• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer
Contact | 360-778-1266

Hearing Loss Help Store View Cart | Check Out

Center for Hearing Loss Help

Help for your hearing loss, tinnitus and other ear conditions

  • Home
  • About Us
  • Contact
  • Reference
    • Glossary of Ear Terms
    • Drug Pronunciation Guide
    • Looping Information
    • “Learn About Hearing”
    • Useful Links
  • Museum
  • Blog
  • Shop
    • Books
    • Visor Cards

Loud Noise and Hard of Hearing People

by Neil Bauman, Ph.D.

A hard of hearing person asked:

Is the noise damage threshold the same for me as it is for a person with normal hearing? Do I just add my decibel loss (by frequency) to the noise damage threshold for normal ears? [approximately 80 to 85 dB] If sustained noise at 90 dB is bad for a person with normal hearing, does my noise damage threshold start at 150 dB because I have a 60 dB hearing loss?

Excellent question. I used to wonder about this too. It sounds so plausible on the surface–hard of hearing people can stand far more noise than hearing people because of their underlying hearing loss.

Although this is generally true for people with conductive hearing losses, it certainly is not true for the vast majority of us since we have sensorineural hearing losses.

Here is why. Think about this logically. The mechanism of damage is the same whether we have normal hearing or are hard of hearing. Excessively loud sounds damage our ears by destroying both the minute hairs (cilia) on the hair cells, and the underlying hair cells themselves too. When this happens, that hair cell no longer sends a signal to our brains. As a result we end up with a hearing loss at the frequency of sound that hair cell was sensitive to.

At first, if we have normal hearing, the few destroyed hair cells would not produce noticeable hearing loss. But when enough hair cells are destroyed, the message being sent to our brains is riddled with “gaps” which we notice as hearing loss. The actual damage to our inner ears is the same whether we have near normal hearing or have a profound hearing loss.

However, if we have a severe or profound loss, we may not seem to lose much more hearing from being exposed to loud sounds. This is not because we have a higher tolerance for loud sounds, but because there are not many hair cells left to be destroyed! (I’ve seen pictures where whole banks of hair cells are completely missing. This is quite striking when compared to pictures with all the hair cells present.)

Therefore, in answer to your question, “No, you cannot add the amount of your hearing loss to the noise damage threshold to find the amount of noise you can stand without further damaging your hearing.” For example, it is absolutely wrong for me to think that since I have an 80 dB loss, I can stand noise at 90 dB plus the 80 dB I am missing for a total of 170 dB before I do any further damage to my ears. This loud a sound will definitely instantly destroy more of my remaining hearing.

Not only that, in actual fact, I will be writhing in pain long before I hear a sound that loud. Why? Most of us with severe or worse hearing losses usually have severe recruitment as well. As a result, our tolerance for loud sounds is actually much less than for those with normal hearing. A sound of 110 dB, while very loud to a person with normal hearing will actually cause us pain because we perceive it an too loud to stand!

Primary Sidebar

Hearing Loss Research & Resources

Free Visor Cards

Download your free Visor Cards for hard of hearing or deaf people here.

Loop Systems

Loop your home or meeting room. Discover how you can hear wonderfully clear sound again when listening to the TV/radio, etc, or when listening to a speaker at a meeting.

Loop systems are one of the best-kept secrets in town. To learn more about Loop Systems and what they can do for you, click here.

Take Control of Your Tinnitus—Here’s How

If your ears ring, buzz, chirp, hiss, click or roar, you know just how annoying tinnitus can be. You do not have to put up with this racket for the rest of your life. This book teaches you many things you can do to help bring your tinnitus under your control so it no longer bothers you.

Learn More | Add to Cart—Printed | Add to Cart—eBook

Sounds Now Too Loud for You?

Hypersensitive to Sound front coverIf some (or all) normal sounds seem so loud they “blow the top of your head off”, or make you wince or jump, or cause you headaches or ear pain, or affect your balance, or result in fear or annoyance of sounds so you feel you have to avoid these sounds, this book is for you!

Learn More | Add to Cart—Printed | Add to Cart—eBook

Hearing Phantom Sounds?

When hard of hearing people begin hearing phantom voices or music, they immediately worry they are going crazy. It never crosses their minds that they are sane and are just experiencing Musical Ear syndrome.

To learn more about the strange phantom sounds of Musical Ear syndrome and what you can do about them, click here to read a comprehensive article about Musical Ear Syndrome.

Or get the book—Learn More | Add to Cart—Printed | Add to Cart—eBook

Glossary Navigation

  • Full List of Glossary Terms
  • A to Z Index

Footer

Center for Hearing Loss Help

Neil G. Bauman, Ph.D.

1013 Ridgeway Drive, Lynden,
WA 98264-1057 USA

Email: neil@hearinglosshelp.com

Phone: 360-778-1266 (M-F 9:00 AM-5:00 PM PST)

© 2025 Center for Hearing Loss Help – Help for your hearing loss, tinnitus and other ear conditions

"The wages of sin is death, but the gift of God is eternal life [which also includes perfect hearing] through Jesus Christ our Lord." [Romans 6:23]

"But know this, in the last days perilous times will come" [2 Timothy 3:1]. "For there will be famines, pestilences, and [severe] earthquakes in various places" [Matthew 24:7], "distress of nations, the sea and the waves roaring"—tsunamis, hurricanes—Luke 21:25, but this is good news if you have put your trust in the Lord Jesus Christ, for "when these things begin to happen, lift up your heads [and rejoice] because your redemption draws near" [Luke 21:28].