Brian Wilson, Neil Young, Ludwig van Beethoven and Barbra Streisand – what trait do these diverse musicians all share? All of these musicians experienced – as a result of playing the music they love – permanent hearing loss.

When I treat musicians, I have to tell them a sad but unavoidable fact of life – the very music they love to play may be damaging their hearing. When a musician is exposed to loud music they can suffer from noise-induced hearing loss (NIHL) which produces ringing in the ears, sometimes referred to as tinnitus. With similar ongoing exposure permanent hearing loss can result.

The hearing loss can happen to any musician, whether they play in a rock band, in a symphony orchestra, in a chamber music group, or just play at home when rehearsing. You can experience hearing loss when exposed for a prolonged period of time to any sound over 85 decibels (dB). While 85dB may sound like a high level of sound, even rehearsal situations can produce these levels. Rock musicians and classical alike are both exposed to excessive amplitude of sound; an unamplified violin reaches 103dB and an electric guitar produces 120dB. It has been estimated that musicians do more damage to their ears during the hours that they rehearse alone than they do in the short times they spend on stage.

Musicians can take steps to protect their hearing despite this unavoidable exposure to sound that exceeds acceptable levels, even in seemingly quiet rehearsal settings. When investing in high-quality ear protection beyond what can be had from drug-store Styrofoam ear plugs, performers can trust their hearing is protected. Manufactures of ear protection today still use the original and proven design first invented by Etymotic Research over 20 years ago. Unlike the cheap Styrofoam earplugs that simply block sound, musician ear protection customized for you by your audiologist allows you to hear your normal full range of sound, just at a reduced volume ensuring your hearing is protected. Universal-fit musicians earplugs, starting at about $15 a pair, can be found at most stores that sell musical instruments. For musicians that want to protect their hearing and hear the full range of their music, I recommend custom-molded earplugs with Etymotic filters. These will be more comfortable to wear for long periods of time, more effective at blocking undesirable levels of noise while allowing you to hear the music properly, and easier to clean and care for. Yes, they’re more expensive than the earplugs sold in music stores, but since hearing damage is irreversible, how much is your ability to hear the music you play worth to you?

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