Stapedius Muscle Trigger
Loud Probe Sparks Ear Protection
The ear has a natural reflex that responds to loud sounds by tightening tiny middle-ear muscles to protect hearing clarity. When this reflex is altered or absent, people may notice sound sensitivity, difficulty tolerating noise, or changes in hearing comfort. Symptoms can occur with hearing loss, tinnitus, or changes in the neurological pathways affecting sound processing.
Advanced Hearing & Balance Tests
Advanced Hearing & Balance Tests
Reflex Arc Revelation
Noise Burst Bets on Bilateral Bracing
Acoustic reflex threshold testing measures the level at which the ear's protective reflex activates in response to sound. During the test, controlled tones are delivered through a probe placed at the ear canal while changes in middle-ear muscle activity are recorded. This shows whether the reflex is present, absent, or triggered at an unusually low or high level.
At Harley AVM, ART testing is carried out in a calm clinic environment and forms part of a wider hearing assessment. The test is quick, non-invasive, and does not cause discomfort. Results provide insight into middle-ear function, auditory nerve pathways, and how sound is processed beyond the inner ear.
OUR REVIEW
Trusted by Patients,
Proven by Results
EXCELLENT Based on 107 reviews Posted on Google Adrian LoweTrustindex verifies that the original source of the review is Google. I thoroughly recommend the Harley Street Audio Vestibular Clinic. I had an appointment with Dr Rudy Palaniappan who listened carefully to me, conducted a brilliant examination and explained everything to me with a future plan very clearly. I was really impressed!Posted on Google EvanTrustindex verifies that the original source of the review is Google. Dr Arun provided an excellent virtual consultation, took the time to understand symptoms and history and provided an initial diagnosis and treatment plan. It did not feel rushed or with any bias. Received comprehensive notes and summary promptly after the appointment. Would fully recommend.Posted on Google 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 Google 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 Google 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 Google 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 Google Nick2015Trustindex verifies that the original source of the review is Google. Very good service efficient booking and profesional approachPosted on Google Jamie CodringtonTrustindex verifies that the original source of the review is Google. Fantastic carePosted on Google 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!
Pinpointing the Cause
Understanding Sound Processing Before Escalation
Reflex Response Royalty
Assessment begins with a detailed history, ear examination, and hearing tests. We consider symptoms like sound intolerance, tinnitus, or communication difficulty before recommending Acoustic Reflex testing.
Management is usually non-surgical. ART findings help guide further investigation, monitoring, or reassurance, depending on results. Referral or advanced assessment is considered only when findings suggest neural involvement or when symptoms persist and affect daily comfort and communication.
How We Assess Sensorineural Hearing Loss
At Harley Street Audiovestibular Clinic, acoustic reflex testing is interpreted by clinicians who focus exclusively on hearing and balance disorders. Our experience allows us to relate reflex findings to hearing levels, tinnitus, and neural pathways, rather than viewing results in isolation. We take time to explain what the findings mean and how they influence next steps.
Assessment, testing, and follow-up are coordinated through one clinic, ensuring continuity of care and clear communication throughout. If sound sensitivity, hearing discomfort, or unexplained auditory symptoms persist, we invite you to book an assessment, request a call back, or submit an enquiry to discuss personalised next steps with our team.
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our services
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.