What do Neil Young, Brian Wilson, Eric Clapton, and Ludwig van Beethoven have in common, besides all being musicians? They all suffered permanent hearing loss, directly as a result of playing their music.

When I treat musicians, I have to tell them a sad but unavoidable fact of life – the very music they love to play may be damaging their hearing. When a musician is exposed to loud music they can suffer from noise-induced hearing loss (NIHL) which produces ringing in the ears, sometimes referred to as tinnitus. With similar ongoing exposure permanent hearing loss can result.

Not just big-name stadium rock stars are susceptible, all musicians are at risk. Players of all genres from classical, to club and small venues, even while rehearsing at home a musician can cross the threshold to overexposure resulting in NIHL. You can experience hearing loss when exposed for a prolonged period of time to any sound over 85 decibels (dB). While 85dB may sound like a high level of sound, even rehearsal situations can produce these levels. Rock musicians and classical alike are both exposed to excessive amplitude of sound; an unamplified violin reaches 103dB and an electric guitar produces 120dB. It has been estimated that musicians do more damage to their ears during the hours that they rehearse alone than they do in the short times they spend on stage.

Musicians can take steps to protect their hearing despite this unavoidable exposure to sound that exceeds acceptable levels, even in seemingly quiet rehearsal settings. When investing in high-quality ear protection beyond what can be had from drug-store Styrofoam ear plugs, performers can trust their hearing is protected. Manufactures of ear protection today still use the original and proven design first invented by Etymotic Research over 20 years ago. These musicians earphones are better for your purposes because they allow you to hear the full frequency range of both music and speech, but at lower volumes that don’t damage hearing.

Universal-fit musicians earplugs, starting at about $15 a pair, can be found at most stores that sell musical instruments. But for the musicians I see – whether they play professionally or just for fun – I recommend custom-molded musicians earplugs with Etymotic filters, because of the greater protection they provide. Comfortable even with extended wear for long periods of time, custom-molded earplugs block undesirable sound allowing the music to come through undistorted and without damaging hearing. When it comes to protecting your hearing from permanent damage it is well worth the added expense so you can enjoy performing your music for years to come.