Low-Frequency Hearing Loss: The causes, risks, symptoms and treatments

What is Low-Frequency Hearing Loss?

The causes, risks, symptoms, and treatments of low-frequency hearing loss

Low-frequency hearing loss overview

Low-frequency hearing loss involves difficulty hearing sounds in the lower pitch range. It can result from various factors including ageing, genetic predisposition, or exposure to loud noise. Symptoms may include trouble understanding speech and detecting certain environmental sounds.

Treatment often involves hearing aids or other amplification devices tailored to address low-frequency sounds.  In this article, we will also explore the causes, symptoms, impact, and treatment options associated with low-frequency hearing loss.

How is low-frequency loss characterised?

Hearing loss affects many people across the UK, this article explores the specific type known as low-frequency hearing loss. Low-frequency sounds are characterised by their lower pitch and include sounds such as the rumbling of thunder, the deep bass notes in music, and the low tones of human voices.

While high-frequency hearing loss is more widely recognised, low-frequency hearing loss presents its own unique challenges.  Understanding the causes and risks associated with low-frequency hearing loss is crucial for prevention, early detection, and targeted treatments.

Low-Frequency Hearing loss 

What type of hearing loss is low-frequency hearing loss?

What are low-frequency sounds?

Low-frequency sounds are characterised by their lower pitch and longer wavelengths. These sounds typically range from 20 to 250 Hertz and include deep bass tones, the thumping of drums, and the rumbling of machinery.

Due to their longer wavelengths, low-frequency sounds can travel further distances and penetrate obstacles more effectively than high-frequency sounds. Understanding the unique qualities of low-frequency sounds is essential in comprehending the specific challenges and impact associated with low-frequency hearing loss.

Signs and symptoms of low-frequency hearing loss

What should I look out for in regard to low-frequency hearing loss?  Individuals with this type of hearing loss often have difficulty hearing and understanding low-pitched sounds, including voices of certain genders or deep tones in music. They may experience a decreased ability to detect vibrations or feel the bass in music.

Additionally, speech perception in noisy environments may become challenging, as low-frequency sounds often contribute to background noise. Other common symptoms include a sense of muffled or distorted sound, difficulty locating sounds, and an increased reliance on visual cues for communication.

Causes and risk factors of low-frequency hearing loss

Can I protect myself from low-frequency hearing loss?  Low-frequency hearing loss can be caused by a variety of factors, both acquired and hereditary. Some common causes include exposure to loud noises over an extended period of time, certain medical conditions, genetic predisposition, and ageing.

Prolonged exposure to high-intensity low-frequency sounds, such as machinery noise or loud music, can damage the delicate structures of the inner ear responsible for processing these frequencies.

Medical conditions like Meniere's disease and otosclerosis (the hardening of the hairs in the ear), as well as certain medications known to have ototoxic effects, can also contribute to low-frequency hearing loss. Additionally, as we age, the natural degeneration of the auditory system can lead to a gradual decline in our ability to perceive low-frequency sounds.

Low-Frequency Hearing Loss 

Testing for low-frequency hearing loss

What can I expect in a hearing test?

Hearing healthcare professionals employ various diagnostic tests to assess the extent and nature of the hearing loss. One common test is pure-tone audiometry, which measures an individual's hearing thresholds across different frequencies, including low frequencies.

The results are plotted on an audiogram, providing a comprehensive picture of the individual's hearing abilities. Speech audiometry may also be conducted to evaluate the person's speech perception and understanding in both quiet and noisy environments.  

Furthermore, additional in-depth tests may then be used to evaluate the condition of the middle ear, cochlea, and auditory nerves in certain cases. These diagnostic tests help clinicians determine the type, severity, and underlying causes of low-frequency hearing loss - guiding the development of personalised treatment strategies.

Treatment options for low-frequency hearing loss

Can low-frequency hearing loss be cured?  While there is no cure for low-frequency hearing loss, several treatment options can help individuals manage their condition and improve their quality of life. The choice of treatment depends on factors such as the severity of hearing loss, the underlying cause, and the individual’s specific needs.  

Treatments include:

• Hearing aids: Modern digital hearing aids can be programmed to specifically address low-frequency sounds - improving the perception of bass tones and low-pitched voices. Many offer Bluetooth connectivity and companion apps through which levels can be adjusted by the individual.

• Speech therapy: Speech and communication therapy can be beneficial for individuals with low-frequency hearing loss as these therapies focus on improving speech perception, and communication strategies and enhancing listening skills in challenging listening environments.

• Cochlear implants: Cochlear implants are electronic devices that can provide direct stimulation to the auditory nerve, allowing individuals with severe hearing loss (usually sensorineural). Cochlear implants could help with either high or low-frequency hearing loss.

Low-Frequency Hearing Loss 

Impact and coping strategies for low-frequency hearing loss

What can I do to lessen the effects of low-frequency hearing loss?

Low-frequency hearing loss can have a significant impact on an individual's ability to perceive and understand deep sounds, affecting their enjoyment of music, speech comprehension, and overall communication in various environments. These effects can all lead to a sense of isolation and reduced quality of life.

Making certain adjustments in daily life and the environment can help, including minimising exposure to loud noises, optimising room acoustics, and using visual cues in communication.

Friends and family can provide support and help by practising clear and direct communication, using visual cues, being patient and understanding, and choosing environments that minimise background noise such as meeting in quiet cafes over loud bars.

Conclusion

Low-frequency hearing loss presents unique challenges for individuals, impacting their ability to perceive and understand deep sounds and affecting their overall communication and quality of life.

By understanding the causes, symptoms, and impact of low-frequency hearing loss, we can ensure a speedy diagnosis and appropriate treatment strategies can be initiated, including the use of hearing aids.

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