I wrote about this exact thing in a review of the AfterShokz headphones on my blog. But here's the general idea...

The wording of the AfterShokz marketing material is very clever (from this page). They say:

Scientific studies have found that extended use of regular headphones and earbuds promote hearing loss and damage to the eardrum. Since AfterShokz headphones do not use the eardrums to transmit sound, they provide consumers with a quality stereophonic listening experience while reducing the risk of eardrum damage.

So their wording claims that earbuds promote hearing loss AND damage to the eardrum. The second thing they say is that AfterShokz reduces the risk of eardrum damage. Nowhere do they claim that it reduces the risk of hearing damage!

This web page by the National Institues of Health, has this to say about noise-induced hearing loss:

However, when we are exposed to harmful noise—sounds that are too loud or loud sounds that last a long time—sensitive structures in our inner ear can be damaged, causing noise-induced hearing loss (NIHL). These sensitive structures, called hair cells, are small sensory cells that convert sound energy into electrical signals that travel to the brain. Once damaged, our hair cells cannot grow back.

And this:

Exposure to harmful sounds causes damage to the hair cells as well as the auditory, or hearing, nerve.

Nowhere on that page does it say anything about eardrums or any connection between eardrum damage and hearing loss.

The conclusions that I take from this are:

  1. I ASSUME that damage to the eardrum is mostly from the "stick it in your ear canal" type of earbuds. From physical contact and not from high volume levels from the earbuds. I have absolutely nothing backing this up, except that it fits the rest of what I'm saying.
  2. IF #1 is correct then the AfterShokz marketing material is 100% correct (but misleading).
  3. The NIH says that hearing loss is caused from nerve damage or damage to the hair cells in your ear. Since both of these are still used by the AfterShokz headphones (otherwise you wouldn't hear anything), it is unlikely that these headphones will prevent hearing loss due to high volume levels.
  4. Turning down the volume is still the best way to prevent hearing loss.
Answer from user3938 on Stack Exchange
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Soundcore
soundcore.com › home › blog center › headphones blog › are bone-conduction headphones safe? what you need to know
Are Bone-Conduction Headphones Safe? Unveiling the Truth
September 9, 2025 - When questioning, "Are bone-conduction headphones safer than earbuds," the answer is yes. Traditional earbuds that nestle within the ear canal can potentially lead to compacted earwax, blockages, or even infections from trapped bacteria.
Top answer
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21

I wrote about this exact thing in a review of the AfterShokz headphones on my blog. But here's the general idea...

The wording of the AfterShokz marketing material is very clever (from this page). They say:

Scientific studies have found that extended use of regular headphones and earbuds promote hearing loss and damage to the eardrum. Since AfterShokz headphones do not use the eardrums to transmit sound, they provide consumers with a quality stereophonic listening experience while reducing the risk of eardrum damage.

So their wording claims that earbuds promote hearing loss AND damage to the eardrum. The second thing they say is that AfterShokz reduces the risk of eardrum damage. Nowhere do they claim that it reduces the risk of hearing damage!

This web page by the National Institues of Health, has this to say about noise-induced hearing loss:

However, when we are exposed to harmful noise—sounds that are too loud or loud sounds that last a long time—sensitive structures in our inner ear can be damaged, causing noise-induced hearing loss (NIHL). These sensitive structures, called hair cells, are small sensory cells that convert sound energy into electrical signals that travel to the brain. Once damaged, our hair cells cannot grow back.

And this:

Exposure to harmful sounds causes damage to the hair cells as well as the auditory, or hearing, nerve.

Nowhere on that page does it say anything about eardrums or any connection between eardrum damage and hearing loss.

The conclusions that I take from this are:

  1. I ASSUME that damage to the eardrum is mostly from the "stick it in your ear canal" type of earbuds. From physical contact and not from high volume levels from the earbuds. I have absolutely nothing backing this up, except that it fits the rest of what I'm saying.
  2. IF #1 is correct then the AfterShokz marketing material is 100% correct (but misleading).
  3. The NIH says that hearing loss is caused from nerve damage or damage to the hair cells in your ear. Since both of these are still used by the AfterShokz headphones (otherwise you wouldn't hear anything), it is unlikely that these headphones will prevent hearing loss due to high volume levels.
  4. Turning down the volume is still the best way to prevent hearing loss.
2 of 3
14

From a letter to the editors of Hearing Journal:

The description of the Aftershokz bone-conduction earphones included the statement, “Because the headphones do not use the eardrums to transmit sound, they allow users to listen to music without risk of eardrum damage.” MP3 player earphones are not capable of producing levels great enough to cause an eardrum perforation, so users would not be at risk of eardrum damage from any type of earphone. Rather, listeners are at risk of cochlear damage from overuse of any type of earphone. The fact that these earphones use bone-conduction transducers does not inherently make them any safer than any other earphone, as bone-conducted sound is transduced by the cochlea similarly to air-conducted sound.

Hearing Journal: June 2012 - Volume 65 - Issue 6 - p 4 doi: 10.1097/01.HJ.0000415192.03538.d6 Departments: Letters to the Editor

"Letters: The Truth about Bone-Conduction Earphones" Portnuff, Cory AuD, PhD; Berger, Elliott MS

Discussions

Is bone conduction headphone safe?
Audiologist here who uses bone conduction headphones. They are no less safe than any headphone that goes in or over your ear. I like bone conduction for the safety factor of when I bike or lift weights, I can still hear what's around me for safety (but some people don't like that and that's fair!) All that matters is the volume of listening to them. You can tell when bone conduction is too loud because you physically feel the headphones vibrating (and that's quite annoying to be honest). So it's not less safe volume wise, but for safety wise I love them and recommend them! More on reddit.com
🌐 r/HearingLoss
5
21
December 29, 2022
Bone conduction headphones more damaging to hearing in loud-ish environments?
There's a huge difference between the amount of sound pressure reaching your eardrums via your cheekbones, through your skin, and a pair of airpods sitting directly in your ear canal. That's why you have to turn the device volume up considerably higher to get an equivalent apparent volume. Personally, I can't turn my Trekz up loudly enough to worry about damaging my hearing before the vibration against my cheekbones becomes too annoying. I can still get them loud to hear music or podcasts, and I don't feel comfortable wearing in-ears when I'm out running or biking, especially when I want to be able to hear traffic approaching from behind. And I'd never use noise-cancellation in public, further isolating me from my surroundings, but that's for you to decide for yourself. I do think bone-conducting headphones require less volume to hear over ambient noise than non-noise-cancelling, non-occluding in-ears. That might be different for noise-cancelling in-ears, but again, I wouldn't wear those near traffic. More on reddit.com
🌐 r/headphones
7
2
February 22, 2023
Any advantage getting bone conduction headphones when one already has an AirPods Pro?
Yes they just work better for cycling. I also have AirPod pro’s but I save those for walks and the gym. I have the Shoks and they work amazing. I can hear traffic and talk to the person next to me if I am on a group ride. They are also seem more durable for cycling. Never a chance of them falling out of your ear. They don’t sound as good but get the job done. More on reddit.com
🌐 r/cycling
159
36
July 27, 2025
Is bone conduction earphone healthier for your ear?
I would guess you wear earphones to not hear your roommates? in which case they aren't exactly useful More on reddit.com
🌐 r/headphones
41
8
January 30, 2024
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reddit.com › r/hearingloss › is bone conduction headphone safe?
r/HearingLoss on Reddit: Is bone conduction headphone safe?
December 29, 2022 -

I am thinking of: Since bone conduction headphone vibrates our cheekbones to transmit the sound directly into our cochlear, which, unlike the eardrum, has no nociceptive nerves, so, it actually makes it harder for us to spot the volume has exceeded decibels that the ears can tolerate. If so, can the bone conduction earphone still be a better option when you want to take care of your hearing? Can anyone tell me if am I correct on this, so I will decide whether to get a pair of bone conduction or not :D

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Audiologist here who uses bone conduction headphones. They are no less safe than any headphone that goes in or over your ear. I like bone conduction for the safety factor of when I bike or lift weights, I can still hear what's around me for safety (but some people don't like that and that's fair!) All that matters is the volume of listening to them. You can tell when bone conduction is too loud because you physically feel the headphones vibrating (and that's quite annoying to be honest). So it's not less safe volume wise, but for safety wise I love them and recommend them!
2 of 2
2
The main way we can tell how loud something is by just hearing it via the working of the cochlea (which bone conduction headphones would stimulate also). The nerves in the ear drum and middle ear are there mainly to provide information about local issues (like pain in case of infection or signals that can change how much you salivate etc.) and not so much about sound or sound protection. There are pain pathways in the cochlea too if you are worried about that, although hopefully you’ll feel things are too loud before it gets to engaging those pathways. So BC headphones shouldn’t be less safe for any of the reasons you mention. That said one caveat with BC headphones is that because your ears are open, you get very little background noise reduction (like you might get if you wore a insert earphone that partially acted like a earplug). So if you tend to be in noisy environments while listening via the BC headphones, you might have a tendency to turn up the volume more than you otherwise would. You can avoid that by wearing regular earplugs when using your BC headphones in a noisy environment. On the upside, using foam earplugs with BC headphones can give you at least as much noise reduction (or more if earplug fit is good) as high-end active noise-cancelling headphones. So you’d have gotten yourself a low tech but super effective noise-suppressing headphone system.
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Quora
quora.com › What-benefits-and-drawbacks-have-you-faced-from-using-bone-conducting-headphones
What benefits and drawbacks have you faced from using bone-conducting headphones? - Quora
Answer: They allow you to hear ... But they are NOT designed for music fidelity and clarity. Bone conduction will never sound as good based on how they work....
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ca.shokz.com › home
Are Bone Conduction Headphones Safe ? How does It Work
March 1, 2024 - Overall, bone conduction headphones are safer and more beneficial than traditional headphones, especially if you have an active lifestyle. When used correctly, bone conduction headphones are better for your hearing health and can provide an ...
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Bone conduction headphones may be innovative and enticing, but their use demands caution and awareness. At Soundtrace, we remain committed to promoting understanding and taking proactive measures to protect the hearing health of our employees. Let us join hands to create a safer work environment, where our employees can continue to enjoy the marvels of technology without compromising on their hearing well-being.
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These 7 Bone-Conduction Headphones Are a Safer, Less-Gross Alternative to Earbuds: Well & Good
December 21, 2023 - For those who don't like an in-ear option, these can be ideal for working out, long flights, or even in an office setting (so you don’t have to continually remove your earbuds or headphones whenever someone stops by your desk to chat). There are even waterproof options available if you want to wear them while swimming. Want to read the full article. CLICK HERE ... The Best Bone Conduction Headphones for Running, Swimming and Working Out, Tried & Tested: Men's Health
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An Audiologist's Review of Shokz Bone Conduction Headphones
And don't worry about getting caught in the rain—these headphones have an IP67 rating, which means they're water-resistant enough to handle a sweat session but not meant for swimming. Plus, with a moisture detection alert, you'll know when it's safe to charge again. With earbuds, the sound journey begins by sending sound down the ear canals. However, earbuds have direct contact with the ear canal and are susceptible to build up from wax and debris. But bone conduction headphones?
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Air Conduction vs. Bone Conduction: Open-ear Audio Guide | Bose
April 22, 2024 - Higher-pitched sounds and voices are especially clear, so bone-conduction headphones are great for listening to podcasts and taking phone calls if it isn’t too noisy outside. Air conduction headphones provide a much higher quality of overall sound. Bone conduction testing has also found that bone conduction headphones have a limited ability to perceive the sound of ... earbuds.
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hearinghealthmatters.org › home › bad to the bone headsets
Bone Conduction Headsets: Bad to the Bone
December 1, 2024 - One of the significant advantages of bone conduction headsets is their safety aspect, as they do not isolate the user from the surrounding environment like air conduction alternatives. Additionally, they eliminate the risk of damage caused by excessive stimulus intensity or constant ear insertion associated with earbuds and other insert headphones...
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avantree.com › home › are bone conduction headphones safe to use?
Are Bone Conduction Headphones Safe To Use? – Avantree
August 2, 2025 - Enjoy 15% Off! A thank-you reward on your next purchase. Close ... Bone conduction headphones are generally safe when used responsibly. They transmit sound through cheekbone vibrations, bypassing eardrums entirely—ideal for maintaining situational awareness during runs or cycling.
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journals.lww.com › thehearingjournal › fulltext › 2012 › 06000 › letters__the_truth_about_bone_conduction_earphones.12.aspx
Letters: The Truth about Bone-Conduction Earphones : The Hearing Journal
The fact that these earphones use bone-conduction transducers does not inherently make them any safer than any other earphone, as bone-conducted sound is transduced by the cochlea similarly to air-conducted sound.
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Are Bone Conduction Headphones Safer Than Earbuds?
September 7, 2024 - Their ability to maintain environmental ... comfort and hygiene, bone conduction headphones exhibit superior attributes, particularly for individuals susceptible to ear infections or discomfort with earbuds....
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Bone conduction headphones: Gimmick or godsend? - SoundGuys
June 6, 2025 - Yes, bone conduction headphones are no less safe than any pair of headphones or earbuds that go in or over your ear, with the added benefit of remaining aware of your surroundings.
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March 15, 2024 - Bone-conduction headphones are just as safe, if not safer, than any other type of headphones. In this comprehensive guide, we’ll explore the safety concerns surrounding bone-conduction headphones and weigh them against the myriad benefits ...
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shokz.com.au › blogs › guides › how-safe-are-bone-conduction-headphones
How Safe are Bone Conduction Headphones? – Shokz AU
March 27, 2024 - They let in ambient sound when listening to audio content, so immersion does not rival mainstream earbuds or headphones, at least for the moment but maybe soon. Stay tuned! Dispelling myths, with responsible use, bone conduction headphones are safer.