Most people associate hearing loss with turning up the television or asking others to repeat themselves. But growing research suggests that hearing loss may also affect something many people never consider: their balance and risk of falling.
Falls remain one of the leading causes of injury among older adults, and hearing health is becoming an increasingly important part of that conversation.
“Our hearing does much more than help us communicate,” said Dr. Tracy Hayden, owner and audiologist at Big Sky Audiology. “It helps us remain aware of our surroundings. When hearing declines, the brain has to work harder just to process sound, leaving fewer mental resources available for balance, walking and navigating everyday environments.”
Because the hearing and balance systems are both located within the inner ear, changes affecting one system can sometimes influence the other. While hearing loss does not directly cause falls, research has shown a strong association between untreated hearing loss and an increased risk of falling.
Researchers at Johns Hopkins found that even mild hearing loss was associated with a significantly greater risk of falls, with the likelihood increasing as hearing loss became more severe.
More recently, a 2025 analysis of the landmark ACHIEVE study found that older adults who received best-practice hearing care experienced fewer falls over a three-year period than those who did not receive hearing treatment. The findings suggest that addressing hearing loss may be one important step in helping older adults maintain their independence and mobility.
“One of the biggest misconceptions is that people should wait until their hearing loss becomes severe before seeking help,” Dr. Hayden said. “In reality, early intervention can improve communication, reduce listening fatigue, help people stay socially engaged and may even contribute to safer mobility.”
Dr. Hayden recommends scheduling a hearing evaluation if conversations are becoming more difficult, hearing in restaurants and other noisy settings has become frustrating, or the television volume continues to increase.
“A hearing evaluation is quick, painless and provides valuable information about your hearing health,” Dr. Hayden said. “Just as we prioritize vision care, exercise and home safety to reduce fall risk, hearing health deserves to be part of the discussion.”
For more than 30 years, Big Sky Audiology has provided comprehensive hearing evaluations, hearing aid technology, tinnitus management, balance testing, cochlear implant services and personalized hearing care for patients throughout Montana and Wyoming.
To learn more or schedule a hearing evaluation, visit bigskyaudiology.com or call Big Sky Audiology at 406.656.2003.
