Sounds above 90 decibels (dB, a measurement of the loudness or strength of sound vibration) may cause vibration intense enough to damage the inner ear, especially if the sound continues for a long time.
90 dB -- a large truck 5 yards away (motorcycles, snowmobiles, and similar engines range from 85 - 90 dB)
100 dB -- some rock concerts
120 dB -- a jackhammer about 3 feet away
130 dB -- a jet engine from 100 feet away
A general rule of thumb is that if you need to shout to be heard, the sound is in the range that can damage hearing.
In the U.S., the maximum job noise exposure is regulated by law. Both the length of exposure and decibel level are considered. If the sound is at or greater than the maximum levels recommended, protective measures are required.
The main symptom is partial or complete hearing loss. The hearing loss may get worse over time with continued exposure.
Sometimes hearing loss is accompanied by noise in the ear (tinnitus).
Signs and tests
A physical examination will not usually show any specific changes. Tests that may be performed include:
The hearing loss is usually permanent. The goal of treatment is to prevent further hearing loss, improve communication with any remaining hearing, and develop coping skills (such as lip reading).
Using a hearing aid may improve communication. Always protect the ear from further damage. For example, wear ear plugs in noisy areas.
Hearing loss is often permanent in the affected ear. The loss may get worse if you don't take measures to prevent further damage.
Hearing loss may progress to total deafness.
Calling your health care provider
Call for an appointment with your health care provider if:
You have hearing loss
The hearing loss gets worse
You develop other new symptoms
Protect your ears when you are exposed to loud noises. Wear protective ear plugs or earmuffs to protect against damage from loud equipment.
Be aware of risks connected with recreation such as shooting a gun, driving snowmobiles, or other similar activities.
Do not listen to loud music for long periods of time, including using headphones.
Lonsbury-Martin BL, Martin GK. Noise-induced hearing loss. In: Cummings CW, Flint PW, Haughey BH, et al, eds. Otolaryngology: Head & Neck Surgery. 5th ed. Philadelphia, Pa: Mosby Elsevier;2010:chap 151.
Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine; and Seth Scwartz, MD, MPH, Otolaryngologist, Virginia Mason Medical Center, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.