So, as a singer working in care homes I was experimenting with all kinds of earplugs.
Plan 1 : All the earplugs
Protecting my ears whenever I could. I went down the rabbit hole (silicone/expensive pro moulds/filters) and in the end found CHEAP FOAM earplugs were actually the best. The really brought down the sound level, and no occlusion problems. I started to feel my ears calming down a bit. T was less noticeable.
However! The foam plugs are uncomfortable, and caused my ear drum pop/crackling issues, and also infections. My ear canals were not happy!
Plan 2 : No earplugs
So, as of around a month ago, I decide I would try and forgo earplugs for all but the loudest situations. So, acoustic gigs, or quiet (ish) care home gigs - I'd mostly not use earplugs at all. The gigs were so much more enjoyable! I felt free to express myself and connect with the audience. Wonderful. But alas, I must report , overall my T had gone up and I was noticing it a lot. I'd hoped it would plateau, but it seemed ever present and getting worse. Like my body was telling me - if you want to keep gigging you need protection.
Plan 3 : Sensible approach to earplugs
And here I am today, trying to find a middle ground. I think if I can accustom myself to the pro-moulded-filtered plugs I could find that sweet spot.
I can't go full foam, as there's too many irritation type issues. Silicone cheap ones, forget it.
I always had issues with the moulds as the sound I was hearing was not very nice, but maybe now I can get used to this altered sound. Also, if I wear them more, I can get used to connecting with my audience with plugs in.
For now, this is going to be my next step. Just use the moulded plugs I have (with 26dB filter) and see if I can make that work. I think I'll do it in all situations where I'm singing and playing.
Conclusion
T is a bit of a nightmare, but we have to fid ways to manage it. It's not perfect but if you can find a way to make it possible to conduct your life in a fairly normal way - you're doing ok! Best wishes everyone !