How to insert hearing aids properly

man wearing hearing aid

Are you the proud owner of a new set of hearing aids? This is the beginning of the journey to better hearing, yet only 30% of adults who could benefit from hearing aids actually use them. Figuring out how to insert hearing aids is a challenge for new hearing aid wearers, so if you’re new to the hearing aid game, here’s what you need to know.

The correct position for hearing aids in ears

The correct position for hearing aids in ears is crucial for comfort, effectiveness, and sound clarity. Different types of hearing aids require specific placement for optimal performance:

  • Behind-the-Ear (BTE) models rest comfortably behind the ear, with a tube or wire leading to an earmold or dome in the canal. 
  • In-the-Ear (ITE) hearing aids fit directly inside the outer ear, providing a secure fit while remaining discreet.
  • Receiver-in-Canal (RIC) models have a small device behind the ear with a thin wire leading to a receiver placed inside the ear canal.
  • Invisible-in-the-Canal (IIC) hearing aids are the smallest and sit deep inside the ear canal, making them nearly invisible.
  • Completely-in-the-Canal (CIC) hearing aids sit deeper inside the ear canal than ITE models, offering a balance between discretion and ease of use while still being slightly visible.

Proper positioning of each type ensures comfort, reduces feedback (whistling sounds), and improves hearing clarity.

To ensure you choose the right hearing aid for your needs and achieve optimal comfort and sound clarity, book a hearing test today and get personalized recommendations tailored to your hearing requirements.

Distinguishing hearing aids: red and blue

To distinguish the right and left hearing aid, it's important to pay attention to the color coding. Red is used to indicate the right hearing aid, while blue denotes the left ear hearing aid. This color-coding system helps ensure that each device is placed in the correct ear for optimal performance. Additionally, some hearing aids may also have "R" for right and "L" for left, making it even easier to identify which device goes in each ear. By checking these markings, you can confidently wear your hearing aids correctly.

Should you turn on hearing aid before inserting?

It’s generally recommended to turn on your hearing aid after inserting it into your ear. This helps avoid any feedback (whistling sounds) that can occur when the device is powered on before it is properly seated in your ear.

For automatic models, they usually turn on as soon as they are inserted into the ear.

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How to insert Oticon, Audien & other hearing aids

Your brand/model of hearing aid likely already comes with hearing aid insertion instructions, but many new users still have difficulties. A hearing aid should sit comfortably and securely in the ear to ensure optimal performance and comfort. Depending on the style of hearing aid, there are varying ways to insert your hearing aid in the ear canal. Let’s go through the step-by-step instructions for inserting each type of hearing aid.

Behind-the-ear (BTE) hearing aids

  • Check the hearing aid is clean and working. Identify the left and right devices. 
  • Hold the hearing aid mold or dome and gently insert it into the ear canal.
  • Ensure a snug fit by applying light pressure but avoiding force.
  • Place the main hearing aid body behind your ear so the tubing follows the natural curve.
  • Adjust the tubing or earmold to ensure comfort and a proper seal.
  • Turn on the hearing aid. You should hear a clear sound once it’s powered on.

In-the-ear (ITE) hearing aids

  • Check the hearing aid is clean and working. Identify the left and right devices. 
  • Hold the earmold or dome and gently insert it into the ear canal.
  • Ensure a snug fit by applying light pressure but avoiding force.
  • Place the main hearing aid body behind your ear so the tubing follows the natural curve.
  • Adjust the tubing or earmold to ensure comfort and a proper seal.
  • Turn on the hearing aid. You should hear a clear sound once it’s powered on.

Receiver-in-the-Canal (RIC)

  • Check the hearing aid is clean and working. Identify the left and right devices. 
  • Hold the top of the hearing aid between your index finger and thumb.
  • Insert the dome or receiver tip into your ear canal. The receiver should be fully inside without discomfort.
  • Once the receiver is in place, lift the main body of the hearing aid and place it behind your ear. The wire should rest smoothly against your ear without looping or pulling. 
  • Turn on the hearing aid. You should hear a clear sound once it’s powered on.

Invisible-in-canal (IIC) hearing aids

IIC hearing aids are also customized according to your ear. These are the smallest hearing aid styles available and are designed to be invisible to enhance discretion. For this reason, knowing how to put a hearing aid in when it’s in the IIC style isn’t immediately obvious. Inserting a hearing aid starts with identifying the top and bottom parts of the hearing aid. Most manufacturers place a dot at the top of the hearing aid. If not, look for a vent. The vent typically indicates the bottom.

  • Check the hearing aid is clean and working. Identify the left and right devices. 
  • Hold the IIC hearing aid by the removal string or handle. The IIC hearing aid is tiny and should be held carefully by the outer edges.
  • Gently pull up and back on the outer ear to open the ear canal. This makes insertion easier and he
  • Slowly and carefully insert the IIC hearing aid into the ear canal. Use a gentle twisting motion to guide it deeper into the canal. The hearing aid should sit securely inside, almost invisible when inserted correctly.
  • Turn on the hearing aid. You should hear sound clearly if it’s working properly.

Completely-in-canal (CIC) hearing aids

  • Check the hearing aid is clean and working. Identify the left and right devices. 
  • Gently pull your outer ear backward and upward to open the ear canal.
  • Hold the hearing aid with your fingers, using the removal string or small handle (if it has one) to guide the insertion.
  • Slowly and gently insert the CIC hearing aid into the ear canal. Do not force the device in; it should fit naturally into the shape of your ear.
  • Once in place, ensure the hearing aid feels secure but not too tight. You should be able to hear clearly, and there should be no discomfort or pain.
  • Turn on the hearing aid. If it has a volume control, adjust it to a comfortable level.

The hearing aid insertion tool

 

The hearing aid insertion tool is a small, specialized device designed to assist individuals in correctly and comfortably placing their hearing aids into their ears. This tool is particularly beneficial for those with limited dexterity, such as elderly users or individuals with arthritis, as it provides better grip and control during the insertion process. It often features a slim, ergonomic handle and a soft, flexible tip to securely guide the hearing aid into position without causing discomfort. Some models also include a loop or magnet to help with removal. The hearing aid insertion tool improves comfort, ease, and accuracy, making it more accessible for all users.

The oil for better inserting hearing aid

 

The process of inserting hearing aids can be more comfortable and easier by using an oil. It is a specialized lubrificant designed to reduce friction between the hearing aid and the ear canal, ensuring a smooth insertion without discomfort or irritation. This oil can also prevent damage to the hearing aid by reducing wear on its components, especially when the device is inserted and removed frequently. Typically, it is hypoallergenic and safe for use on the skin, making it suitable for all users. Regular use of oil for inserting hearing aids can improve overall comfort and extend the lifespan of the devices.

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How to clean hearing aids

Cleaning your hearing aids regularly is essential for maintaining their performance and longevity. Start by removing the batteries or turning off the device to avoid any damage. Use a soft, dry cloth to wipe the outer surface, gently removing any dirt, earwax, or moisture. For the speaker or receiver, use a small brush designed for hearing aids to clear out debris. Be sure to clean the ear mold or dome carefully, using warm water and mild soap if needed—avoid soaking the device. Lastly, check the microphone ports for any blockages and clear them with a gentle puff of air or a cleaning tool. Regular cleaning prevents buildup that could affect sound quality and comfort.

Can a hearing aid be pushed in too far?

It is possible to push a hearing aid in too far, especially with Completely-in-Canal (CIC) and Invisible-in-Canal (IIC) models, which sit deep inside the ear. Inserting a hearing aid too far can cause discomfort, impact sound quality, or even damage the ear canal. Proper placement is essential to ensure both comfort and effectiveness. If a hearing aid feels stuck, causes pain, or affects hearing clarity, it may not be positioned correctly. To avoid this, insert the device gently, following the natural shape of the ear canal. If difficulties persist, consult a hearing care professional to ensure a proper fit and safe use.

Removing hearing aids

Behind-the-ear (BTE) hearing aids

  • Turn off the hearing aid before removal. 
  • Hold the main device behind the ear with one hand.
  • With the other hand, gently remove the earmold or dome from the ear canal.
  • Once the earmold is out, carefully lift the device from behind the ear
  • Place the hearing aid in a clean, dry storage case. If the device uses a battery, you can remove it to prolong battery life.

In-the-ear (ITE) hearing aids

  • Turn off the hearing aid before removing it.
  • Grip the edges of the device with your fingers.
  • Slowly pull the hearing aid out of the ear canal, using a slight twisting motion if necessary.
  • Avoid pulling on the microphone or battery compartment to prevent damage.
  • Once removed, place the hearing aid in a clean, dry storage case. If the device uses a battery, you can remove it to prolong battery life.

Receiver-in-the-Canal (RIC) hearing aids

  • Turn off the device or remove the battery.
  • Gently grasp the main body of the hearing aid behind your ear, using your thumb and index finger.
  • Gently pull the receiver out of your ear canal, avoiding any rough motions.
  • Once the receiver is out, lift the main body off your ear. The wire should come out smoothly without tugging.
  • Once removed, place the hearing aid in a clean, dry storage case. If the device uses a battery, you can remove it to prolong battery life.

Invisible-in-canal (IIC) hearing aids

  • Turn off the hearing aid before removing it.
  • Locate the small removal string or handle attached to the device.
  • Gently grasp the string and pull outward and slightly upward.
  • If necessary, use a gentle twisting motion to help loosen the device before removing it completely.
  • Once removed, place the hearing aid in a clean, dry storage case. If the device uses a battery, you can remove it to prolong battery life.

Completely-in-canal (CIC) hearing aids

  • Turn off the device or remove the battery.
  • Hold the main device behind your ear.
  • Gently pull the receiver out of you ear canal using a slow, controlled motion. 
  • Once the receiver is out, lift the main body off your ear. If the device uses a battery, you can remove it to prolong battery life.
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Overcoming difficulty when inserting hearing aids

Struggling to insert a hearing aid is a common issue, especially for new users. Proper insertion requires practice, patience, and correct positioning to ensure comfort and optimal performance. Factors like ear anatomy, a poor fit, or incorrect placement can make the process challenging. If a hearing aid feels loose, uncomfortable, or doesn’t stay in place, it may not be inserted correctly. To make insertion easier, try using a mirror, gently pulling the earlobe to open the ear canal, and following the manufacturer’s guidelines. If difficulties persist, consulting a hearing care professional can help ensure a proper fit and improve ease of use.

FAQs about hearing aid placement

Does hearing aid placement matter?

Yes, it is important to wear each hearing aid in the correct ear, as they are programmed specifically for either the right or left ear based on your hearing needs. Most hearing aids have color indicators to help distinguish them: red for the right ear and blue for the left ear. Wearing them incorrectly can affect sound clarity, balance, and overall hearing performance.

Why do my ears feel blocked with hearing aids?

A blocked or “plugged” sensation while wearing hearing aids is common and is often referred to as the occlusion effect. This happens when sound is trapped in the ear canal, making your own voice or background noises seem louder or muffled. The sensation may also occur if the hearing aid or earmold is too tight, improperly fitted, or blocking natural airflow in the ear. Excess earwax buildup can also contribute to this feeling. To reduce the discomfort, try using vented earmolds, adjusting the fit, or consulting a hearing care professional to ensure your hearing aids are properly fitted and programmed for your needs.

Can wax in ear make hearing aid insertion painful?

Yes, earwax buildup can make the insertion of hearing aids uncomfortable or even painful. When there is excess wax in the ear canal, it may cause the hearing aid to fit poorly or push against the wax, leading to discomfort during insertion. Earwax can potentially damage hearing aids over time if it gets into the device or obstructs the microphone. 

What if my hearing aids feel loose?

If your hearing aids feel loose, they may not be the right size or properly fitted to your ears. If your hearing aids frequently shift or fall out, you may need a different dome size, a custom earmold, or specialized retention accessories. Regular cleaning of both your ears and hearing aids can also help improve the fit. If the issue persists, consult your hearing care professional for adjustments or a refitting. 

Can I sleep with hearing aids in?

It is generally not recommended to sleep with hearing aids in, as it can cause discomfort, put pressure on your ears, and potentially damage the devices. Wearing hearing aids while sleeping may also trap moisture in the ear canal, increasing the risk of irritation or infection. Additionally, lying on them can put stress on the casing, tubing, or delicate internal components.

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