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SO, LET’S TALK ABOUT HEARING LOSS!

February 10, 2021

FEBRUARY: SO, LET’S TALK ABOUT HEARING LOSS! 

Evidence of how hearing devices can improve your quality of life are overwhelming. As mentioned in the previous post, untreated hearing loss is associated with a variety of health complications, either directly or indirectly. Hearing loss is the third most common physical condition in the U.S. and affects approximately 15% of Americans. 

Here is another interesting fact…only 16 percent of physicians routinely screen for hearing loss. Most of us get our vision tested annually and have dental visits twice a year, yet we continue to ignore our hearing problems and put it off for years. 
One of the main issues is that hearing loss is an invisible condition. It most often occurs gradually over many years and can be attributed to other problems, like confusion or personality changes as people age. It is something that people can hide by using other senses and cues to fill in the blanks when they miss something that is said. 

Some of the things I will talk about in this post might seem like common sense, and they are, but let me give you some basic knowledge about hearing loss and its effects on our lives. 

LEARN TO RECOGNIZE THE SIGNS:
Asking people to repeat themselves
Difficulty hearing in background noise
The feeling that people mumble when they speak
Turning up the volume when watching TV

TYPES OF HEARING LOSS:
Conductive: hearing loss that involves the outer ear (pinna, ear canal, eardrum) and/or middle ear (ossicles). This type of hearing loss prevents sound waves from being carried from the eardrum to the inner ear. This type of hearing loss can often be treated with medication or surgery. 

Sensorineural: hearing loss, often referred to as nerve deafness, occurring when there is damage to the inner ear or cochlea. This type of hearing loss is almost always permanent but can be treated with hearing devices. 

Mixed: hearing loss that is a combination of both conductive and sensorineural hearing loss. This occurs when there is damage to both the outer/middle ear and the inner ear. Treatment may involve a combination of medications, surgery, and hearing devices. 

COMMON CAUSES OF HEARING LOSS: 
Aging: also known as presbycusis, affects an estimated one-third of adults by the age of 65. Presbycusis is irreversible and can range from mild to profound. It occurs due to loss of hair cells in the inner ear and generally affects the high frequency area. 

Noise exposure: results in the damage of the hair cells in the inner ear that exceed safe listening levels (85 decibels). It can occur suddenly after one exposure or gradually over a period of time. This is the only type of hearing loss that can be prevented with the use of hearing protection devices. 

Earwax buildup

Ear infections

Abnormal bone growth in the middle ear known as otosclerosis

Ototoxic medications (there are over 200 that can cause temporary or permanent hearing loss)

Meniere’s Disease

Benign tumors known as acoustic neuromas

Trauma to the head or ears caused by accident or injury

Research has also found a strong correlation between several health conditions and hearing loss such as diabetes, hypertension, obesity, cardiovascular disease, and sleep apnea.

SOME STATISTICS:
Approximately 15% of American adults (38 million) aged 18 and older report some degree of hearing loss.

1 in 3 people are age 65 and older

1 in 2 people are 75 and older

2 to 3 out of every 1000 newborns

15% of children between the ages of 6 and 19

1 in 6 baby boomers

1 in 4 Generation Xers

RISKS OF UNTREATED HEARING LOSS:
Untreated hearing loss contributes to a number of social, psychological, mental, and physical health complications:  

Falls: falls are a leading cause of injury and death in people over the age of 65. Those with mild hearing loss are three times more likely to experience a fall, and that risk increases almost one and a half times for each additional 10 decibels of hearing loss.

Depression: hearing loss increases social withdrawal and isolation, two factors that may cause depression. Thirty percent of those with untreated hearing loss report feeling depression.

Dementia: people with mild hearing loss are twice as likely to develop dementia, while those with moderate hearing loss have three times a greater risk and those with severe hearing loss are five times more likely to develop dementia. 

Okay, I think that is enough facts for the day. My hope is that if you seriously consider some of the things mentioned here that you will schedule an appointment for a hearing evaluation TODAY! Let’s make hearing screenings a part of our routine health care by talking to our loved ones and physicians. 


February 12, 2025
In the last five years, 4 Bridges Audiology owner, Dr. Courtney Guthrie, has continued to add services to become the most comprehensive audiology practice in the Chattanooga area. “The addition of evaluations for dizziness, balance issues, and vertigo has been the most beneficial to our patients. Prior to us starting this two years ago, patients had to drive to Knoxville or Nashville to get this type of test. It is a service that Chattanooga has needed for a long time,” said Dr. Guthrie. Dr. Dana Notaro joined 4 Bridges Audiology in May as the practice’s Vestibular Audiologist, focusing on helping patients find the relief they need from dizziness or vertigo and preventing fall related injuries.
By Dr. Notaro October 9, 2024
Dana Notaro, Au.D., CCC-A, F-AAA As we celebrate Audiology Awareness Month, it's essential to focus not only on hearing health but also on the often-overlooked aspect of balance: the vestibular system. Many people are unaware that dizziness can be related to issues in this system, which is crucial for maintaining our balance and spatial orientation. Let’s dive into what vestibular testing involves and why awareness of dizziness is so important for your overall health. What Is the Vestibular System? The vestibular system, located in the inner ear, plays a vital role in helping us maintain our balance and navigate our environment. It works closely with our visual and proprioceptive systems to keep us oriented. When this system is functioning properly, we can move around confidently. However, issues in the vestibular system can lead to dizziness, vertigo, and balance problems. Common Causes of Dizziness Dizziness can arise from various factors, including: Vestibular Disorders: Conditions like Benign Paroxysmal Positional Vertigo (BPPV), Meniere’s disease, and vestibular neuritis. Inner Ear Infections: These can disrupt balance and cause feelings of dizziness. Medication Side Effects: Certain medications can impact your balance and cause dizziness. Neurological Disorders: Conditions such as migraines or multiple sclerosis can also affect the vestibular system. Why Is Dizziness Awareness Important? Being aware of dizziness is crucial for several reasons: Quality of Life: Chronic dizziness can severely impact your daily activities, work, and social interactions. Safety: Dizziness can increase the risk of falls, particularly in older adults. Recognizing and addressing these symptoms can help prevent injuries. Underlying Conditions: Dizziness can be a symptom of underlying health issues that may require treatment. Early detection can lead to better management. What to Expect During Vestibular Testing If you're experiencing dizziness, your audiologist may recommend vestibular testing to evaluate your balance system. Here’s what you can expect: Comprehensive Assessment: Your audiologist will take a detailed history of your symptoms, including when they occur and their severity. Balance Tests: You may undergo various tests, such as: Electrophysiology Testing: This involves measuring the electrical activity in the vestibular system to assess how well each pathway is functioning, helping to identify any abnormalities. Videonystagmography (VNG): This test measures eye movements to assess the vestibular system's function in different scenarios. Rotary Chair Testing: This evaluates how your vestibular system responds to rotational movements, providing insight into how well your balance system is functioning. Caloric Testing: This test uses warm and cold air in your ears to see how well your vestibular system is working in each ear separately. Vestibular Head Impulse Test (vHIT): This checks how well your eyes and head work together during quick movements by isolating each of your 6 semicircular canals. Results and Recommendations: Based on the tests, your audiologist will discuss the results and develop a tailored plan to address your symptoms. This may include vestibular rehabilitation therapy, lifestyle changes, or referral to a specialist. Tips for Managing Dizziness If you’re experiencing dizziness, here are a few tips to help manage it: Stay Hydrated: Dehydration can exacerbate dizziness, so drink plenty of water. Limit Sudden Movements: Stand up slowly and avoid rapid head movements to minimize dizziness. Practice Balance Exercises: Simple exercises can strengthen your balance and coordination. Seek Support: Don’t hesitate to reach out to your audiologist if you have concerns about dizziness. This Audiology Awareness Month let’s not overlook the significance of our vestibular system. Awareness of dizziness and understanding the importance of vestibular testing can empower you to take control of your balance and overall health. If you or someone you know is experiencing dizziness, schedule an appointment with your audiologist to discuss your symptoms and explore your options. Together, we can work towards a safer, more balanced future!
March 12, 2024
Are you planning to take a vacation soon? Traveling with hearing aids can present a few unique challenges, but with proper preparation and a few handy tips from me, your favorite audiologist, you’ll have no problem enjoying your trip to the fullest.
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