A CLEAR GUIDE TO SENSORINEURAL HEARING LOSS
Specialist Assessment for Sensorineural Hearing Loss
Sensorineural hearing loss is common and often develops gradually due to inner ear or auditory nerve changes linked to ageing, noise exposure, or illness, and it is usually not dangerous. However, sudden hearing loss, one-sided symptoms, rhythmic sounds, marked imbalance, facial weakness, or other neurological changes need urgent audiovestibular medicine assessment.
Comprehensive Care for Hearing, Vertigo & Balance
Comprehensive Care for Hearing, Vertigo & Balance
Inner Ear Changes
An Overview of Sensorineural Hearing Loss
Sensorineural hearing loss happens when sound signals are affected within the inner ear or along the hearing nerve that carries information to the brain. Instead of sound being blocked, the issue lies in how sound is processed. This can affect clarity, speech understanding, and hearing in noisy environments, even when sounds seem loud enough.
It is one of the most common types of hearing loss and may develop gradually or appear suddenly. Causes include ageing changes, noise exposure, infections, genetic factors, autoimmune conditions, and certain medications. Because balance and hearing share inner ear pathways, some people also experience tinnitus or dizziness alongside hearing change symptoms.
OUR REVIEW
Trusted by Patients,
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EXCELLENT Based on 112 reviews Posted on Google Diana GranadosTrustindex verifies that the original source of the review is Google. I had an outstanding experience with Harley Street Vestibular Clinic and cannot recommend them highly enough. I developed severe vertigo while visiting London, and it was an incredibly frightening experience as it was my first time ever experiencing dizziness like that. I called the clinic on a Saturday, fully expecting to leave a voicemail since they were closed. To my surprise, the office manager, Preeti, returned my call that same day. I was so grateful. She was kind, reassuring, and went above and beyond to arrange an appointment for me first thing on Monday. From the moment I arrived, the entire team was professional, efficient, and compassionate. They understood how urgent and distressing my symptoms were and made every effort to see me as quickly as possible. The vestibular audiologist was exceptional—she took the time to thoroughly evaluate me, clearly explain everything she was doing, answer every one of my questions, and perform the appropriate treatment. I never felt rushed, and her expertise immediately gave me confidence that I was in the right hands. The clinic was incredibly responsive, organized, and genuinely caring throughout the entire process. They turned what was a very scary situation into one where I felt supported and well cared for. I am truly thankful to Preeti and the entire team for their kindness, professionalism, and outstanding care. If you are experiencing vertigo, dizziness, or balance problems, I would not hesitate to recommend Harley Street Vestibular Clinic.Posted on Google erika thomaziTrustindex verifies that the original source of the review is Google. Great positive experience!Posted on Google Carol BunyanTrustindex verifies that the original source of the review is Google. I could not fault my follow up appointment with Dr Aran and his team. He really does take the time to listen to your questions and really puts himself out to set you on the road to recovery . He genuinely seems interested in getting you better. I would highly recommend this practice.Posted on Google Ged RobinsonTrustindex verifies that the original source of the review is Google. Dr Benjamin Shaw was extremely thorough in his assessment of my recent attacks of vertigo. I have total confidence in his ability, once I have completed the further tests he has arranged at the Wimbledon clinic, to diagnose what is causing this issue with my health.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.
Pinpointing the Cause
Diagnosing Sensorineural Hearing Loss
When to Get Checked
Knowing when to seek help matters. While sensorineural hearing loss is often gradual and manageable, certain patterns signal the need for prompt specialist review to rule out treatable or serious causes.
You should get assessed if hearing changes occur suddenly, affect one ear, are accompanied by pulsating sounds, severe dizziness, facial weakness, visual disturbance, new neurological symptoms, or follow infection, head injury, or new medication use. Prompt review ensures timely diagnosis and appropriate management of early care.
How We Assess Sensorineural Hearing Loss
At Harley AVM, assessment starts with a detailed clinical history to understand how hearing has changed, whether symptoms are gradual or sudden, and how they affect communication and daily life. We explore associated features such as tinnitus, imbalance, noise exposure, medical history, and medication use. This step helps us decide which investigations are appropriate and avoids unnecessary testing.
Depending on symptoms, assessment may include pure-tone audiometry, speech audiometry, speech-in-noise testing, tympanometry, acoustic reflex threshold measurement, eustachian tube function testing, and otoacoustic emissions. All testing is reviewed with our senior audiovestibular clinician, ensuring results are interpreted within the full clinical picture.
Major Insurance Providers Accepted
DIAGNOSTIC TESTS
Specialist Tests to Assess Hearing, Balance and Inner Ear Health
Harley Street Specialists in Hearing, Dizziness & Balance
Specialist Care for Sensorineural Hearing Loss
Every Sensorineural Hearing Loss case is different. Your consultant will create a tailored plan to address your specific symptoms and lifestyle – when it started, how it affects your day, and which tests and treatments are right for you.