Diplacusis — or why do some people hate violins?

tl;dr — I had very disturbing diplacusis (double hearing) during a really bad bout of influenza, but recovered after a month.

The Diplacusis Diary

Being a Tonmeister, and loving music all my life, I didn’t understand what drove some people, even those in my family, to dislike violins. Where I enjoyed beautiful, warm, expressive singing tone, they heard “tuneless cats wailing” or worse.

Whereas the main complainant among my relatives didn’t seem to mind piano music too much, orchestras and violins in particular were, to her, the equivalent of a knife edge being dragged squealing across a china plate.

How could there be such a difference?

Until last month, I had no idea. But now I know.

For three weeks, my right ear has presented me with hideously detuned ghost orchestras, squawking organ pipes, shrieking violins and cracked bells. Music encoded using codecs such as MP3 or AAC sounded like it was being played through loudspeakers whose cones had been torn apart, and any perception of stereo was lost: everything was shifted about 40° to the left, while demonic pitchless musicians wailed over my right shoulder. In short, all pleasure in music was replaced by agony, and my work as a performing musician, occasional record producer and film editor appeared finished.

This is an essay on the ailment diplacusis, and my journey to safety through it. To be more accurate, my particular case was diplacusis dysharmonica, where pitch is perceived normally in one ear, but wrongly in the other. This article is no substitute for a professional diagnosis and a course of therapy from a medical specialist, but it is published to show how a musician and amateur physicist (me) worked through the nightmare, and was healed by the brain and body’s own resources.

Yes, I’m better now and, indeed, most people recover without intervention. But, if you have begun a similar journey, please get checked by the best professional you can find because many different causes lead to the same ailment. Most triggers that the body can’t fix on its own can be cured by pharmaceutical or surgical intervention. Please don’t hesitate.

Where did it start?

I have normal hearing for a 51-year-old, gracefully growing older. There’s a little high-frequency tinnitus but nothing to worry about. Then, in May 2015 began my worst bout of influenza ever. This brought about the kind of coughing and congestion that kills older people.

While blowing my nose rather fiercely, I felt and heard something nasty, probably mucus, shoot up my right Eustachian tube and into my middle ear. Or perhaps too much pressure was used and something inside my middle ear became damaged?

Immediately, I felt a sense of pressure as if my ear needed to ‘pop’ and, as usual, there was a dullness of hearing. This is perfectly normal when the pressures either side of the tympanum are unequal. But also, there was a new acoustic effect, as if my eardrum were in direct physical contact with my throat. Breathing and swallowing became much louder than usual in this ear alone. And popping my ears to relieve pressure changed none of this.

So, in the matter of a very short space of time, I had an ear that felt completely full of something, and that would not respond to the normal procedures. The next day, I was checked by a doctor who wanted me to visit the audiology department at the hospital if things weren’t getting better. The tympanum is translucent, and an expert can diagnose much by shining bright light onto it.

What did I notice?

Day three dawned. Outside my house, off to the right from where I sit for my everyday work, there is a church. The bell, which was being tolled to call the congregation for the morning service, had developed a problem. It sounded as if it been cracked, which was a pity because its sound was normally very pleasant, a reminder that this is a historic and pretty town. Later that day, there was space in the diary to visit the vicar to tell him about the sad accident that had happened in his bell tower in case he’d not noticed.

Then it was time to edit and master some music for a client. Despite the feeling of pressure in the right ear, sensitivity had returned so I fearlessly began work.

The first piece of music wasn’t from the usual excellent producer whose work normally went into this particular project and the difference certainly showed! The whole choir was way off to the left in the stereo soundstage, and the MP4 audio file sounded terribly distorted, as if encoded at a very low bitrate. The right hand channel, particularly, had incredible harmonic distortion and countless intermodulation products. I very nearly fired off a cheery email to my friend who usually provides this material, saying “it’s easy to tell this isn’t from you!”

Then I glanced at the meters and the waveform. The audio was in dual-channel mono. In other words, both audio streams were identical and panned dead centre. What on EARTH was I hearing? Were my speakers or amplifier blown?

Into a separately amplified output, my headphones were plugged. The sound was just as awful. But then the real horror began: turning the cans the other way around, the balance and wild distortion inside my head were identical, as if I’d not reversed the headphones at all.

So I checked just the left channel: and it was perfect. But with the right channel alone, not only was the sound like someone singing through a comb and paper, it was nearly a semitone sharp! The vocal timbre also sounded sped up, like a tape being played through a pitch shifter.

A first response

This was deeply unpleasant. “I’m broken!” was the first thought. After a lifetime of playing and loving music, and wondering why my mother didn’t like musical sounds at all, suddenly all my own pleasure in music was lost. The glory of stereo, “sound sculpted in space”, had gone. I could no longer tell if an instrument or singer was in tune. And judgement on matters of tonal balance was impossible.

Every day in the press, we read about people whose lives have been utterly ruined by accidents. Losing part of one ear is hardly equivalent to being crippled and confined to a wheelchair for ever. And if a person suddenly disabled can find a way through, it wouldn’t be too much trouble for me with one-and-a-half ears and all my limbs still working.

A bit sad for a musician and producer, though — the end of my lifetime’s ambition.

That afternoon, I played piano for a rehearsal. The whole echo of the church appeared routed through a pitch-shifter and screamed mockingly at me like a choir in the worst kind of horror movie.


So, that evening, there was time to analyse what was happening.

Speech? All sibilants on the left, and sounding sped-up in the right ear alone.

Sine waves? Fine up to about 2kHz, then bad intermodulation distortion when feed to both ears: and pitch shift above 2kHz in the right ear alone.

Playing the piano? Everything an octave above Middle C and higher was surrounded by a vile cluster of discordant tones.

What about fun with heavily-panned Beatles’ songs, where the vocals or an instrument are fully on one stereo channel or the other? The trumpet solo in “Penny Lane” was unlistenable in part, though the brain did a good job of pulling some of it back into pitch on its lower notes. Over this, I had no conscious control: it was rather like watching a remotely controlled machine at work.

The Nat ‘King’ Cole album “Welcome To The Club” has the vocals bizarrely panned entirely on one channel. You can see where I’m going with this! And, yes, he was singing a semitone sharp. So was my enjoyment of music and my professional judgement over for life?

Over the week that followed, experiments continued. Every morning I’d be woken by the church clock chiming with all its harmonics in the wrong pitch (though the fundamental tone was fine), then I’d try the piano: there were clusters of evil upper partials on every note, and harmonies brought no pleasure or contrast. And recorded music encoded with perceptual codecs still sounded as if played through a class B amplifier with terrible crossover distortion.

Thinking in Physics

What might have been happening inside my ear? The feeling of pressure was still there, and everything above about 1.5kHz was pitch-shifted up.

If the workings of the ear are unknown to you, I suggest that, at this point, you take a look at some Wikipedia entries particularly regarding the tympanum, the ossicles, the cochlea and the organ of Corti. Remember how standing waves are set up along the basilar membrane, turning it into a spectrum analyser.

If you have access to a tone generator, try this: feed 2kHz or 3kHz into headphones, then clench your jaw strongly. Did you hear the pitch of the tone go up? Is the pressure on your ear affecting the bone holding your cochlea and therefore changing its shape, altering the places along the basilar membrane where different frequencies resonate, thereby fooling the brain into perceiving a different pitch?

Maybe something, maybe mucus, was putting pressure constantly on my cochlea, possibly on its oval window, permanently changing the places where resonance occurs when frequencies are higher than about 1.5kHz? This is in line with the place theory of pitch perception.

And perhaps the audio that is normally heavily modified by the MP3 or AAC algorithms, disguised by the normal ear’s processes, is revealed in all its distortion by my suddenly revelatory but damaged cochlea? In other words, the spectral lines that these codecs decide to distort, lost in the ear’s usual perception, are shown in all their awfulness now that they are shifted for the benefit of my aural education.

How to fix my ear?

So at this point, about two weeks before writing this essay, I resolved to get through this in several ways.

  1. Using commonly available open source software, I could have found where the frequency break in my damaged ear was, and design a process that maps frequencies above this frequency to slightly lower frequencies, thus restoring normal pitch perception for headphone use. Perhaps even a digital hearing-aid like this is possible?
  2. Middle ear infections cause pressure in the middle ear, so I was ready to do all that is possible to detect and clear any infection.
  3. I still had influenza and was very congested: so it would have been useful to keep using Olbas Oil and pseudoephedrine to clear any other sinus and Eustachian tube blockages.
  4. Retrain my brain regarding pitch. After all, as a baby, only after birth could the already-formed brain have been able to compare pitch sensations generated by the two ears and, somehow, co-relate them — so why not try to restart the process?

The strong upper harmonics in violins and pipe organs howled violently in my right ear: and, if my family member who hated such instruments also had unresolved diplacusis, perhaps this was the reason for her dislike of such sounds?


Now, the good news, for me at least. My ear has become decongested in the last week, and the shrill demonic orchestra and choir has faded to almost nothing. My stereo hearing is now back to its normal clean status, and music is a constant pleasure. I didn’t need to make my own hearing-aid, the decongestants seemed to work, and my self-training with tones and careful music listening perhaps helped too.

Sometimes, diplacusis can be healed in this way by the body and brain’s own natural functions. This has taken about a month for me.

If you have just experienced the very disturbing onset of diplacusis, maybe this essay has given you hope? But please get to a hearing specialist as soon as you can, in case your situation is different from mine, and you need surgical intervention.

And never blow your nose too hard.

9 thoughts on “Diplacusis — or why do some people hate violins?”

  1. Thanks for your story. This past week, I had a very similar story to yours. In my case, there was sudden, unexplained hearing loss (muffled sound in right ear), and two days later, I went through a similar saga of thinking the radio was malfunctioning, etc.

    I’m still experiencing the diplacusis, and have written some software to try to track the changes over time. My first discovery was similar to yours, that low frequencies are generally having little to no perceived difference in either ear, but by the time I get to about 6000Hz, I need to lower the pitch in the right ear by about 7.5% to perceive the tones as equivalent.

    My brain is still clearly hearing the sine waves of the audio, because despite the brain perceiving the pitch as the same, I am hearing an incredible amount of oscillation due to the sine waves in each ear being out of sync.

    Another interesting bit is that when I measure this at different times, the amount of pitch shifting changes. So, while this morning, it was about 7.5% at 6000Hz, later on, it was much less.

    I’m hoping I’m as lucky as you and this goes away, but I imagine I can get used to listening to music in one ear. As far as disabilities go, there are a lot of others that could be far more crippling.

    1. Tim, I have only just seen your comment for the first time, three months later. How are you getting on?

      I listened to a lot of early music, with quite strident violin tones, during my period of hearing interference. Maybe, just maybe, this retrained something to cause all the harmonics and higher fundamentals to match up again? I don’t know.

  2. Hi! I have bouts of diplacausis and wish I could have access to software during these bouts. Music sounds… dirty. Familiar recordings take on a surreal, dark, dystopian quality. I have a curious sensation of hearing two notes in one ear. Right ear — literally two notes — the tone and its evil twin a semitone lower.

    My left ear? One tone, totally correct.

    I’ve had ear drainage tubes from excess fluid, since childhood. I’m sure something is wonky in there.

    1. The “two notes in one ear” is very interesting; perhaps an expert could advise, but I know of no mechanism whereby two resonances can be caused along the cochlea, unless the shape is very odd: but, then, that’s an inner ear difficulty, whereas I believe the drainage issue you mention is a middle ear question.

      What methods did you use to measure your hearing? My tests were all on closed-back headphones; there is too much cross-talk between loudspeakers.

  3. Thank you so much. I am a musician and dancer experiencing this exact same thing – hearing pitch completely differently in my right ear than in my left ear. I have had a bad cold over the last 8 days or so, resulting in clogged sinuses, muffled hearing and distorted sounds in my right ear, as well as ‘crackling’ and popping. I am hoping it is just simple eustachian tube dysfunction from inflammation/fluid build up and that it will go away on its own. But I am incredibly panicked about it right now! Your post gave me some comfort.

    1. Georgina, I’m glad this essay helped in some way. The panic, I know well. It took weeks to get better, but it has been 100% cured and has stayed that way across all the years since the article was written.

      My personal recommendation is that you should book an appointment with a medical professional immediately, to try to determine what the nature is of whatever’s affecting your middle or inner ear, and also to check that nothing else is wrong. With me, it seemed to be gunk that went in, and gradually got cleared up by natural processes.

      Please write back and let me (and all other readers) know how you get on.
      with best wishes,

      1. Thanks. I’ve seen doctors twice (regularly family doctors) and been sent away both times with a course of antibiotics. I am going to my regular doctor today and she tends to take my concerns a bit more seriously. I am super paranoid that I’ve damaged the cilia in my ears permanently and I’ll be left with muffled/distorted hearing forever. Eek. Honestly I could deal with a bit of hearing loss but the diplacusis makes me want to cry. I do latin dance and play Afro-Cuban pianoand the montunos are sounding ghastly. Listening to Dominican bachata with all its twangy fast played finger picking on the guitar is completely off kilter.

        Did your doctor suggest steroids at any point? I’ve read some people win hearing loss after a cold were put on a steroid regimen to avoid permanent hearing loss

  4. Hi John, thanks for writing this article many years ago. I have had recurrent bouts of this diplacusis over the last year or so.. usually once every couple of months and then I went 4 months without anything and now twice in two days.

    I’ve had MRI’s, very very expensive hearing tests and multiple visits to my ENT. to no avail. ( MRI was perfectly fine too, btw )

    For me, it seems to come on quite quickly… the world sounds strange and unbalanced as if low-frequency sounds are louder suddenly and a fullness in my ear.

    This time, I had that weird eustachian tube clicking/fullness and I cleaned my ears with a cue tip. Sure enough, the next day it happened.

    First, hearing the dual tones start. My wife and kids sound like robots and my own voice too. There is a pitch different with a test tone and my guitar sounds dissonant and gross.

    Music is out of key. I’m a musician of 30 years, so it’s not ideal.

    Reading your article that your case might be related to sinus/inflammation I can relate to. In the last few times, it has definitely felt like it has come on the back of some sinus/head cold symptoms. Hopefully, this is the key as the symptoms are maddening.

    Anyways, thanks for letting me comment and thanks for writing your article.. it’s given me a bit more hope.

    Thanks John

    1. Ben, thank you for writing: I’m am sad to learn about how this hearing problem is affecting you.

      You didn’t ask me for advice, and I am NOT a clinician: but straight away can I suggest never using Q-tips? It’s just too dangerous, in my opinion, when you can’t actually see what you’re pushing around.

      The ‘fullness’ and louder perception of lower frequencies, to me, points to some substance being in the middle ear, not the outer ear, which are insulated from each other by the tympanum.

      Yes, definitely have hope. And listen, listen, listen, to train your brain, even if it’s utterly demoralising at first. That’s what I did.

      I can’t say whether that, truly, helped me return to normal, or whether it was simply the biological process of my middle ear clearing itself.

      But this got better. Maybe yours will, too.

      And never vigorously blow your nose.

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