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In addition to all of them being musicians, what do Eric Clapton, Phil Collins, Pete Townshend and Brian Wilson have in common? All of these musicians experienced – as a result of playing the music they love – permanent hearing loss.

I often work with musicians who have experienced hearing damage as a result of their longtime love of playing music. Exposure to loud music causes noise-induced hearing loss (NIHL), which can produce a temporary ringing in the ears (tinnitus); if you continue to expose yourself to the loud music, the condition can become permanent.

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. Any sound with an amplitude (volume) of over 85 decibels (dB) can cause hearing loss if you are exposed to it for long periods of time. An electric guitar played onstage generates 120dB, but a violin can produce 103dB, and thus cause almost as much hearing loss. Estimates by audiologists say that more damage is done to musicians’ hearing during the hours they practice or rehearse than in the short periods they spend performing, onstage.

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. Such earplugs were invented over 20 years ago by a company called Etymotic Research, and their design is still used by most of the manufacturers of specialized earplugs for musicians. 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. For musicians that want to protect their hearing and hear the full range of their music, I recommend custom-molded earplugs with Etymotic filters. These will be more comfortable to wear for long periods of time, more effective at blocking undesirable levels of noise while allowing you to hear the music properly, and easier to clean and care for. Yes, they’re more expensive than the earplugs sold in music stores, but since hearing damage is irreversible, how much is your ability to hear the music you play worth to you?