Are You Aware of ‘Hidden Hearing Loss?’

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Gregory Frazer

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Sep 13, 2022

As dedicated audiologists and members of this community, we are devoted to diagnosing and treating all forms of hearing loss, including new ones that arise.

This is, unfortunately, the case with Hidden Hearing Loss. First discovered only ten years ago, studies are proving that this condition needs to be addressed as it’s showing us that our hearing is even more at risk than we initially thought.

Standard hearing tests cannot identify this, which is even more concerning. The audiological world makes changes and can adapt fast, but in the meantime, we want everyone to know about it now.

What Is Hidden Hearing Loss?

Hearing loss is typically associated with damage to the hair cells that prevent signals from being transferred to the brain. This is something that we can test for and identify.

Hidden hearing loss is when there is damage to the synapses connecting the hair cells to the brain. This is why patients can pass a hearing assessment but then still struggle with hearing in loud environments.

What Are the Symptoms?

The most glaring symptom as of right now is when a patient complains about not being able to decipher conversation when there is background noise present. Busy restaurants or lively gatherings of any kind will make it hard for HHL patients to engage in conversation.

Yet, when you pull them aside to talk, there are no issues, and you do not have to raise your voice or speak slowly at all.

If this sounds familiar, then it’s essential to tell your audiologist so they can do a specific examination of your synapses. No standard test will be able to get results, so we must diagnose the old fashioned way by manually inspecting the area.

You may be susceptible to HHL if you are frequently exposed to loud noises. Studies have shown that damage can be caused to the synapses and not the hair cells.

How to Treat Hidden Hearing Loss

Studies are still in their infancy, and, currently, there is no standardized testing protocol that would identify HHL. Labs all over the world are working on it. First, we must detect the problem before we can start any treatment.

Right now, some patients are finding relief with the use of prescription hearing aids. The newer models are equipped to help users separate sounds they want to hear from sounds they don't. The technology is quite astonishing, but it still won’t provide long-term relief.

Once the hearing is damaged, no matter the condition, it cannot be repaired. That’s why we always encourage everyone in Los Altos and Menlo Park to protect their hearing.

Prevention is our number one weapon against all things hearing loss, and despite how recent HHL is, we have determined that you can prevent it.

Mind your exposure to loud noises. If you know you will be visiting a loud environment, then please be prepared by bringing your own hearing protection. Small foam earplugs are a discreet and comfortable way to ensure your hearing stays healthy.

What to Do if You Suspect a Loved One Is Suffering

You may be able to help your loved ones before they even know there is a problem. Many patients could have HHL but not think anything of it because they just chalk it up to a noisy environment. 

If you can tell they are having a more difficult time than most, please bring them in for a consultation. We can perform a specialized assessment that will examine their synapses as well as test their listening skills. 

When looking for HHL, we will focus on background noise tests. We play sounds overlayed with different levels of white noise and then ask the patient to identify what was said. 

This helps us determine if the hearing loss issue is traditional damage to the hair cells or HHL damage to the synapses. If you have any questions, please contact us at your earliest convenience, don’t hesitate. 

No matter the issue, we are committed to helping everyone in our community improve their hearing and restore their lifestyles. We will stay on top of this new condition and any possible diagnostic findings.

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Addressing your hearing challenges or a loved one’s hearing is a difficult decision to make, with many options available to you and lots of conflicting information.

That’s why we have a team of hearing experts on hand to help.

Simply complete the form and one of our expert hearing doctors will call you for a friendly no-obligation conversation to answer your questions and offer you their experienced guidance.

Don’t want to wait? Call us at: (310) 909-0180

Contact Details:

Request a Callback

Addressing your hearing challenges or a loved one’s hearing is a difficult decision to make, with many options available to you and lots of conflicting information.

That’s why we have a team of hearing experts on hand to help.

Simply complete the form and one of our expert hearing doctors will call you for a friendly no-obligation conversation to answer your questions and offer you their experienced guidance.

Don’t want to wait? Call us at: (310) 909-0180

Contact Details:

Request a Callback

Addressing your hearing challenges or a loved one’s hearing is a difficult decision to make, with many options available to you and lots of conflicting information.

That’s why we have a team of hearing experts on hand to help.

Simply complete the form and one of our expert hearing doctors will call you for a friendly no-obligation conversation to answer your questions and offer you their experienced guidance.

Don’t want to wait? Call us at: (310) 909-0180

Contact Details:

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Our audiology team brings together years of clinical experience, advanced training, and a shared commitment to patient-centered care. We work collaboratively to ensure every patient receives thoughtful guidance, accurate answers, and personalized treatment.

Meet the Team

Meet the Team That Cares for You

Our audiology team brings together years of clinical experience, advanced training, and a shared commitment to patient-centered care. We work collaboratively to ensure every patient receives thoughtful guidance, accurate answers, and personalized treatment.

Meet the Team

Meet the Team That Cares for You

Our audiology team brings together years of clinical experience, advanced training, and a shared commitment to patient-centered care. We work collaboratively to ensure every patient receives thoughtful guidance, accurate answers, and personalized treatment.

Patient Resources

Ask the Experts…

Explore expert advice, research updates, and practical guidance from our clinical team. These articles are designed to help you better understand hearing health, treatment options, and the latest advancements in audiology.

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Jan 21, 2026

convenience should never come at the cost of safety or accuracy.

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Dec 19, 2025

We rarely consider how our food choices affect our hearing and cognitive clarity.

Patient Resources

Ask the Experts…

Explore expert advice, research updates, and practical guidance from our clinical team. These articles are designed to help you better understand hearing health, treatment options, and the latest advancements in audiology.

|

|

Feb 25, 2026

You don’t have to wait for total silence to seek help.

|

|

Jan 21, 2026

convenience should never come at the cost of safety or accuracy.

|

|

Dec 19, 2025

We rarely consider how our food choices affect our hearing and cognitive clarity.

Patient Resources

Ask the Experts…

Explore expert advice, research updates, and practical guidance from our clinical team. These articles are designed to help you better understand hearing health, treatment options, and the latest advancements in audiology.

|

|

Feb 25, 2026

You don’t have to wait for total silence to seek help.

|

|

Jan 21, 2026

convenience should never come at the cost of safety or accuracy.

The Team of Doctors of Audiology That is Trusted by Thousands of Patients, State-Wide Physicians, Local Organizations, and National Universities

© 2026 Pacific Hearing Inc. All rights reserved.

Contact Details:

The Team of Doctors of Audiology That is Trusted by Thousands of Patients, State-Wide Physicians, Local Organizations, and National Universities

© 2026 Pacific Hearing Inc. All rights reserved.

Contact Details:

The Team of Doctors of Audiology That is Trusted by Thousands of Patients, State-Wide Physicians, Local Organizations, and National Universities

© 2026 Pacific Hearing Inc. All rights reserved.

Contact Details:

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