Vertigo

vertigoThe most common form of vertigo is benign positional vertigo (BPV). BPV is a sensation similar to spinning and can be triggered by tilting your head up or down, turning over, lying down or getting up. If you have BPV, you may experience brief episodes of dizziness.

BPV is caused by disturbances of the vestibular system in the inner ear. Within the vestibular system are semicircular canals that contain fluid. The fluid moves against sensory receptors that tell your brain when your head is making rotational movements. BPV occurs when crystals of calcium carbonate clog the semicircular canals because the vestibular system then sends mixed messages to the brain about the body’s position.

Although the most common symptom of BPV is dizziness or a “spinning” sensation, other symptoms include vomiting, blurred vision, nausea, lightheadedness and loss of balance. Generally, symptoms last less than a minute, but sometimes the symptoms can come and go. Abnormal eye movements called nystagmus can also accompany BPV.

BPV is diagnosed by a test called the Dix-Hallpike maneuver where your head is held in a certain position while you lie down quickly. Eye movements are monitored and you are asked to describe your symptoms. The doctor may also complete a physical exam and collect a medical history.

There are several treatment options for BPV. One option is called the Epley maneuver, which is often said to be the most effective treatment option. The Epley maneuver involves moving in a way that dislodges the calcium carbonate crystals from the inner ear. Certain medications may also be used to relieve the sensation of spinning such as sedative-hypnotics, anticholinergics and antihistamines. Home treatments such as sitting down when you feel dizzy, avoiding triggering behaviors and being aware of your surroundings can help prevent injury.

Tinnitus

Tinnitus is described as an irritating buzzing, humming or ringing in the ears. What many don’t realize is that it is may be a symptom of a greater problem rather than a disease itself. The first step to treating tinnitus is to diagnose the underlying issue.

Some common causes of tinnitus include hearing loss, an infection, middle ear or nerve tumors, circulation disorders, noise-induced hearing loss of the inner ear, migraines and medications. It is important to see a doctor for tinnitus symptoms in order to identify or prevent hearing loss.

Tinnitus is often difficult to evaluate objectively. The doctor will ask a series of questions such as which ear is experiencing the symptoms, whether or not it is constant or pulsatile, if you can describe it, how loud does it seem, what conditions affect it and how much it disrupts your daily life.

Tinnitus can be a symptom of hearing loss. Audiologists can work with ENT doctors to determine if a hearing aid is necessary. Hearing aids and tinnitus maskers can work together to both override tinnitus symptoms with more tolerable sounds and assist with improved hearing.

It is best to treat the underlying cause of tinnitus, but the cause cannot always be determined. This means there is not always a specific cure. Some alternative treatment options include hypnosis, counseling, relaxation therapy, biofeedback and tinnitus maskers, which are like hearing aids that produce white noise. Self-help groups are another option for those suffering from mild forms of tinnitus. They can provide resources and support for people to feel more in control. Your physician or audiologist can help determine what treatment option is best for you.

Bone Anchored Hearing Devices

young deaf and hearing impaired woman with cochlear implantA bone-anchored hearing device is a special type of implanted hearing aid that works by transmitting soundwaves directly through the skull rather than through the ear. The bone-anchored hearing device consists of three parts: a titanium fixture, an abutment and an external sound processor. The fixture is surgically implanted into the bone behind the ear so that only the titanium abutment is visible. The sound processor, which “catches” the vibrations of sound waves, transfers the waves through the abutment into the bone and then to the inner ear. It allows the user to still hear sounds naturally, similar to how one hears their own voice.

The bone-anchored hearing device is best suited for those with conductive hearing loss, unilateral hearing loss, single-sided deafness or mixed hearing loss due to damages to the middle or outer ear. This is because the bone-anchored hearing device system bypasses these features and transfers sound directly from outside the head into the inner ear.

The implantation is a minor surgery which takes only about one hour. The doctor will provide either local or general anesthesia before performing an incision behind the ear with hearing loss. A small hole three to four millimeters deep is drilled so that the titanium fixture and abutment can be inserted, then the skin is sewn snugly around the fixture. There can be minor post-operative pain or discomfort, but most patients can go back into their daily routines within just a few days.

It is possible to test the bone-anchored hearing device system to see if it will work for you. Your doctor can connect the bone-anchored hearing device sound processor to your head via headband, which will provide a similar hearing experience to the implant.

Hearing Aid Travel Tips

hearing aid travel tipsTraveling can cause stress for those with hearing loss. There are certain measures you can take to ensure your hearing aids are safe and your traveling experience is stress-free. Here is a list of tips for traveling with hearing aids:

  • Pack extra batteries and tubing. These things may be difficult to find depending on where you are traveling.
  • Do not store your hearing aid or equipment in checked luggage. Additionally, keep an extra set of batteries separate from your spare hearing aid to avoid total loss of hearing aid usability.
  • Bring a waterproof hat or umbrella on your trip to ensure moisture from rain does not reach your hearing aid.
  • Take a dehumidifier to dry your hearing aids at the end of each day, especially if you are traveling in a humid climate.
  • Purchase insurance for your hearing aids in the event that they are lost or stolen to provide you with peace of mind.
  • Using an assistive listening device can help reduce or remove background noise in airports, museums, churches, taxis or other noisy environments.
  • Notify an airport security officer that you are wearing hearing aids before screening. You do not have to remove them for the screening process, but keep in mind that if your hearing aid sets off any alarms, you may be subjected to additional screening. Metal detectors or x-rays will not affect your hearing aids in any way.
  • Make an appointment with your audiologist before your trip for advice on caring for your hearing aids while abroad.

Hearing Aid Financing

hearing aid financingOur goal is for you to obtain the most benefit at the lowest price. We provide a wide variety of aids that range in price from $1000 to $3000 per ear. A three-year manufacturer’s warranty is included in the cost of the aid(s). Hearing aids come with a 30-day trial. When hearing aids are ordered you will be asked to pay a $100-per-aid nonrefundable deposit; the balance is due when the aids are fit and distributed. If at the end of 30 days you wish to return your hearing aids, you will be reimbursed the cost of the aids minus the deposit. If insurance benefits can be verified, we will bill your insurance for any portion they may cover of the total cost of amplification. For more information, please contact one of our expert audiologists.

There are other financing options available to you outside of insurance. CareCredit® offers a health care credit card for financing your hearing care; this credit line covers hearing tests, regular hearing check-ups, audiology appointments, hearing devices, device fittings, hearing device implants, tinnitus treatment, hearing conversion and earmolds.

Additionally, Wells Fargo offers their Health Advantage® credit card with competitive interest rates as a means of affording health services. The benefits of this program include special financing plans that allow you to pay over time, easy to understand monthly payments, online account management and payment options and a revolving line of credit that you can use over and over.

Talk to your doctor and your insurance agent to determine what financing options are available to you.

Hearing Aid Batteries

Without batteries, your hearing aids wouldn’t be unable to function. To keep your devices running as smoothly as possible without interruption, there are a few things to know about hearing aid batteries. Most drugstores carry replacement batteries; they can also be purchased from your audiologist or ordered online.

Most hearing aids use disposable zinc-air batteries that are color- and number-coded for easy replacement. The type of battery needed depends on the style and size of your hearing aids, and includes 5 (red), 10 (yellow), 13 (orange), 312 (brown) and 675 (blue).

Zinc-air batteries require oxygen to produce power. They come with a protective seal on the back; once this is removed, oxygen enters through tiny holes to activate them. You should wait at least a minute before inserting your batteries to ensure they have absorbed enough oxygen to work properly.

Digital hearing aid batteriesOn average, batteries last 5-7 days depending on the size and style of your hearing aids, your degree of hearing loss, the amount of time your hearing aids are used and your listening environment. Obviously if there is no sound coming through your hearing aids, your first suspicion should be a dead battery. Other signs include sound that is distorted or unclear and unusually low volume levels. Some hearing aids are designed to produce an audible tone warning you when batteries are low.

Store your batteries at room temperature and avoid exposing them to moist or humid environments. This includes the refrigerator – despite what you may have heard, this is not a good place to keep your batteries as temperature extremes and condensation can shorten their life. Keep batteries away from keys, coins and other metal objects that can cause them to short circuit or discharge. When removing your hearing aids, turn them off and open the battery compartment door to prevent excess moisture and battery drain.

Hearing Aid Maintenance & Repair

hearing aid maintenanceThough small, hearing aids are packed with high-level technology to help your ears and brain process sounds. As such, there are several practices that will help you care for the technology so that it will last. To prevent problems with your hearing aids, follow this list of practices to help preserve the device’s technology.

o Clean your hearing aids. Buildup, especially earwax, can become trapped in the tiny holes in the hearing aid. To avoid this, it is important to clean the device each day with a clean cloth or soft brush. If earwax is impacted into the hearing aid, you will likely notice static or feedback when using the device.

o Keep your ears clean. It is just as important to keep your ears clean as it is to keep your device clean. Even though it is natural and healthy to produce earwax, it can damage your hearing aid if it becomes lodged in cracks or holes. To reduce the risk of earwax becoming impacted into your hearing aid, clean your ears with a washcloth once a day. Remember, it is not safe to insert cotton swabs, bobby pins or anything else smaller than a finger into your ear canal as small items can push earwax deeper or even puncture the eardrum.

o Keep your hearing aid dry. Exposure to moisture is the number one cause of hearing aid malfunction requiring repairs. Do not wear your hearing aids while showering, washing your face, spraying hairspray, swimming or sleeping if you are prone to excessive sweating. We advise removing the batteries from your hearing aid during nighttime hours to allow the device to air out.

Contact a hearing aid professional if you follow these procedures and are still experiencing malfunctions with your devices such as static, whistling, feedback or volume control issues. Also contact a professional if you feel your device does not fit properly, if there are cracks in the faceplate or if the device is smashed.

Hearing Aid Accessories

Patient choosing hearing aid color with an audiologistHearing aids aren’t just available in a wide range of sizes and styles; they can also accommodate a variety of accessories. Deciding which, if any, will benefit you can be tricky. You may want to speak with an audiologist to learn more about any particular product.

Some of the more popular hearing aid accessories include:

o Wireless accessories. Utilizing Bluetooth technology, wireless accessories enable you to hear better in situations where there is a lot of background noise or distance between you and the speaker. These include wireless microphones, remotes and television headsets.

o Transmitters and receivers. These are helpful in educational situations (e.g., a teacher’s words are transmitted directly into the student’s ears) and for children. Transmitters and receivers work together to overcome background noise, distance and reverberation and contribute to a better learning experience.

o Power adaptors and cords. These add versatility by allowing direct input from various audio sources such as FM systems, MP3 players, TVs and computers. They are available with both monaural and binaural cords.

o Assistive listening devices/personal amplifiers. A microphone placed close to the speaker amplifies the sound that reaches your ears, giving your hearing aids a boost. These are excellent for lectures, church service, theaters and television.

o Earwax filters. Filters prevent earwax, a leading cause of damage to electronic components, from entering the hearing aid. This helps prolong the life of the instrument and provides you with clear, natural sound.

o Cleaning kits. Keeping your hearing aids clean can result in a longer life for your instruments. Cleaning kits give you a leg up on keeping your device in prime working condition. They typically include a wax removal brush and pick, a tube and vent cleaner, battery door opener and battery replacement magnet.

o Batteries. It’s wise to have extra batteries on hand in case your current ones die in the middle of an important listening situation. Spare batteries are especially helpful when you’re traveling.

Hearing Aid Styles

Although there are many types of hearing aids, the five major styles are completely-in-canal (CIC), in-the-canal (ITC), in-the-ear (ITE), behind-the-ear (BTE) and Receiver-in-the-Ear (RITE). You and your audiologist can discuss which style is best for you in terms of appearance and functionality.
Completely-in-canal (CIC) hearing aidsCompletely-in-canal (CIC) or mini-CIC are devices that are molded to fit completely inside your ear canal. They are the smallest, least visible models of hearing aid. The CIC does not include directional microphones, which makes the device less likely to pick up wind noise, but also means the device is less effective for those with severe hearing loss. Additionally, the batteries of the CIC are small and may have a shorter lifespan. CIC and mini-CIC devices are best suited for those with mild to moderate hearing loss.


In-the-canal (ITC) hearing aidsIn-the-canal (ITC) devices sit both inside the ear canal and in the concha of the outer ear. The ITC has the same general features as the CIC. The difference is that it is slightly more visible, but the larger size makes for easier handling. The ITC is best suited for those with mild to moderate hearing loss.


In-the-ear (ITE) hearing aidsIn-the-ear (ITE) hearing aids are the largest custom-made devices. Though they are most visible, they are also easiest to handle and operate. The device has two styles; the full shell fits in the entire concha of the outer ear while the half shell fits only in the lower half near the ear canal. This device can be fit with a volume control setting, which is unavailable in smaller styles of hearing aids like the CIC. The ITE is suitable for those with mild to severe hearing loss.


Behind-the-ear (BTE) hearing aidBehind-the-ear (BTE) instruments have separate receivers and sound processors which connect with a clear tube that wraps over the ear. Newer BTE models are small and discrete, and the clear tubing can be shaped to the same size and shape of your ear so as not to be noticed. The BTE device is appropriate for all ages and for those with any type of hearing loss.

Receiver-in-the-ear (RITE) hearing aidReceiver-in-the-Ear (RITE): A RITE hearing aid consists of a tiny housing containing all electronics except the receiver, which is positioned behind the ear. A thin tube connects the housing to the receiver, which is worn in the concha (bowl-shaped portion) of the ear. It’s a small and discreet unit but powerful enough for treating mild to moderately severe hearing loss.

Choosing a Hearing Aid

Once you’ve seen an audiologist and been tested for hearing loss, your doctor may decide you could benefit from hearing aids. There are a wide variety of hearing aid manufacturers and types of hearing aids, which may make the process of choosing a hearing aid seem overwhelming. There are three major questions to consider when it comes to choosing your hearing aid:

Deaf people taking a hearing test

  1. What options are available to me?
  2. Which type will best fit my lifestyle?
  3. How do I adjust to my new hearing aid?

The main styles of hearing aid include completely-in-canal (CIC) or mini-CIC, which are fitted entirely in the ear canal; in-the-canal (ITC), which fits partially in the ear canal; in-the-ear (ITE), which sits in the concha of the outer ear; and behind-the-ear (BTE), which consists of a custom earpiece and a separate sound processor.

A patient may choose a hearing aid based on appearance and functionality. For example, completely in-canal and in-the-canal hearing aids are not highly visible, but also do not include directional microphones. The smaller devices cannot hold as large of batteries and may not help with moderately severe to severe hearing loss. In-the-ear and behind-the-ear hearing aids, though may be more visible, can be more effective for those with profound deafness.

Adjusting to your new hearing aid takes time. The hearing aid will be programmed for your unique hearing needs, which will help ease the adjustment period.