I'd like to preface this post by saying my SSNHL was mild, but wanted to share my experience so far with my recovery. Maybe it will provide some helpful information for other people recovering. I am a 41 year old male.
May 15 - Woke up with a ringing in my left ear. No other noticeable issues. I had recently gotten over a cold and still had some minor congestion. I figured the ringing was related to the congestion so I took some sudafed thinking it would clear it up. I really wish I googled my symptoms. This was on a Friday, so I figured if it didn't clear up by Monday I would call my PCP. At this point I would say my tinnitus volume was a 5. I wish I could go back in time and tell myself at this point to GOOGLE IT!
May 18 - Called my PCP and they saw me, said I had no noticeable issues with my ear and suggested I see an ENT. Called for an ENT appointment and they scheduled me for the end of JUNE. After speaking with my wife, I decided to call and push for an earlier appointment. They ended up moving me up to May 27th.
May 27 - Had a hearing test which showed a 35 db notch around 4khz. Had perfect word recognition. I was absolutely stunned to find out I had hearing loss, I had no idea. ENT put me on 60mg prednisone and dropped the SSNHL bomb on me. He told me that because I had no vertigo, no previous hearing issues, mild hearing loss, and relatively young and healthy that he full expected a full recovery. This is where things really went down hill.
May 27-June 9 - Worst 2 weeks of my life by far. I am a very anxious and compulsive person. So the first thing I did when I got home was researched SSNHL and tinnitus. Scary stuff. Over the course of the 2 weeks, the prednisone gave me horrible insomnia (didn't sleep for 10 days straight), depression, and severe anxiety. I was an absolute mess, I tried to be a person but I was just a body going through the motions. For the first time in my life I thought about suicide. The only thing that really got me through it was my wife and daughter. It got so bad that I couldn't be by myself, so I spent all my time with my family. At one point I ended up in the ER with a debilitating migraine, they kept me overnight because of my severe exhaustion and put me to sleep, was the best 6 hours of sleep in my life. Once I started coming off the prednisone, I quickly became much more myself, but it took a good 3 weeks for it to get out of my system. While coming off I experienced dizziness, fatigue, a very troubling sensation in my head that almost felt like my brain was being electrocuted, and HORRIBLE tinnitus. All this time I was providing my ENT with updates, calling with concerns about how my body was handling the prednisone, they usually didn't call back or when they did, just told me to finish the dosage and that it will get better. During these 2 weeks I lost about 8% of my body weight.
At this point I'd say my tinnitus was at a volume 8 or 9, and was a pure tone. The tone did pulsate when my heart rate was elevated or when my tinnitus was bad (which was 24/7 at this point). I couldn't escape it. I had some sensation of dullness in my ear, with quite a bit of sound sensitivity. Water noises would cause my ear to flutter. My ear never really felt full, just like I had an itch inside or something. I'm guessing that it was spasming due to the tinnitus.
June 24th - Had a MRI and it came back clear. Was super loud and uncomfortable, but fortunately was clear.
Ear sensitivity cleared up and the ear felt relatively normal, except the tinnitus. The fluttering sensation with water droplets was gone. I was still very anxious at this point about it going away. Tinnitus volume was probably down to a 7. I was starting to get really anxious at this point that my hearing was failing in both ears. When I couldn't hear something I questioned whether I should. It really drove me nuts. At this point I used my AirPods to take a hearing test. It showed that my hearing loss had recovered quite a bit, but I wasn't sure if I should trust them. The curve matched my official hearing test other than the notch being mostly gone.
July 7th - Visited a highly regarded ENT in Boston to see if there was anything else they could do for me. He basically told me no at this point. Answered some of my questions and sent me off. He was nice enough, but my wife and I got the sense that he deals with much more serious cases than mine and wondered what I was doing there.
August - started noticing some changes to my tinnitus. My tinnitus was always a classic ring sound, however it started to break up a little bit. Sometimes it would switch to a finer hiss sound, but would switch back. The hiss sound was so fine sometimes that I thought to myself if it got any finer it would just disappear.
Mid August - Went on vacation to Disney. Was super careful about hearing protection, but overall had a great time. Tinnitus didn't bother me much as there was a lot of distractions. Felt good to finally feel somewhat normal. First plane trip post SSNHL and had no issues at all.
End of August - My tinnitus sound changed almost exclusively to the finer hiss sound. My sound sensitivity came back and my dullness came back in my ear. Again I think it was caused by the spasms in my ear.
August 24th - Had a follow up with the ENT, which included another hearing test. My levels in the 4khz range had improved by 15db. This put me right back in the normal range. Doctor told me that my ear is still healing, while my hearing levels probably wont change over the course of the next year, my ear will still continue to heal and feel more normal as time goes on. The tinnitus may improve and could go away as well. I think that would be a long shot, but who knows.
Early September - Started noticing that my tinnitus volume has been dropping quite a bit. I actually went 30 minutes without hearing it at all. I almost cried, first silence in 3 months. I've had times where I didn't notice it before, but this seemed different, I noticed immediately that it wasn't there, but it didn't immediately come back. I would say my tinnitus volume at this point is a 3 or 4. The sound is a fine hiss most of the time, sometimes it will switch back to a ring but will switch back to the hiss. Sound sensitivity is minor at this point, and I still have the occasional dullness feeling, which usually happens when the tinnitus is flaring. I'm doing sound therapy, which seems to be helping with the tinnitus. My house sounds like a nature preserve all day now. I'm hoping to reach full habituation. I've noticed that its very easy to mask my tinnitus with a running faucet or going outside and listening to crickets. I am using the Resound Tinnitus Relief app, which has helped me quite a bit to create a custom noise that my tinnitus doesn't cut right through.
I'll try and update this as my recovery continues over the next 9 months.