Can Earplugs Cause Tinnitus? What Really Happens When You Wear Them

⏱️ Estimated reading time: 13 min

Short answerNo. Earplugs do not cause tinnitus or damage hearing. Quiet can make sounds the brain already produces easier to notice, which faded after removal in a 7-day study. Plugs pushed in too far can push wax deeper, and dirty plugs can irritate the ear. Wear them for loud noise, and see a GP about persistent, one-sided or pulsing ringing.
Man sitting on a sofa in a quiet living room with a mug of tea, eyes half closed, listening to the stillness of the morning
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    No. Earplugs do not damage hearing or create lasting tinnitus. In quiet surroundings they can make sounds the brain already produces easier to notice, and that effect fades once the plugs come out.

    Background noise normally covers faint sounds generated inside the auditory system. An earplug removes that cover, and the occlusion effect makes body sounds such as a heartbeat or chewing seem louder, so ringing that was already there becomes easier to hear.

    In a 2012 study, 14 of 18 young adults heard phantom sounds after wearing one earplug day and night for 7 days. The sounds went away after the plug came out, and none of the volunteers still heard one by day 14.

    An earplug forced in too deep can push earwax further down the ear canal, and the NHS lists ringing or buzzing as a symptom of earwax build-up. Insert plugs only to a comfortable seal and never use cotton buds to clear wax.

    No. Earplugs are hearing protection for loud places, and Tinnitus UK says protection makes sense from 85 dB(A). In quiet rooms they add nothing, and the NHS advises people with tinnitus to avoid total silence.

    See a GP if ringing is regular or constant, getting worse, one-sided, pulsing in time with the heartbeat, or comes with ear pain, discharge or hearing loss. The Tinnitus UK helpline is free on 0800 018 0527.

    Can earplugs cause tinnitus? We hear it a lot at Bollsen, usually from someone who put a pair in, noticed a high-pitched ring and pulled them straight back out. We make reusable silicone earplugs trusted by 1,000,000+ people, so we went and read the research properly.

    No. Earplugs do not cause tinnitus, but long stretches of quiet can make the brain’s own background sound easier to notice, and an earplug pushed in too far or worn dirty can cause temporary ear problems. That’s the honest verdict. What earplugs can do for people who already live with ringing is a separate question, and for that side of the topic our guide to what earplugs can and can’t do for your hearing covers attenuation, fit and realistic expectations.

    This page sticks to the cause question. It covers the three different things people call “ringing from earplugs”, what a week-long earplug study found, when plugs belong in and when they belong in the pocket, and when ringing deserves a GP appointment. If you want the wider picture first, our hub on earplugs for tinnitus brings every guide on hearing protection and ringing ears together.

    Why can ringing seem louder the moment earplugs go in?

    Ringing can seem louder with earplugs in because background noise normally covers faint sounds the auditory system makes on its own, and an earplug takes that cover away, so a sound that was already there becomes easier to hear. Scientists call this unmasking. Nothing new is being made in the ear.

    Silence brings these sounds out surprisingly fast. In a 2008 study by Del Bo and colleagues, 53 young adults with normal hearing sat in a soundproofed anechoic chamber for two sessions of 4 minutes, and 83% reported hearing at least one sound, rising to 92% when a dummy loudspeaker was in the room. Tinnitus UK makes the same point in its Flying and the Ear leaflet: sealing out background noise can make tinnitus more noticeable, and it can seem temporarily louder.

    Part of the change is also the occlusion effect. A sealed ear canal makes sounds carried through the skull, such as a person’s own voice, chewing, footsteps and even the pulse, seem noticeably louder, which is why the head can feel “full” or thumpy with plugs in. Hearing a heartbeat with earplugs in is normal physics. A pulsing sound with nothing in the ears is a different matter, and the GP section below covers it.

    Forum threads keep coming back to the same line. The ringing was there all along, and the plugs just took away the noise that was covering it.

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    What happened when volunteers wore an earplug for a week?

    When 18 healthy adults wore one silicone earplug in one ear for 7 days without a break, 14 of them (78%) began to hear phantom sounds, and every one of those sounds faded after the plug was removed. That is the core finding of Schaette, Turtle and Munro (2012), the study most articles on this topic paraphrase without the numbers.

    Bar chart from a 2012 study: 14 of 18 adults heard phantom sounds after wearing one earplug for 7 days, 1 of 18 the day after removal and 0 of 18 by day 14

    The volunteers were aged 20 to 28 and had normal hearing. Their plug lowered sound by less than 10 dB at 250 Hz and by more than 30 dB at 3 to 4 kHz, which the researchers used to simulate a mild high-frequency hearing loss in one ear. Most described what they heard as ringing or a high-pitched tone, while others reported humming or a buzz, and one person heard “trains and whistles first, then ringing”.

    The pitch matters. The phantom sounds best matched tones at 8 and 12 kHz, the high frequencies the plug blocked most, which fits the idea that the brain fills in the sound it is missing. Once the plug came out the sounds faded quickly; a single volunteer still noticed one the following day, and nobody did by day 14.

    A follow-up by Munro, Turtle and Schaette (2014) found that after the same 7-day plugging, sounds were rated louder in both ears, and most of that change was gone within 24 hours of removal. Keep the set-up in mind, though. One plug in one ear, around the clock for a week, is a long way from wearing a pair to a concert for an evening.

    Why does the brain turn up its own volume in silence?

    The brain turns up its own volume in silence because of central gain, a self-adjusting process in which reduced input from the cochlea makes activity further up the auditory pathway rise to compensate. A 2014 review of central gain in tinnitus and hyperacusis describes this activity as “paradoxically enhanced” when less sound arrives from the ear.

    Think of it as an automatic volume control. Earlier research by Formby, Sherlock and Gold (2003) found that two weeks of wearing earplugs and two weeks of extra background sound shifted people’s loudness judgements in opposite directions, so the brain recalibrates to whatever level it usually receives. In the earplug studies above, the recalibration reversed once normal sound returned.

    That is why constant protection in quiet places is a poor habit, and it links to a wider topic. Our hub on overprotection and sound sensitivity explains how blocking ordinary everyday sound for long periods can make normal noise feel harder to tolerate.

    So is it bad to wear earplugs all the time? Hours of plugged-up quiet, day after day, is exactly the pattern the research points at, while a few hours of protection at a loud event is not. Earplugs earn their place when it is loud.

    Can an earplug push earwax deeper and cause ringing?

    Yes, an earplug pushed in too far can push earwax deeper into the ear canal, and the NHS lists ringing or buzzing (tinnitus) among the symptoms of earwax build-up. Earplugs do not make the body produce more wax, but a plug that keeps getting forced in can pack wax against the eardrum.

    Insertion force matters more than people expect. One person asking an online doctor described a sharp ringing while forcing a foam plug deeper, and it stopped as soon as they eased off. A well-fitting earplug should sit at a comfortable seal, with no pain and no pressure that builds up the longer it is in.

    The NHS self-care advice for wax is simple. Use 2 to 3 drops of olive or almond oil, 3 to 4 times a day, for 3 to 5 days, and never use fingers or cotton buds, which push wax further in. If the ear still feels blocked after 5 days, speak to a GP practice nurse.

    Wearing plugs overnight raises the same wax question over many more hours. For the night-time angle, the question is sleeping with earplugs safe has its own guide, which goes through nightly wear, wax and cleaning in detail.

    Can dirty earplugs lead to an ear infection?

    Dirty earplugs can carry bacteria into the ear canal and trap moisture against the skin, which can lead to otitis externa, an infection of the outer ear canal. The NHS notes that a GP checks for treatable causes of ringing, such as an ear infection or a build-up of earwax, before anything else.

    Hygiene is easy to get right. Wash reusable silicone plugs with water and mild soap, let them and the ears dry fully before the next use, and never share a pair. Knowing how often to replace earplugs matters as well, because a cracked, sticky or misshapen plug no longer seals cleanly and is harder to keep clean.

    Water adds its own risk because moisture stays in the canal longer. If the question is about the pool rather than everyday wear, are swimming earplugs safe has its own guide, covering infections and wax for swimmers specifically.

    When should earplugs go in, and when should they stay out?

    Earplugs should go in when it is loud and stay out when it is quiet. Tinnitus UK says hearing protection makes sense from 85 dB(A), roughly the level of heavy traffic, and recommends carrying earplugs to every loud event, while the NHS advises people with tinnitus to avoid total silence.

    Tinnitus UK applies the same logic to flying. If the cabin noise is not a problem, its leaflet advises leaving earplugs out, because blocking outside sound can make tinnitus seem temporarily louder.

    SituationLoud enough to need protection?Earplugs
    Live concert, club or festivalYes, well above 85 dB(A)In for the whole set
    Power tools, DIY or mowingYes, often above 85 dB(A)In while the tool runs
    Flight where cabin noise is a problemOftenIn, out again after landing
    Flight where cabin noise is not a problemNoOut
    Quiet office, library or living roomNoOut

    For loud days, our Life+ earplugs (SNR 24 dB, £29.95) are made from hypoallergenic silicone and last for up to 100 uses with washing. They are German-tested, independently certified 24 dB earplugs, and their attenuation rises with frequency, from about 22 dB in the lows to 35.3 dB at 8 kHz. Life+ is hearing protection that lowers noise exposure, not a medical device.

    Night-time quiet is its own question, because a bedroom is already one of the quietest places most people spend time. Our guide to earplugs for tinnitus at night looks at when plugs make sense in bed and when they do not.

    When should ringing after wearing earplugs be checked by a GP?

    Ringing after wearing earplugs should be checked by a GP if it happens regularly or constantly, is getting worse, or affects sleep, concentration or mood, which are the triggers the NHS lists. Knowing when to see a GP about ringing in your ears mostly comes down to these signs, plus a few that need faster help.

    • Urgent GP appointment: a sound that beats in time with the pulse.
    • A&E or 999: ringing after a head injury, or with sudden hearing loss, weakness in the face or vertigo.
    • GP: ringing in one ear only that does not settle (NICE guidance NG155 supports referral for one-sided or pulsing tinnitus).
    • GP: ear pain, discharge or reduced hearing, which can point to infection or wax.

    Tinnitus UK runs a free helpline on 0800 018 0527, open 10am to 4pm, Monday to Friday, for anyone who wants to talk it through first. A GP can look in the ear, rule out wax or infection, and arrange a referral to audiology or ENT where needed.

    Earplugs do not cause tinnitus. Quiet reveals sound the brain already makes, wax and dirty plugs come down to fixable habits, and in the week-long study the effect reversed once normal sound returned. Wear hearing protection when it is loud, take it out when it is quiet, and get any ringing that sticks around checked by a GP.

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