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Hearing Evaluation

Blindness separate us from things but Deafness separate us from people- BY “Helen Keller”

As per census report in India, 63 million people (6.3%) suffer from significant auditory loss. Four in every 1000 children suffer from severe to profound hearing loss. The percentage is progressing day by day and we need to conduct thorough hearing evaluation. When you come to Renew Hearing clinic for a hearing evaluation, there are certain things that you can expect. We will take the time to obtain a comprehensive hearing case history to determine how long you have been having trouble, if one or both ears are affected and if you have symptoms other than hearing loss (Tinnitus).

Hearing Tests in Hyderabad

Hearing Tests in Hyderabad

A comprehensive hearing test is comprised of several parts, including:

Air Conduction

Air conduction testing includes listening tones of different frequencies at different intensities under earphones and finding the lowest possible tone of detection for each frequency tone. Air conduction is testing the entire hearing mechanism from the outer, middle to inner part of the ear.

Bone Conduction

Bone Conduction

Bone conduction is tested through a bone vibrator that is placed behind the ear on the mastoid bone. This transfers sound directly into the inner ear. Bone conduction will evaluate how just the inner ear is functioning.

Word Recognition

Word recognition testing is the ability to understand words at a comfortable loudness level. If someone has hearing loss, sometimes they can hear the words or sounds at a comfortable level, but cannot understand what is being said.

Advance Hearing Tests in Hyderabad

Advance Hearing Tests in Hyderabad

Impedance Audiometry Testings, Speech Audiometry Testings, PTA Testings, VEMP Testings, OVEMP Testing, Champ Testings, EcochG Testings, OAE Testings, BERA Testing, ASSR Testing

Our Renew Hearing Centre is located in Panjagutta Hyderabad advising an individual to consult an expert audiologists and take hearing tests every 6-8 months as there are several damaging factors in the environment which can impair our hearing level at anytime. Visit our clinic with regular free check-up camps; we thrive to provide meaningful education to the masses on their hearing health.

Process Of Hearing

Before understanding any pathology associated to hearing, first we have to understand the Anatomy and physiology of ear. Let us understand how the hearing process will be:

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Outer Ear

The function of Outer Ear is it will collect the sounds or waves from the environment and transmit the sounds to the tympanic membrane through an ear canal.

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Middle Ear

Middle Ear consists of three tiny bones which are “Malleus”, “Incus”, “Stapes”. Bones are attached to the tympanic cavity, when the sounds or waves pass through tympanic cavity it gets converted in mechanical energy in the middle ear by vibration of the bones. This mechanical energy passes to the inner ear.

Inner Ear Hearing Test

Inner Ear

Inner ear consists of cochlea. Cochlea is the main organ of hearing. It contains hair cells as well viscous fluid. Here mechanical energy gets convert in to electrical energy through the motion of the fluid. And finally the electrical impulses sent to the brain through auditory nerve which connects to the cochlea.

audiologist test

Understanding Hearing Loss

Hearing loss is when your ability to hear is reduced. A hearing loss makes it more difficult for you to hear, speech and other sounds. There are three types of hearing loss.

  • 1. Conductive Hearing Loss

Conductive hearing loss occurs when sounds cannot get through the outer and middle ear. It may be hard to hear sounds. Louder sounds may be muffled. Because of blockages or damages of anatomical structures in the outer ear or middle ear. Hearing loss range will be from mild to moderate and it will be depending on the cause, age etc.,

conductive hearing loss
Causes of Conductive Hearing Loss
  • Fluid in your middle ear from colds or allergies.
  • Ear infection, or otitis media
  • Poor Eustachian tube function. The Eustachian tube connects your middle ear and your nose. Fluid in the middle ear can drain out through this tube. Fluid can stay in the middle ear if the tube does not work correctly.
  • A hole in your eardrum.
  • Benign tumors. These tumors are not cancer but can block the outer or middle ear.
  • Earwax, or cerumen, stuck in your ear canal.
  • Infection in the ear canal, called external otitis. You may hear this called swimmer’s ear.
  • An object stuck in your outer ear. An example might be if your child put a pebble in his ear when playing outside.
  • A problem with how the outer or middle ear is formed. Some people are born without an outer ear. Some may have a deformed ear canal or have a problem with the bones in their middle ear.
  • 2. Sensorineural Hearing Loss

Sensorineural hearing loss, or SNHL, happens after inner ear damage. Problems with the nerve pathways from your inner ear to your brain can also cause SNHL. Soft sounds may be hard to hear. Even louder sounds may be unclear or may sound muffled.

This is the most common type of permanent hearing loss. Most of the time, medicine or surgery cannot fix SNHL. Hearing aids help you hear.

Sensorineural Hearing Loss
Causes of Sensorineural Hearing Loss
  • Illnesses.
  • Drugs those are toxic to hearing.
  • Hearing loss that runs in the family.
  • Aging.
  • Meniere's disease
  • A problem in the way the inner ear is formed.
  • Listening to loud noises or explosions.
  • Acoustic Neuroma
  • 3. Mixed Hearing Loss

Mixed Hearing Loss is a Hearing Loss condition when both the components of Conductive Hearing Loss and Sensorineural Hearing Loss are present. It is caused by the combination of Conductive damage in the outer or the middle ear and sensorineural damage to the inner ear or the auditory nerve. Mixed Hearing Loss can affect either one ear or both ears.

Mixed Hearing Loss
Causes of Mixed Hearing Loss

Anything that causes a conductive hearing loss or SNHL can lead to a mixed hearing loss. An example would be if you have a hearing loss because you work around loud noises and you have fluid in your middle ear. The two together might make your hearing worse than it would be with only one problem.

  • Traumatic injuries in accidents that damage the inner ear or the auditory nerve.
  • An excessive dosage of the Ototoxic drugs
  • Abnormality of the outer ear, ear canal, or middle ear structure

Speech therapy

Speech is the primary method of communicating with others. It is the process of producing specific sounds that convey meaning to the listener. A speech disorder refers to any condition that affects person’s ability to produce sounds that create words.

People who have difficulty expressing themselves (expressive language) and understanding what others are saying (Receptive language) it’s called as language disorder.

Both children and adults can have speech and language disorders. There are so many reasons of speech and language disorders it may have result of medical problem or have no known cause.

Renew Hearing Centre has professional speech language pathologist who provide complete care (Assessment & Therapy) for various speech and language problems for both children and adults. Your SLP uses different techniques and it helps us to improve our communication. These include articulation therapy, language intervention techniques and others depending on the type of speech and language disorder.

Why we need speech therapy?

There are several speech and language disorders they can be treated with speech therapy, by using different speech and language techniques and applying in a correct manner. As well speech therapy help the people to become independent communicator speech, gesture or communication aids as needed.

Fluency Disorders

A fluency disorder affects the flow, speed, and rhythm of speech. Stuttering and cluttering both are fluency disorders.

A person with stuttering has trouble getting out a sound and may have speech that is blocked or interrupted, or may repeat part of all of a word. Stuttering is an audible occurrence which is not readily controlled.

A person with cluttering often speaks very fast and merges words together. It results in rapid, unorganized and often unintelligible speech.

Fluency disorders may also affect emotions negatively. Emotions like fear, irritation, embarrassment, tension.


It is a speech disorder and it is characterised by slow or slurred speech due to a weakness or inability to control the muscles used for speech. It’s most commonly caused by nervous system disorders and conditions that cause facial paralysis or throat and tongue weakness such as multiple sclerosis and stroke.


This is an acquired communication disorder it affects a person’s ability to speak and understand others. It also often affects a person’s ability to read and write. Stroke is the most common cause of aphasia, though other brain disorders can also cause it.

Receptive Disorders

A person with receptive language disorder has trouble understanding and processing what others say. This can cause you to seem uninterested when someone is speaking, have trouble following directions, or have a limited vocabulary. Other language disorders, autism, hearing loss, and a head injury can lead to a receptive language disorder.

Expressive Disorders

Expressive language disorder is difficulty conveying or expressing information. If you have an expressive disorder, you may have trouble forming accurate sentences, such as using incorrect verb tense. It’s associated with developmental impairments, such as Down syndrome and hearing loss. It can also result from head trauma or a medical condition.

Cognitive communication disorders

Difficulty communicating because of an injury to the part of the brain that controls your ability to think is referred to as cognitive-communication disorder. It can result in memory issues, problem solving, and difficulty speaking, or listening. It can be caused by biological problems, such abnormal brain development, certain neurological conditions, a brain injury, or stroke.

If you are looking for speech therapist then Renew Hearing Centre will be the best choice as we have experienced speech therapists that will help the Child and Adult to support their communication abilities.

Speech therapy can treat a broad range of speech and language delays and disorders in children and adults. With early intervention, speech therapy can improve communication and boost self-confidence.

  • Pure Tone Audiometry
  • Impedance Audiometry
  • Special Tests
  • Speech Audiometry
  • Tone Decay Test
  • Speech and Language Assessment
  • Speech Therapy
  • Psychological Counselling


Tinnitus Hearing test

Tinnitus is the term for hearing sounds that come from inside your ear, rather than from an outside source.

It's often described as "ringing in the ears", although several sounds can be heard, including:
  • buzzing
  • humming
  • grinding
  • hissing
  • whistling

Some people may hear sounds similar to music or singing, and others hear noises that beat in time with their pulse (pulsatile tinnitus).

Tinnitus evaluation

There are test available to assess these type of sounds, which is termed as Tinnitus evaluation/ Tinnitus sound matching.

Tinnitus sound matching

The presentation of common tinnitus sounds back to patients, to help them identify their specific perception of tinnitus. The hearing care professional may adjust the pitch and layer multiple sounds to create an exact audio recreation of the tinnitus.  Sound matching provides an important baseline for subsequent tinnitus management therapies, which are often customized for each patient.

Treatment Options

The primary objective for all currently-available tinnitus treatment options is to lower the perceived burden of tinnitus, (which is usually done by tinnitus recurring therapy), allowing the patient to live a more comfortable, unencumbered, and content life.

There are, excellent tools to help patients manage their condition; treatments that reduce the perceived intensity, omnipresence, and burden of tinnitus. Some of them are
  • Hearing aids
  • Sound therapies
  • Behavioral therapies


Vertigo evaluation
  • Vertigo is a sense that you or environment are spinning or moving even though it is not moving.
  • It is usually due to a problem with the inner ear but can also be caused by vision problems and other conditions.

Vertigo may be described as a feeling that you yourself are spinning around, known as subjective vertigo, or The feeling of rotation of the surrounding environment known as objective vertigo.

Symptoms of Vertigo
  • A sensation of movement (including spinning), either of yourself or the external environment
  • unsteadiness, including finding it difficult to walk in a straight line
  • light-headedness
  • feeling faint
Other symptoms that may accompany dizziness include
  • headache
  • nausea and vomiting
  • ringing or other sounds in the ears (tinnitus)
  • difficulty hearing
  • staggering gait and loss of coordination (ataxia)
  • unusual eye movements, such as flitting of the eyes (nystagmus)
  • finding it difficult to see clearly when moving, for example, when reading a sign while walking or driving
Causes of dizziness and vertigo

A wide range of conditions and diseases can cause dizziness, including

  • Inner ear problems – disorders of the inner ear account for about half of all cases of persistent (ongoing) dizziness. Disorders include Meniere’s disease, benign paroxysmal positional vertigo (BPPV) and vestibular neuritis.
  • Anxiety disorders – stress or anxiety may play a role in causing dizziness or, more commonly, may be a contributing factor in dizziness from other causes, such as inner ear disease.
  • Brain disorders – a common cause of dizziness is migraine, even without the headache that most people associate with a migraine. Very rarely, stroke or other brain diseases.
  • Other conditions – some cases of dizziness are due to underlying medical conditions such as low blood pressure, infection, some heart problems (such as cardiac arrhythmias) and hypoglycaemia (low blood sugar).
  • Drugs that are used to treat conditions such as epilepsy, coronary heart disease and high blood pressure can also cause dizziness in some people.
  • Unknown causes
Diagnosis of dizziness and vertigo

In trying to work out the cause of a person’s dizziness, investigations may include

  • Medical History, including careful questioning about the nature of the dizziness
  • Physical Examination, which may include observing eye movements, positional testing and a blood pressure check
  • Specialized Balance Testing
  • VEMP Test (Vestibular Evoked Myogenic Potential test ).this test includes

    the above tests helps us estimate the ratio and status of inferior vestibular nerve which plays an important role in managing the body balance

    It also give an information if the problem is on one side- Unilateral or both side- Bilateral. Along with Central level of Peripheral Level of Pathology Can be detected with the above test.

  • Subjective Evaluation: including Fukuda test , Head impulse test , Romberg test, Dix Hallpike Test and other many more depending on the patient history .

    These test helps us to undertand the patient perception during the session/ episode of vertigo. Also helps in diagnosis between central and peripheral pathology

  • Ecogh – Electro Cochleagraphy Test: This is usually needed to asses Meniere’s Disease, which is usually seen more in females than compared to males. This test results helps us to analyze the endolymph status in the ear which usually causes Vertigo/ Dizziness.
  • CT or MRI scans of the inner ear or brain
  • Other tests relating to specific conditions.
Treatment of dizziness and vertigo

Treatment depends on the cause of the dizziness that may be uncovered by your doctor.

Potential treatment options may include:

  • canalith positioning procedures, which are a special set of exercises designed to remove inner ear ‘crystals’ in benign paroxysmal positional vertigo (BPPV)
  • Balancing exercises/ aka Vestibular Rehabilitation therapy to ‘retrain’ the nervous system, which are usually prescribed by a vestibular specialist or Audiologist
  • Counseling and cognitive Behavioral therapy where anxiety or stress is a factor

Psychological Counselling


What is mean by Psychology?

Psychology is the science of mind and behaviour. It includes the study of conscious and unconscious phenomena, as well as feeling and thought.Psychologists seek an understanding of the emergent properties of brains, and all the variety of phenomena linked to those emergent properties.

What are the different types of psychology?

There are different types of psychology, such as cognitive, forensic, social, and developmental psychology, educational psychology etc.,

What is mean by Psychological Counselling?

It focuses on providing therapeutic treatments to clients who experience a wide variety of symptoms.
Psychologists help people of all ages deal with emotional, social, developmental, and other life concerns. Will use a variety of strategies to help people manage behavioural issues, cope with stress, alleviate anxiety and distress, and deal with the issues associated with psychological disorders.

Specialized Knowledge
Across all stages of development (i.e., childhood, adolescence, adulthood and older age), counselling psychologists focus on:
  • Healthy aspects and strengths of clients (whether being seen as individuals, couples, families, groups or organizations.
  • Environmental/situational influences (how cultural, gender and lifestyle issues shape people’s experiences and concerns).
  • Issues of diversity and social justice (e.g., advocacy).
  • The role of career and work in peoples’ lives.

Focuses even on children who have behavioural problems; late adolescents with educational and career concerns or substance abuse problems; adults facing marital or family difficulties, career changes, or overcoming disabilities; and older adults facing retirement. Will work with groups to assist them in finding solutions to many of these same problems, as well as to improve the personal and interpersonal functioning of group members.

Behavioral Therapy

It is a form of psychotherapy whose focal point is modifying disagreeable behavior in clients. This therapy entails diagnosing abhorrent, maladaptive behaviors, and replacing with behaviors more conductive to a healthier lifestyle mental wellbeing.
Alternatives forfamilies’ cognitive behavioral therapy is an evidence supported intervention that targets individual child and parent characteristics related to an abusive experience.
The AF-CBT approach emphasizes training and interpersonal skills designed to enhance self-control and reduce violent behavior.
This therapy useful for anxiety, obsessive compulsive disorder, depression, post-traumatic stress disorder, ADHD, substance abuse disorder etc.,

Remedial Training

Remedial education (RE) is basic catch-up education. It is provided to students who have fallen below minimum standards. Remedial learning usually focuses on basic literacy and numeracy skills to reach standardized benchmarks for typical students of a certain age.
It (also known as developmental education, basic skills education, compensatory education, preparatory education, and academic upgrading) is assigned to assist students in order to achieve expected competencies in core academic skills such as literacy and numeracy .

Occupational Therapy

occupational therapy

What is mean by occupational therapy?

It is the use of particular activities as an aid to recuperation from physical or mental illness
Occupational therapy (OT) is the use of assessment and intervention to develop, recover, or maintain the meaningful activities, or occupations, of individuals, groups, or communities.
Occupational therapy (OT) teaches us how to adapt. It can help us to perform any kind of task at school, work, or in our home. Will learn how to use tools (we may hear them called assistive devices) if we need them.
This treatment can help us who have pain, injury, illness, or a disability that makes it hard for us to do our job or schoolwork, care for ourself, complete household chores, move around, or take part in activities

It can help to do specific things like:
  • Eat without help from others.
  • Take part in leisure activities.
  • Do office work.
  • Bathe and get dressed.
  • Clean up around the house.