Earplugs can reduce discomfort from airplane pressure changes, but the best evidence shows pressure-regulating earplugs do not reliably prevent ear barotrauma during flight.
Nobody enjoys the dull ache or sharp pop when a plane descends. You’ve probably heard that earplugs are the trick, and many travelers swear by them. But the honest answer is more nuanced. For most people, the right kind of earplug is a comfort aid that can make the journey less annoying, not a guaranteed shield against pain. Whether they help you depends on the type of plug you use, when you put them in, and what else you do to help your ears adjust.
How Pressure-Regulating Earplugs Work
Standard foam earplugs block noise but do very little for pressure. The products designed for flying — like EarPlanes or any filtered earplug — contain a small internal filter. This filter slows how quickly air pressure changes inside your ear canal. The idea is to give your eardrum and eustachian tubes a gentler transition as the cabin pressurizes during takeoff and depressurizes during landing. Cleveland Clinic notes that wearing these earplugs helps “regulate pressure within your ears,” and Mayo Clinic lists filtered earplugs among their recommendations for dealing with airplane ear.
What The Science Actually Says
A study titled “Pressure-equalizing earplugs do not prevent barotrauma on descent from 8000 ft cabin altitude” tested these plugs in a simulated airline cabin. The result was clear: the earplugs reduced noise but did not prevent ear barotrauma. The researchers concluded that pressure-equalizing earplugs cannot be recommended for preventing this specific injury during air travel. This is why the best medical sources frame earplugs as a comfort aid rather than a medical prevention device. They may help symptoms feel less bothersome, but they do not eliminate the pressure forces that can cause injury in sensitive or congested ears. If you want the max protection, you need to combine earplugs with other techniques.
The Proven Steps That Actually Help
The real strategy is layered. Pressure-regulating earplugs go in before takeoff and again before descent — don’t wait until pain starts. While you wear them, keep swallowing, yawning, or chewing gum. These actions open the eustachian tubes, which is the body’s natural pressure valve. Mayo Clinic also recommends the Valsalva maneuver: gently blow while pinching your nostrils shut with your mouth closed. The key word is gently — forceful clearing can irritate the ear.
For extra help, especially if you fly with a stuffy nose, try a decongestant nasal spray about an hour before landing. Oral decongestants or pain relievers like ibuprofen can also help, but check that they’re safe for you, particularly if you have high blood pressure or heart conditions. For babies and toddlers, Cleveland Clinic suggests letting them drink from a bottle or sippy cup during takeoff and landing — swallowing works for them too.
Common Mistakes That Make It Worse
- Using standard foam earplugs — these only block noise; they lack the filter needed for pressure regulation.
- Waiting until pain strikes — prevention works during ascent and descent, not after the damage is done.
- Popping your ears too hard — an aggressive Valsalva can injure the eardrum or inner ear; easy pressure is the goal.
- Flying while severely congested — a cold, sinus infection, or recent ear surgery makes barotrauma much more likely; reschedule if you can.
References & Sources
- Mayo Clinic. “Airplane ear – Symptoms & causes.” Describes causes and prevention recommendations including filtered earplugs.
- Mayo Clinic. “Airplane ear – Diagnosis & treatment.” Lists decongestants, Valsalva maneuver, and timing for earplug use.
- Cleveland Clinic. “Airplane Ear (Ear Barotrauma).” Offers practical tips for adults and children including drinking fluids for infants.
Mo Maruf
I created WellFizz to bridge the gap between vague wellness advice and actionable solutions. My mission is simple: to decode the research and give you practical tools you can actually use.
Beyond the data, I am a passionate traveler. I believe that stepping away from the screen to explore new environments is essential for mental clarity and physical vitality.