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
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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
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.
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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.