Editing Hyperacusis (section)

=== Noxacusis ===
In some instances, hyperacusis is accompanied by pain, which is known as noxacusis.<ref>{{Cite web |last=Auerbach |first=Benjamin |date= January 1, 2019 |title=Physiological mechanisms of hyperacusis: an update |url= https://www.entandaudiologynews.com/features/audiology-features/post/physiological-mechanisms-of-hyperacusis-an-update |access-date= May 2, 2022 |website=ENT and Audiology News}}</ref> Noxacusis is characterized by pain resulting from sounds, often initiated at certain volumes or frequencies.<ref>{{Cite journal |last=Sheldrake |first=Jacqueline |date=May 15, 2015 |title= Audiometric Characteristics of Hyperacusis Patents |journal=Frontiers in Neurology |volume=6 |page=105 |doi= 10.3389/fneur.2015.00105 |pmid=26029161 |pmc=4432660 |doi-access=free}}</ref> Pain can be immediate or delayed, and it sometimes persists for an extended period of time following exposure.<ref name="Pollard-2019"/> Pain can be acute or chronic, and is often described as stabbing, burning, throbbing, or aching. In healthy listeners, pain from sound is not typically experienced until the volume exceeds approximately 120 decibels.<ref name="Williams-2021a" />

Individuals experiencing noxacusis report less improvement over time and fewer benefits from sound therapy compared to individuals with loudness hyperacusis.<ref name="Williams-2021b">{{Cite journal |last1=Williams |first1=Zachary J. |last2=Suzman |first2= Evan |last3=Woynaroski |first3=Tiffany G. |date=2021-06-14 |title=A Phenotypic Comparison of Loudness and Pain Hyperacusis: Symptoms, Comorbidity, and Associated Features in a Multinational Patient Registry |journal=American Journal of Audiology |volume=30 |issue=2 |pages=341–358 |doi=10.1044/2021_AJA-20-00209 |issn=1059-0889 |pmc=8642094 |pmid=33877881}}</ref>