Looking for continued input for SSHL

Posted by kathymann2184 @kathymann2184, May 7, 2025

have been trolling this site for about five weeks now. I’m very grateful for your input in every post. Six weeks ago I had a total knee replacement. I went home the day of surgery and was doing well. It was 24 hours almost to the minute when I stood up to go to the restroom and had to sit back down because of sudden and acute dizziness. The dizziness was something I had not experienced before because instead of the room moving something inside my head moved. A very strange sensation. I immediately heard a noise in my right ear and I became nauseous and started to throw up. This lasted about 16 hours. The next morning, I still had the ringing in my right ear and I realized I could not hear in my right ear. I was able to get in to see the ENT the following day. So 48 hours after the first symptom, I started prednisone for 10 days. I was completely deaf in my right ear. The tinnitus was a loud waterfall. The vomiting had passed, but the occasional nausea remained. The ENT felt like, in their experience, It was always due to some unknown sudden viral infection. Nothing could be proven and no medicine was ordered for a viral infection. An MRI was ordered, but it was a week before I could be seen anywhere. Meanwhile, I came home and started looking up SSHL post total knee replacement. And there is documented literature of this happening after a total knee replacement. There’s also documentation of this happening after spinal anesthesia. I had spinal anesthesia and a knee replacement. The idea after the knee replacement is that you threw a micro fat emboli which is also never proven. The idea behind the spinal complication is that it was a combination of a disruption of cerebral spinal fluid and hypotension. I feel like the later two explanations were more reasonable in my case. I also received one dose of vancomycin, which has been noted to cause hearing loss but typically not with one dose. The treatment options seem to be prednisone by mouth and Decadron tympanic injection. I had both. Other options were hyperbaric oxygen treatment, but Medicare would not cover this. The MRI proved to be negative. I think everyone knew that it was going to be negative. So my hearing has not come back but what I’m writing about today is the Revelation to me of what it’s like to be deaf in one ear and have tinnitus. It has been very humbling. I no longer have any sense of direction for where the sound is coming from. The sound could be coming from behind me and I think that the sound is coming in front of me. Absolutely no idea. The left ear has a hard time hearing over the noise coming from the right ear. And as the group already knows the noise is in your brain, not in your ear. The other odd thing is that my right ear and the right side of my face feels numb, but it is not. The tinnitus is such a light sounding word for such a troublesome condition. It is not just a single noise. It can be a waterfall or it can be ringing. But it is also other noises super imposed on that evolving background noise. For instance, if someone talks loudly, it actually vibrates and echoes in my ear at yet another sound level. If someone hugs me on my right side, it squeals like my hearing aid is off position . And sometimes the shrill whistle is so loud I can hardly bear it. It is very humbling. I realize there are many worse things in the world and I realize I am blessed. Nevertheless, I’m very concerned as I read that people with hearing loss have a higher incidence of depression, dementia, and less socialization. I am concerned about driving. It is life-changing. The ENT is not encouraging. They say that Medicare doesn’t often cover cochlear implant- and cochlear implant may or may not help the tinnitus. I realize there are a few other options to try that appear to be hit and miss. Anyway, I am happy to be in this group and I will continue to look forward to input from other people who are dealing with this condition. Best regards to all.

Interested in more discussions like this? Go to the Hearing Loss Support Group.

Profile picture for h2h @h2h

Hello Jeananne16,
I hope the hearing aids will help your situation. Here's great website with excellent learning material about hearing loss, hearing aids, making sure your hearing aids have telecoils and even better are "ADA-access-ready." The home page is: http://www.centerforhearingaccess.org. And here's a great TED Talk by Juliëtte Sterkens about hearing aids: https://centerforhearingaccess.org/tedx/. And one more link about hearing aids and hearing loss resources: https://centerforhearingaccess.org/hearing-loss-resources/
I can't recommend enough that anyone dealing with hearing loss and considering getting hearing aids, take time to go through the Center for Hearing Access website as I'm not aware of any other site where more factual, non-biased information can be found about hearing loss, hearing loops, ADA requirements, and more. Insist that your AuD have telecoils included in your hearing aids! Your hearing aids will ideally be ADA-Access-Ready. Here's a link, ok, really, last one, that explains ADA-access-ready: https://centerforhearingaccess.org/declarations/

If you just ordered your hearing aids I would hope your AuD can still contact the distributor to request telecoils. There is no extra cost to have them come with telecoils.

My best to you as all of us with hearing loss understand the frustrations. Harry

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That telecoil advice is extremely important. Telecoils will connect to sound systems that have hearing loops, FM or IR technology installed. This hearing assistive tech is likely to be found in areas where groups of hard of hearing people have advocated for it and educated about it. Check out http://www.hearingloss.org (The Hearing Loss Assn. of America) for chapter locations.

You are also going to be told that telecoils are 'old technology' and a new technology called Auracast will replace it. The wise response to that is "I want both telecoils and Auracast in whatever hearing aids I buy". Not all have that option, but some do.

As I've explained many times. We have a right to hear in public places according to the Americans with Disabilities Act. This is called 'communication access'. The ADA does state that it has to be requested in advance. In most cases it's installed because people have done the educating on it.

Reality: Venues that related to telecoils are not going to have to install a new type of tech if they are already accessible. Plan for both. ASK your provider for it.

One of the reasons why these options are not always included in hearing instruments relates to the space they take in the product, which is very small. BUT, the stigma of hearing loss, which is unfortunate, leads to ads that brag about how 'tiny' their products are, etc. People with hearing loss create their own 'demons' when they put stigma ahead of better hearing.

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Profile picture for kwhatlestad @kwhatlestad

Yes - check for ototoxic meds! My first experience with vertigo was after taking azithromycin (the 5-day antibiotic). I'd thought that only medications for serious diseases were ototoxic!

I do have a strong family history of hearing loss, tinnitis and vertigo, but it was nearly 20 years before I had my next episode.

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I lost hearing in right ear overnight and was at hospital next morning for steroid injections, drops and whatever else was prescribed. It did nothing. I was told it was a viral issue but I was on strong antibiotics for a number of days before and believe this was the cause. Very concerned if I do get some medical problem which usually requires antibiotics as I am concerned about losing hearing in good ear. Antibiotics are not the only ototoxic drugs so be careful what you take. You do get used to living with one good ear but always thinking about the potential to lose hearing in good ear.

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Wow ! I could've written that. To be honest I have not read every reply in this thread.

I had a successful complication free total left hip replacement in February of 2025 and was recovering nicely. Then on August 6 2025 I just woke up with SSHL completely deaf in my left ear and lost my sense of balance. As of today September 9 I've had a dose or oral steroids and two intratympanic shots with the third and (thank God) final one in two days. They are no fun.

Your comment about knee replacement and a spinal and SSHL got my attention and will have me looking to see if I can find any studies that might make a statistical comparison.

The first ENT served to put me on the oral medications within two days of the event but he was bad news and I had to go find a better doctor and did. He had me on Dexamethasone and Acetazolomide. I noted that my new hip that had not been bothering me started to quite a bit after I started on these and he said he never heard of that. The surgeon that did the replacement is in the same building so I stopped in and left a message for him about those two meds. He has been wonderful to date and responsive yet somehow when I asked that I get nothing so I gave up.

My new (excellent) ENT said he never heard of that either but believed me and had me off of both of them immediately. I got a ten day course of them by that time anyway. and started to feel better almost immediately after discontinuing those pills. The two shots in the ear I got haven't bothered my hip at all.

IDK if my sudden inactivity due to the persistent vertigo/dizziness was responsible or not or if it was the meds but it whichever (or neither) this has been a damned painful setback. I've been working on it at the gym to restore my range of motion, again. I am now able to walk as much as I want (2-5 miles per day), go to the gym and drive locally (safely) but still nowhere near 'right'. My ENT said that apart from age (61) persistent vertigo usually means the chances of my hearing returning is slim. He also said that it'll take weeks/months for my brain to 'recalculate' itself and that I should not pursue any hearing aid until I wait a while. Fine by me.

My hearing was already damaged to begin with from long term exposure to loud noise and I have lived with tinnitus for years. I mentioned to the ENT that I am paying the price for that now and he didn't think the SSHL was necessarily related, it's a matter of what I have left on the right. The hearing test confirmed ll that but my non-scientific guesstimate is that I have about 85% left in my right ear. Going totally deaf at some point keeps me awake at night.

Like you I am trying to learn how to function like this and not become deeply depressed and am only marginally successful. The exercise is helpful - I've always been very active. There are certainly many worse things you can get but that doesn't mean I have to appreciate this ****.

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Profile picture for Julie, Volunteer Mentor @julieo4

That telecoil advice is extremely important. Telecoils will connect to sound systems that have hearing loops, FM or IR technology installed. This hearing assistive tech is likely to be found in areas where groups of hard of hearing people have advocated for it and educated about it. Check out http://www.hearingloss.org (The Hearing Loss Assn. of America) for chapter locations.

You are also going to be told that telecoils are 'old technology' and a new technology called Auracast will replace it. The wise response to that is "I want both telecoils and Auracast in whatever hearing aids I buy". Not all have that option, but some do.

As I've explained many times. We have a right to hear in public places according to the Americans with Disabilities Act. This is called 'communication access'. The ADA does state that it has to be requested in advance. In most cases it's installed because people have done the educating on it.

Reality: Venues that related to telecoils are not going to have to install a new type of tech if they are already accessible. Plan for both. ASK your provider for it.

One of the reasons why these options are not always included in hearing instruments relates to the space they take in the product, which is very small. BUT, the stigma of hearing loss, which is unfortunate, leads to ads that brag about how 'tiny' their products are, etc. People with hearing loss create their own 'demons' when they put stigma ahead of better hearing.

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This may be unrelated to the topic you are addressing here but in going to restaurants with other couples without hearing loss they have complained about the noise.
I researched the topic and restaurants have become increasingly noisy because of the way they are built. If this is the direction we are headed and even those without hearing loss find it uncomfortable what are we as a group going to do?
Hearing loss is isolating enough and this only makes it worse.
I welcome all comments on my post. Certainly I am not the only one that is experiencing this.
Where is the ADA for us?

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Profile picture for daveshaw @daveshaw

This may be unrelated to the topic you are addressing here but in going to restaurants with other couples without hearing loss they have complained about the noise.
I researched the topic and restaurants have become increasingly noisy because of the way they are built. If this is the direction we are headed and even those without hearing loss find it uncomfortable what are we as a group going to do?
Hearing loss is isolating enough and this only makes it worse.
I welcome all comments on my post. Certainly I am not the only one that is experiencing this.
Where is the ADA for us?

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@daveshaw I suggest you start a new discussion. The ADA supports communication access in venues where being able to hear performances, presentations, etc. can be provided with technology like hearing loops, FM systems, IR systems and in the future Auracast. It does not relate to common areas like restaurants, cocktail parties and places that are noisy due to people talking, music playing in the background, acoustical issues like vertebration due to the building's structure, etc.

If you feel a location is acoustically problematic for all who enter, let the facility manager know your concern. If enough people do that, it's possible they will do something to create a better acoustical environment. That often means adding soft surfaces to ceilings, floors, walls, etc., and is not always possible.

Obviously, if enough people complain and their business is affected, they are more likely to listen and react.

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Profile picture for Julie, Volunteer Mentor @julieo4

@daveshaw I suggest you start a new discussion. The ADA supports communication access in venues where being able to hear performances, presentations, etc. can be provided with technology like hearing loops, FM systems, IR systems and in the future Auracast. It does not relate to common areas like restaurants, cocktail parties and places that are noisy due to people talking, music playing in the background, acoustical issues like vertebration due to the building's structure, etc.

If you feel a location is acoustically problematic for all who enter, let the facility manager know your concern. If enough people do that, it's possible they will do something to create a better acoustical environment. That often means adding soft surfaces to ceilings, floors, walls, etc., and is not always possible.

Obviously, if enough people complain and their business is affected, they are more likely to listen and react.

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I would like to hear from people that have had CI’s. I want to hear the good, the bad and the ugly.
Right now they are working on a fully implantable CI. It is still in the trial stages. Can you imagine having something you could shower and swim with and would not have to take out at night.
How hard is it to learn to hear sounds in a whole new way?
I have been told my hearing is between severe and profound. Phonak has a new hearing aid with two chips called the Phonak Audio I90 Sphere.
Has anyone tried it? I am demoing it right now without custom molds. Let me know. It seems to help with background noise and clarity.
Love to hear from all of you out there.

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At the end of August I lost some of my hearing in my right ear. I was misdiagnosed three times. On day 25, I received a hearing test and was diagnosed correctly and started injection treatments to my ear.

What I have going against me: Late treatment but technically still in the window. Not young. Vertigo with it.

On the other hand, I did not lose all of my hearing in the affected ear which is a predictor of good upcoming medication response. In addition, my voice recognition skills were not badly affected--also a predictor of a good response.

Nevertheless, the odds that I will get some hearing back are not great.

Although I am having a good day, I can see how this will be life-changing short of a miracle.

The fullness in the ear part I hate. The tinnitus is not that bad some of the time. The loudness of sounds and inability to locate them was really getting me down but today that seems better.

The vertigo has gotten worse. I never in a million years expected this. I was a bit lost last week but today I have a better attitude.

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Hello new here and I have Genetic Nerve Deafness hearing aids do not help we tried ... I have a new personal amplifier hangs around my neck with ear buds but can't figure out how to use yet too high tech plus I am 86 . Anyone else have this issue ?

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Profile picture for michaelhockey @michaelhockey

At the end of August I lost some of my hearing in my right ear. I was misdiagnosed three times. On day 25, I received a hearing test and was diagnosed correctly and started injection treatments to my ear.

What I have going against me: Late treatment but technically still in the window. Not young. Vertigo with it.

On the other hand, I did not lose all of my hearing in the affected ear which is a predictor of good upcoming medication response. In addition, my voice recognition skills were not badly affected--also a predictor of a good response.

Nevertheless, the odds that I will get some hearing back are not great.

Although I am having a good day, I can see how this will be life-changing short of a miracle.

The fullness in the ear part I hate. The tinnitus is not that bad some of the time. The loudness of sounds and inability to locate them was really getting me down but today that seems better.

The vertigo has gotten worse. I never in a million years expected this. I was a bit lost last week but today I have a better attitude.

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@michaelhockey Sorry you have to deal with this. I was also diagnosed a month late and never regained any hearing, but honestly it hasn't been that bad for me. It depends on your job and hobbies--if you are a musician, for example, then yeah, it's bad. If your other ear has normal hearing, you should learn to manage OK (pick your spot at a restaurant or the dinner table, for example!). I got a BAHA implant for single-sided deafness in 2008 and that was helpful. Nowadays I believe (not sure) they do a cochlear implant instead. So you will have some options.

At first I too jumped at certain sounds--plate on ceramic counter, announcement in grocery store, someone ripping a reply card out of the middle of a magazine, etc. VERY annoying, but over a period of weeks or months it went away completely, as your brain adjusts. Tinnitus only bothered me when I thought about it, but then it isn't that loud--I can barely hear it over the whirring of my computer. Things should settle down as your brain adjusts, even if you don't get any hearing back and the tinnitus is not likely to go away completely. But if it bothers you, there are also options for that.

Hopefully you are being seen by a NEURO-OTOLOGIST, that is, an otologist that specializes in ears, and a good audiologist.

Vertigo or dizziness can have many causes...mine also went back to baseline after a short time. (I had already had many years of low-level dizziness which gradually worsened and I FINALLY figured out that was caused by vestibular migraine. The "extra" dizziness after the hearing loss--which happened when I sneezed hard one day--did pass over a couple of weeks.)

Good luck and definitely get a NEURO-OTOLOGIST if you don't have one already, and find out about options if you don't get your hearing back. But I hope you will!

Nancy

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