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,
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
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.