Understanding Sound Sensitivity and Tolerance
Gauge Your Sound Tolerance Threshold
Loudness Discomfort Levels relate to how much sound your ears and brain can comfortably tolerate. When tolerance drops, ordinary noises may feel sharp, overwhelming, or even painful. People often notice discomfort with traffic, cutlery, voices, or busy spaces. This sensitivity may occur alongside tinnitus, hearing loss, or without a clear trigger.
Advanced Hearing & Balance Tests
Advanced Hearing & Balance Tests
Sound Tolerance Mapping
Master Sounds That Overwhelm
Loudness Discomfort Level testing measures the point at which sound becomes uncomfortable rather than damaging. During the assessment, we gradually increase tones through headphones and ask you to indicate when sound shifts from comfortable to unpleasant. This allows us to map your sound tolerance across different frequencies without pushing beyond safe limits.
At Harley Street Audiovestibular Clinic, the test is performed in a calm clinic setting and tailored to your responses. It is non-invasive, brief, and carefully controlled. Results help distinguish normal sensitivity from reduced tolerance seen in conditions such as hyperacusis or tinnitus-related sound intolerance, guiding appropriate management rather than guesswork.
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EXCELLENT Based on 105 reviews Posted on shahram zarafshanTrustindex verifies that the original source of the review is Google. Dr. Arun Pajaniappane is a brilliant and expert doctor. He was also incredibly friendly, making for a truly excellent experience.Posted on Vasile BaltacTrustindex verifies that the original source of the review is Google. I had an excellent consultation where both the doctor Arun Pajaniappane and the audiologist were highly professional, attentive, and genuinely responsive to my concerns. They listened carefully to my problems and explained everything clearly throughout the appointment. The procedures carried out were handled with great care and efficiency, which made me feel comfortable and well looked after. I very much appreciated their professionalism and patient-centred approach.Posted on Carol lansleyTrustindex verifies that the original source of the review is Google. My first consultation with Dr Arun Pajaniappane was an excellent experience. He listened carefully to me & did extensive tests to try to determine the correct diagnosis.Posted on Dawn MannTrustindex verifies that the original source of the review is Google. my experience from the first phone call to meeting with Dr Arun on Monday has been outstanding. i have been suffering for four years with PPPD and Dr Arun and his team were beyond respectful, helpful and friendly, after feeling totally lost for the last four years being thrown from one HCP to another, I now have hope. Amazing experience and would strongly recommend Dr Arun and this practice for any vestibular disorders.Posted on Nick2015Trustindex verifies that the original source of the review is Google. Very good service efficient booking and profesional approachPosted on Jamie CodringtonTrustindex verifies that the original source of the review is Google. Fantastic carePosted on Ana KondratenkoTrustindex verifies that the original source of the review is Google. Great experience at Harley AVM. Attended the clinic to have vestibular tests conducted - high professionalism and comfort!Posted on Monika HlavkovaTrustindex verifies that the original source of the review is Google. A really good experience with the whole clinic - quick and efficient booking process, coordination between various teams, and generally a smooth operation. The consultation with Dr Rudy was very informative - he takes the time to understand the issue and answer questions, the tests seem to be very comprehensive and he is clear on the path forward. Would definitely recommend.Posted on Hughie ClarkTrustindex verifies that the original source of the review is Google. I recommend Harley AVC for anyone struggling with dizziness/pppd who isn’t sure what their next steps should be
Pinpointing the Cause
Stepwise Sensitivity Assessment
Premier Tolerance Expertise
Assessment begins with a detailed discussion about sound triggers, daily impact, and how your sensitivity developed. We combine this with ear examination, hearing tests, and Loudness Discomfort Level measurements to understand whether sensitivity relates to tinnitus, hearing changes, or central processing factors.
Management usually remains non-surgical. This may include sound therapy, gradual desensitisation strategies, hearing device adjustments, and education around sound exposure. We only consider further intervention when symptoms persist and continue to limit quality of life despite structured support.
Reclaim Audio Freedom Here
At Harley AVM, we assess sound sensitivity as part of a wider audiovestibular picture, not as an isolated symptom. Our team works exclusively with hearing and balance disorders, using Loudness Discomfort Level testing to guide precise, individualised care. We focus on explanation as much as measurement, helping you understand why sounds feel uncomfortable and what can be done safely.
Testing, interpretation, and follow-up happen within one clinic, ensuring continuity of care. If sound sensitivity or tinnitus is affecting your work, social life, or wellbeing, you can book an assessment, request a call back, or submit an enquiry to discuss your next steps with our team.
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Conditions We Are Treating At Harley Street Audiovestibular Clinic
Expert Medical Care for Hearing, Tinnitus & Balance
Request An Appointment With One of Our Consultants
If you are living with dizziness, vertigo or unsteadiness, our team can help identify the cause. Your consultant will carry out the right combination of tests, explain the results in clear language and agree a treatment plan with you - so you know exactly what is happening and what can be done.