Decreased hearing is part of the natural aging process. It can be due to many different factors over the course of our lives including:

  • Loud sounds in the noisy world we live in
  • Medications
  • Genetics
  • Cell death due to aging
  • Head trauma

These factors damage the hair cells in our inner ear. There are two types of hair cells:

  • Inner hair cells send the signal to the brain
  • Outer hair cells help boost soft sounds and give us improved clarity through the finetuning of each pitch.

Most often, we start losing hearing in the high pitches (AKA frequencies) first. This is another factor affecting the clarity of speech. The soft consonants (part of the word that gives it it’s meaning), are located in the high frequencies. Without the consonants, our brains have to fill in the gaps. This takes the brain extra time and effort to do, especially when the speech is very fast. This is called listening effort. Having the speaker slow down, give the brain extra time to put the pieces together.

Individuals with hearing loss have greater difficulty in background noise for various reasons. First, background noise is generally low pitches and hearing losses are generally higher pitches. This leaves little for the listener to work with.

Also, as we age, our brains have more difficulty in background noise due to:

  • Distractibility - Background noise can be very distracting from who you are trying to listen to. There is also visual noise. Visual noise can also distract your brain from the speech you are trying to attend to.
  • Processing Speed - In background noise, hearing loss makes you miss some of the pieces, so you have to use greater processing speed to fill in the gaps then catch up in the conversation. This makes understanding fast talkers difficult and exhausting to listen to.
  • Working Memory - Longer and complex sentences are more difficult to follow. The greater the background noise, the more working memory processing goes down.

Listening and working on following conversations in background noise requires greater listening effort. This is why difficult listening situations can bee exhausting for those with hearing loss. They have to work twice as hard!

However, there is a program you can use to strengthen these skills, talk to your audiologist at The Hearing Solution to learn about how you too can train your brain on your own time in the comfort of your own home!



From our experience with thousands of patients, we have carefully chosen to work with the following manufacturers. Because we are an independent practice, not owned by a hearing aid manufacturer such as Beltone, Miracle Ear, Bloom, AGX, Connect Hearing and Kirkland, we are able to offer all manufacturers each of which have unique algorithms and features.


Cochlear implants

There exist a range of corrective treatments for those who are deaf or hard of hearing. Of these solutions, hearing aids are arguably the most popular. They work by amplifying sound, allowing the wearer to hear more clearly. And this assistive technology is best suited for those with mild to moderate hearing loss.


Custom Earplugs

At The Hearing Solution, we specialize in corrective treatment options for those suffering from varying degrees of hearing loss. One of the best ways to treat hearing loss is to protect the auditory system before damage even occurs.