the tinnitus.
        
         | wtvanhest wrote:
         | I have tinnitus and AirPod pros and haven't noticed any
         | difference. I do find that not drinking out of straws or
         | especially camelpak style bottles with straws really minimizes
         | it. Also, more sleep, less tinnitus
        
         | salt-licker wrote:
         | AirPods Pro noise cancellation almost definitely gave me
         | temporary tinnitus after a few months of usage even though I
         | never listened to music that loud. Switched to regular AirPods
         | two years ago and the tinnitus entirely went away.
        
           | Spivak wrote:
           | No way holy shit. Welp. God dammit I was trying so hard to
           | figure out what caused this.
        
       | quitit wrote:
       | "As a matter of fact, I carry a pair of earplugs in my pocket,
       | just in case I encounter anything loud that would damage my
       | hearing."
       | 
       | Fun fact: Frequently using earplugs is also a cause of tinnitus
       | (through at least 6 identified routes.)
       | 
       | I'm not suggesting that this person's use of earplugs is the
       | source of their tinnitus, but it does help demonstrate that
       | tinnitus has a mind-bogglingly large range of sources such as
       | immune disorders/allergy, infection, ear wax impaction, and
       | conditioning, along with being a side effect to a long list of
       | medical conditions.
        
       | smohare wrote:
       | [dead]
        
       | code_runner wrote:
       | I love my AirPod pros and I just leave them in for hours with ANC
       | on because they are comfy and it's nice. Depends on the day if
       | they get uncomfortable, but no issues here.
       | 
       | I've rarely had the "pressure" people talk about with ANC so
       | maybe some are just predisposed somehow.
        
       | makk wrote:
       | Based on personal subjective experience, my AirPods Max have
       | definitely worsened my tinnitus.
       | 
       | Given my 30-year history of tinnitus, I'm very careful about
       | volume levels and I am certain that "too loud, too long" is not
       | the thing that's made things worse for me.
       | 
       | The only thing that changed is I started using AirPods,
       | specifically the Max.
       | 
       | I immediately noticed, when I first put them on, that I could
       | hear _better_ with them on and in transparency mode than I could
       | with without them. A clue that they were cleaning up and /or
       | amplifying something.
       | 
       | I had no apparent problems for a few months but then started to
       | notice that it seems liked my tinnitus was getting worse.
       | Unfortunately for me, I didn't immediately do anything about that
       | observation.
       | 
       | Then, one day, I was in the kitchen with them on in transparency
       | mode. Listening to nothing at all. I knocked a cast iron skillet
       | against the stove. The pain in my left ear was instantaneous. It
       | was like a gunshot. I took the headphones off immediately.
       | Although there was no pain in my right ear, the increased ringing
       | in it was intense and has only subsided slightly in the weeks
       | since then.
       | 
       | For weeks, the ringing was so loud that it was waking my from
       | sleep. I couldn't drop into meditation -- as a meditation
       | practitioner, I'm checking in with my internal experience daily,
       | so this change was profound.
       | 
       | I had to go on medication to aid with sleep and anxiety.
       | 
       | I've regained a hold on my sanity and come to grips with the
       | reality that my ears are never going back to my normal level of
       | tinnitus.
       | 
       | Upon a web search, I found the link I've provided, with more than
       | 2000 people upvoting the topic on Apple's discussion site.
       | Reading through the subjective experiences reported by many
       | people there, it certainly seems like something is going on.
       | 
       | I'm posting here because I was talking to a friend about his
       | experience with AirPods that have the noise cancelling and
       | transparency features, and he experienced tinnitus as well with
       | his Pro and Max models. He's one of the smartest people I know,
       | so when he was reporting the same thing that I experienced, that
       | so many other people are reporting, I became concerned that there
       | may be a widespread issue.
       | 
       | Fortunately for him, the moment he started to get ringing he
       | thought about it and disabled both transparency and noise
       | cancellation. So, he switched to using them as plain old
       | headphones, basically. His tinnitus wasn't permanent and he
       | hasn't had problems since he made that adjustment.
       | 
       | He's a physics guy and his hunch is that there's something going
       | on with harmonics and the powered modes of the headphones, that
       | we can't hear, that is screwing up our ears.
       | 
       | I saw an ear doctor last week. He gave me a hearing test and was
       | confused by what he saw (apparent across-the-board hearing loss
       | in the left year; above and below average hearing in the right
       | ear across the spectrum). He shrugged at my questions about
       | certain kinds of headphones causing tinnitus.
       | 
       | What is the experience of the HN community? Does anyone have
       | insights into what might be going wrong here?
        
         | AbusiveHNAdmin wrote:
         | [dead]
        
         | pwthornton wrote:
         | I am open to the idea that these new modes could be causing
         | this. I've used AirPods for years, almost never with any mode
         | other than basic listening, and have never had issues with
         | them. The transparency mode being a super crude hearing aid
         | approximation, has some cause for concern, and it amplifying
         | sounds you don't need amplified is a weird idea (I don't have
         | hearing loss, and I hate transparency mode). I personally don't
         | like how the noise cancellations feel when it is on, and only
         | use it in truly loud environments and on planes.
        
         | projectazorian wrote:
         | TMJ problem maybe? You unconsciously clenched your jaw in just
         | the wrong way upon hearing an unexpected noise and it caused a
         | problem with your jaw joint, possibly exacerbated by the
         | headphone in your ear canal?
         | 
         | It's a common cause of tinnitus from what I hear, and
         | anecdotally, my tinnitus is worse when my TMJ is worse. But
         | mine is mild and intermittent so wouldn't want to compare to
         | your situation.
        
           | ctoth wrote:
           | Re: your username You might enjoy the new alternate history
           | of Project Azorian that Turtledove just came out with[0].
           | 
           | [0]: https://www.amazon.com/Three-Miles-Down-Harry-
           | Turtledove-ebo...
        
           | makk wrote:
           | That's fair. I didn't mention that I've gone in for intraoral
           | bodywork to try to address TMJ as a possible issue. It hasn't
           | yielded results, unfortunately. That doesn't prove anything
           | one way or the other, of course.
        
         | ctoth wrote:
         | I have been hesitating to buy headphones with ANC after
         | noticing similar anecdotes in reviews[0][1] of the Sony
         | Wf-1000xm4. As a blind person my ears are super-important to
         | me, and I am pretty sure that something's going on here with
         | most ANC today. This feels like it's gonna be a big deal here
         | in a couple years with some form of class action.
         | 
         | [0]:
         | https://www.reddit.com/r/sony/comments/vl3cpb/wf1000xm4_and_...
         | 
         | [1]: https://www.amazon.in/gp/customer-
         | reviews/R2E9LQN575IFWB?ASI...
        
           | makk wrote:
           | If there is a causal link and someone finds it with high
           | enough confidence, then yeah it feels like a class action
           | lawsuit is inevitable.
        
       | moomoo11 wrote:
       | I've been using ANC headphones basically 24/7 for years.
       | 
       | I enjoy the silence. I wish in the future there's a way to do
       | this via a brain chip or something and maybe even selectively
       | completely filter out noise.
        
         | schneems wrote:
         | There's anecdotal correlation between neurodivergence (such as
         | ADHD) and a difference in how people take in and process
         | sensory input.
         | 
         | I interpret this as ADHD developers who see hyperfocus are able
         | to either tune down or ignore some of that audio sensory input.
         | But the flip side is also true where they might accidentally
         | hyperfocus on that specific annoyance/input.
         | 
         | Or to put it another way: some of our brains can do this
         | already. But be wary what you wish in terms of unintended side
         | effects.
        
         | layer8 wrote:
         | Wishing for the brain chip too. I hate having my ears covered
         | with headphones or clogged with sealing earbuds or plugs, but
         | love silence.
        
         | dinkleberg wrote:
         | This is my dream too
        
       | anarchy89 wrote:
       | They already had tinnitus but it was never quiet enough for them
       | to notice it. When you focus on other sounds it just kinda fades
       | out.
        
       | karlding wrote:
       | I don't own AirPods, but one of the things that I've struggled
       | with after the proliferation of headphone jack removal is that on
       | all the Bluetooth headphones/earbuds I've tried the lowest volume
       | setting is still too loud. I normally use Shure SE215s wired, but
       | I've tried the Sennheiser PXC550, Sony WH-1000XM3, Jabra Elite 7
       | Sport with similar impressions, and tried using my work 2021
       | MacBook Pro as the audio source instead of my phone. Surely I'm
       | not the only one who feels this way?
       | 
       | On my Samsung phone, I've had to manually set individual app
       | volumes to 80% via Sound Assistant, have additional volume steps
       | enabled, _and_ have the system sound set to the lowest setting
       | when using Bluetooth.
        
         | erlend_sh wrote:
         | Bought 1MORE BT per Wirecutter's recommendation and I've had
         | the exact same problem, complete with tinnitus tendencies. The
         | minimum volume seems highest when connected to my iPad.
        
       | ShakataGaNai wrote:
       | There are so many variables to this it's obnoxious. What do you
       | define as loud? Are you using them in ANC? Is it regular Airpods
       | or Airpods Pro? Do you notice tinnitus after using ear plugs for
       | a while? When listening to music other ways?
       | 
       | I have tinnitus due to ear infections when I was younger. In my
       | subjective experience, my AirPod Pro's have not changed it in any
       | meaningful way. I use them enough that I have two pairs of APP so
       | I can swap when the batteries die. Now I also have added AirPod
       | Max when I don't want the "joys" of fully in ear. Only mention
       | that because they have similar ANC.
       | 
       | The challenge with tinnitus is that it's highly subjective and
       | can vary based on a lot of things. Just take a skim of
       | https://www.mayoclinic.org/diseases-conditions/tinnitus/symp...
       | -- There are 8 "Other causes" listed, with the last one being
       | "including diabetes, thyroid problems, migraines, anemia, and
       | autoimmune disorders such as rheumatoid arthritis and lupus have
       | all been associated with tinnitus."
       | 
       | There are certainly days when my Tinnitus is worse, to the point
       | where I have to have sound on to keep me mentally stable. Other
       | days when I forget I even have it.
       | 
       | TLDR: If you have ringing in your ears that is bothering you, see
       | a doctor.
        
         | ghoogl wrote:
         | the basic answer is that tinnitus is inflammation. so in order
         | we reduce inflammation is either sumpplementation of food or
         | avoidance of behavior that induces that response so the
         | avoidance is possible through strength and conditioning like
         | another commentor mentioned tensor tympani muscle activation is
         | primary defense. secondary would be healthy diet. furthermore :
         | a device that augments noise cancellation invokes a third
         | princiople regarding muscles use it or lose it.
         | 
         | theres a single cause to this which is damage to cilary hairs
         | now under my own subjective belief is that these are a growable
         | or compensatable based on the outcome of blind patients with
         | increased hearing ability
         | 
         | conclusion: ears do heal if the body is subjected with
         | significant stress invoking amplitude same with any other
         | possiblw ailment
         | 
         | also finally since this was orignal about ringing in ears. this
         | is overcomeable the ringing might be there still but the
         | closest analogy i can give is layering. the human mind can
         | extroplolate patterns amplify them
        
       | rejectfinite wrote:
       | Is this and airpod thing or noise cancel thing? Bose, Sony etc
       | have had noise cancelling for some models for a long time. I
       | guess release to normies is always a mistake. Next they are
       | comming for the mechanical keyboards.
        
       | bkm wrote:
       | Tinnitus is also a post-covid symptom. They could be looking at
       | the wrong culprit.
        
         | vinyl7 wrote:
         | At this point is every health irregularity a covid symptom?
        
       | flerp wrote:
       | Since tinnitus is basically a dead frequency span being accounted
       | for by the brain, i highly doubt you'd be able to hear thwt same
       | frequency again.
        
       | precompute wrote:
       | This is hardly exclusive to apple hardware. Putting small
       | speakers on your ears isn't a very good idea in the first place.
       | Let alone using them to block external sounds. You can get much,
       | much worse tinnitus from not paying attention to the volume of
       | your headphones.
        
       | karmakaze wrote:
       | I don't use AirPods specifically but every pair of ANC headphones
       | I've used all exhibit that pressure that I feel but can't hear. I
       | wish there was a way to dial down the ANC amount for less
       | effective cancellation along with less ambient pressure.
       | 
       | If I really want quiet like on a plane, I'll use non-ANC earbuds
       | with good passive isolation and put a light pair of Bose
       | cancellation headphones with no signal over top.
        
         | Centigonal wrote:
         | Bose headphones have a companion app (Bose Connect) that lets
         | you choose between 4 levels of ANC (including no ANC).
        
         | smcleod wrote:
         | The Sony XM5 and Nuraphones both offer variable levels of ANC.
         | The XM5s also show the estimated dynamic pressure as you're
         | playing audio in the companion app.
         | 
         | Not nearly enough people talk or are aware of dynamic pressure
         | and how important it is.
         | 
         | By far my favourite headphones are the Ultrasone Signature Pros
         | - they're wired and non-ANC but very low dynamic pressure while
         | being studio quality, truly fantastic headphones.
        
       | qwertox wrote:
       | I have the feeling that this is related to noise cancelling in
       | general. I have some Sennheiser over-ear headphones with ANC and
       | initially I had the same feeling. After using them I notice that
       | my ringing (I already had tinnitus) got worse. It wears off after
       | half a day or more, but it's slowly getting worse overall.
       | 
       | My theory is that it's not possible to create an exact
       | counterwave, so occasionally the delayed ANC "counterwave" will
       | add up to the external sound, increasing it. Maybe this happens
       | is very short bursts or mostly at frequencies which are too high
       | to be really noticeable.
        
         | originalvichy wrote:
         | My totally non-scientifi guess why ANC is uncomfortable is that
         | it could be ear "fatigue". What you said about the imperfect
         | noise counterwave is what I'm guessing is the source of fatigue
         | in the ear, because even though your surroundings sound more
         | quiet, the ear canal is getting blasted by soundwaves right
         | next to it.
         | 
         | If I focus I can clearly feel my ears in "active" mode when
         | using ANC. A sort of soft pressure. I have a feeling ANC
         | silence is not real silence.
        
       | leach wrote:
       | I got tinnitus after COVID, had it for about a year or so now, it
       | seems to get better or worse on its own and doesn't really have
       | any pattern to it.
       | 
       | I will say that when using ANC it bothers me much more if nothing
       | is playing.
        
       | mdmglr wrote:
       | I developed tinnitus about 6 months ago and I've been using
       | AirPods for 1 year before that. But not with noise cancelling.
       | Independent research will need to be done on this.
        
       | inglor_cz wrote:
       | My very good friend works in a hospital as an
       | otorinolaryngologist, specializing in hearing damage and hearing
       | aids. I actually met her today for a long walk.
       | 
       | According to her, tinnitus rates have absolutely exploded over
       | her career (since 2002) and the correlation with frequent use of
       | earbuds is very obvious.
       | 
       | I know that correlation neq causation and all the stuff about
       | anecdata, but I am not willing to dismiss concern of a doctor
       | who, in the last 20 years, has seen thousands of people with
       | hearing problems.
        
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