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Fire in the hole! The truth about ear candling

Posted: Thursday, January 17, 2008 3:59 PM

By Linda Dahlstrom, health editor

ear candling
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What it is:  Ear candling (also called ear coning). Spa sessions are generally between 30 and 60 minutes and cost between $40 and $80.

What it claims to do: Advocates of ear candling say it’s a natural way to remove excess wax and debris from inside the ear. A long, hollow, tapered “candle,” usually a cone made of muslin and coated with wax, is inserted into the ear and lit. Proponents say the smoke moves down the cone, into the ear and back out, creating a vacuum effect that draws out debris and wax.

My experience:  I wouldn’t have thought that spending an hour with fire coming out of my ears would be relaxing.  But the cushy massage table, heated pad cradling my neck, luxurious shoulder massage and soothing sounds of Enya quickly put aside my anxiety.

I’d read about ear candling online and seen horror stories about candle wax dripping back down into the ear itself, causing excruciating pain and serious injury. But I’d also read its praises and the accounts of people who swore by the procedure, saying it helped relieve fluid buildup and even tinnitus.

I’d had a mild cold a while back that was still causing my ears to pop.  Maybe candling would make it go away?

Originally, I’d bought a do-it-yourself ear candling kit online, but quickly realized the logistics wouldn’t allow me to candle my own ears. And leery from the warnings about candling (not to mention being put off by the kit’s fire retardant cloth), I decided I didn’t want to take any chances with those near and dear to me.

Instead, I booked an appointment at a cozy spa outside Seattle, where the aesthetician showed me the candles and told me what to expect - to feel a gentle warmth in my ears and to hear a light crackling from the flames. Immediately, I regretted my hairspray, but she reassured me that the candles are only allowed to burn down to a certain point safely away from me.

Once I was tucked into the massage table, she did a heavenly neck and shoulder rub. I was so relaxed that my worry melted away, so to speak. She put the candles in my ears, lit them and soon I felt the warmth she’d told me about. The crackling sounded louder than I’d imagined, but I focused on the soft music and soothing ambiance created by the candlelight – coming from my ears.

It took about 15 or 20 minutes for the first candle to burn down; then she put drops of oil in my ear, tilted my head and repeated the procedure on the other side.  I’d been told that after everything was over, I could look inside the candle and see what my ear had coughed up. I was oddly eager – and a little afraid. Who knew what was going on down there? Once, when I was a kid, my hearing dwindled in one ear, prompting a doctor to do a thorough cleaning and blast out a long-lost peppercorn I’d apparently put down my canal as a toddler. And that was years ago. Who knew what had happened during those drunken nights in college?

Nonetheless, when the second candle burned down, I was eager to see.  I sat up and took my first look at … a tiny trail of powder. Hmm.

The aesthetician told me she can’t offer a medical diagnosis but that some say the powder is fungus from inside the ear. I felt a little embarrassed, like somehow it indicated a shameless lack of hygiene.

What the expert says:  I got off lucky, says Dr. David Leopold, director of integrative medical education at Scripps Center for Integrative Medicine in San Diego, Calif.

“(At Scripps) we do integrative medicine. We’re always dealing with the ‘alternative’ world. … If it works and it’s safe we want if for our patients. But pretty definitely this is one you shouldn’t try,” he said. “At the very best it’s not going to work. At the worst it’s going to be dangerous. .. It’s not effective and people should stay away.”

As for the powder trail that was in my candle? Leopold says it was likely residue from the smoke or candle wax. Studies have tested the contents of candles after the procedure and found that it’s definitely not anything from the ear itself.  “In several studies they found the wax from the candle was deposited back into the ear,” he says.

Even if the smoke did create some kind of a vacuum powerful enough to pull wax from the ear, you wouldn’t want it to, says Leopold.

“Wax is extremely protective for the ear. It’s anti-bacterial, anti-fungal. The ear has its own cleaning mechanism. It’s a little conveyer belt that shunts everything to the outside,” he said. “The body is an amazing detoxifier. If you just let it do what it’s going to do, it’ll do a great job.”

Bottom line:  My spa experience felt relaxing, but the ear candling didn’t seem to make any kind of difference. Three days later, the popping in my ears is the same as before the procedure. And, after learning more about the dangers of candling, I wouldn’t recommend it for anyone. Next time I’m in the mood for the soothing sounds of Enya, I’ll book a massage.

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Comments

It is interesting to see an article about ear candling on the front page of MSNBC, to be sure.  My wife and I have used ear candles occasionally many times over the past 15 years or so, for ourselves and for family members and friends.  The results have varied from basically "nothing happened" to "WOW".

Some peoples' ears have yielded incredible amounts of waxy "stuff", resembling a grotesque "crayon" while other peoples' ears seem to not give up much at all.  I have seen claims of all kinds of miraculous results....don't believe them....and I've seen articles debunking the whole phenomenon as a sham....don't place too much stock in that camp either.

The truth seems to lie somewhere in between (how odd!!) in that when used in moderation, carefully and without too much expectation, ear candling can provide a relaxing gentle cleansing of the ear canal.  We've tested candles on inanimate objects and the claim that the waxy buildup comes from the candle itself is simply not true.
I have a tremendous wax build-up in my ears and ear candling has worked for me for years.  I have never had a negative experience with ear candling.  I was shocked when I read the medical comments on this procedure.
I have had ear candling done to me and I have performed it to my friends numerous times.  It has been effective in the amount of wax that was removed from the ears. My head felt lighter and my ears felt very clear. Others, who have experienced it, also saw the difference. Thus, i don't quite see the danger in having ear candeling.
I guess the "studies" of the contents of cone stubs didn't include any from my family.  We've done this several times.  Each person's cone stub residue was a slightly different color, which would be much better explained by ear wax variations than by differences in the cones in a single package.  

I clean my ears with q-tips daily (I know, I know - you aren't supposed to) and the top of the "gunk" in my cone stub is burnished to a perfect q-tip dimple.  If that didn't come out of my ear, then how would the q-tip dimple be explained?

I have never seen wax drip from nor run down the cone.  It isn't like a candle.  The cone just has a light coating.  It feels WONDERFUL, and we don't include a massage.  The procedure also changes the pressure inside your sinus cavity, I think.  Anyway, once you do one side, you feel so lopsided that you can't wait to do the other.  

If built-up ear wax is so good for you, then why do people have to have it flushed by Doctors?  

As with anything you do, a good dose of common sense is needed when using fire near your head!
You allowed someone who is not medically trained to poke around in your ears? Rule #1: Stick nothing in your ear larger than your fist. Ear candling is a fraud and it doesn't matter one bit that some of those performing the "treatments" actually believe in them.  Lab analysis of your removed "ear wax" will prove it identical to that of the candle used. If there is a way to waste money on nonsense (colon cleansing is an even bigger and much more expensive scam), we will foolishly and illogically embrace it.  
My great grandmother from Italy used to dip a cloth in wax and do a similar procedure.  I remember having bad earaches and feeling the pressure released when she did it. It felt great.  A lot of her home remedies are becoming popular, and pricey.
candling is a load of crap
No Really? So what then Dr. David Leopold go to your office and spend $300 to have you do it? Funny how the MD cheerleaders are always contradicting anything that threatens their way of life. Gosh you mean we can actually "NOT" get ripped off for procedures outside of doctors offices.
My mom does ear candling.  My husband and I tried it and couldn't figure out whether the residue was really ear wax, dirt or just the candle itself.  So we did a test where we lit and burned an ear candle.  We let it burn all the way down by itself and the residue was exactly the same.  We haven't used one since.
My family and I do ear candling and there is usually a large amount of ear wax in each candle after a session.  I don't think the technician did the procedure correctly.  It is very important to place the candle correctly to create the 'vacuum' effect.  Otherwise, you're just sticking a candle in your ear!
My mom does ear candling.  My husband and I tried it and couldn't figure out whether the residue was really ear wax, dirt or just the candle itself.  So we did a test where we lit and burned an ear candle.  We let it burn all the way down by itself and the residue was exactly the same.  We haven't used one since.
I tried ear candling years ago, when I had developed a great deal of wax, for some reason.  It did remove most of the wax, BUT, the melting wax from the candle fell directly unto my eardrums, which caused me a lot of pain.  I ended up having to have the wax removed by my ENT.  The only way was to suction it off the drum and then to take eardrops for several days, to alleviate the inflammation.

Believe me when I tell you, there's a whole new level of pain I discovered when my ear drums were suctioned.  You do NOT want to have this experience.  Stick to safe methods.  
The human ear and ear canal are actually outside the body, separated from the internal sinuses by something you may have heard of--an eardrum. The kind of suction that would be required to clear mucous from your sinuses (the cause of the popping) from your inner ear, could only be provided by a vacuum cleaner, and would first require the removal of your eardrum.  I can't believe people continue to fall for this quackery.  Save your money.
the only benifety is to the wallet of the spa worker
I've had problems with wax buildup in my ears for the past few years now (due to the shape of my ear cannal).  I suggest if you don't have any problems (such as pain or pressure in your ears), just leave it alone.  If you have pain, it may be impacted ear wax which can safetly removed by a doctor or an ENT (Ear nose and throat specialist).  I've tried ear candling and I've found no benefit from it myself.  When you're not feeling good, go see the doc.!
When I was ten years old I had a very bad ear infection with fever etc. My mother found out about ear candling and took me to an holistic practitioner who performed this technique for his patients. I had the experience as described of being layed out on to my side while a nurse held the candle upright in my ear. With my face wrapped in towels, the doctor then lit the top of the wax tube on fire. It burned steadily down and at about the midway point he removed the tube, cut it open, and to all our horror there was the evidence of a major ear infection: a large amount of a combination pus, blood and wax which had been drawn inside that thin cone. We were stunned with the results. Not only did I instantly feel better, but my temperature went back to normal within the hour. What we saw inside that tube, and how quickly I had recovered was just amazing. Years later, while reading about ear candling for good health, I decided to try it on myself remembering my past good experience. However, after following all directions and taking the necessary precautions, I was disappointed with the results. I couldn't tell afterwards if the very thin residue I saw when finished had been my own or the inevitable small bit of wax from the candle itself. So, perhaps the best time to candle one's ears is when there is an all out infection and not for the odd periodic cleaning. Nevertheless, this is a method for healing which should not be discounted.
I tried these once. We got the same residue from a candle burned in an ear versus one that was burned like incense.  We didn't see any difference and yes, it did seem a bit hazardous.  Not recommended!
   Well you were at least experiencing a nice partial massage in a relaxing environment for an hour. I was introduced to Ear Candling when I attended massage school, and not being the normal student (20 years of engineering and of computer experience) I bought some of the ear candles and experimented.  One I put in my ear, and a second one sealed in the opening of a soda bottle. After they both burned down to within 3 inches of the bottom, I extinguished the flame. After cutting the remainder of candle open I discovered them to be identical in content and residue. (Never knew a soda bottle to have ear wax before) The remnants are actually from the wax dripping down the inside of the candle with some discoloration from the charred linen which makes up the ear candle, nothing more. It is not possible to siphon hard wax from your ear canal as if it were in liquid form and deposit it on the inside wall of the candle. There was no substantial change in air pressure in your ear canal to allow that to happen. The positive reinforcement and relaxing experience is all anyone can really gain from this.  The worst that could happen is your hair might catch on fire (& burn you) or a drop of hot wax making it down your ear canal and singeing or destroying your ear drum. Glad it didn't happen to you. I would suggest next time spending all the time with a massage or a nice hot wrap followed by a massage. Leave the candles for those nice dinners with friends and a glass of wine.
Thanks, I had been thinking about getting this done, I was hopeful but doubtful. Now I am purly doubtful.
I've used ear candles for years with great result and no ill effect.   I'm always surprised the day after and who and how far away what I can hear.  I have never had an issue with anything falling back in the ear.  Ear candles work really well.

As an aside, the popping from your cold is not on the exterior of the ear, that is an issue of fluid in the eustacian tube on the inside.  Use a little common sense!
A friend of mine is now deaf in one ear after years of do-it-yourself ear coning. Seriously, steer clear.
I also tried candeling and formed a black tar like substance over my eardrums. my Doctor was furious with me and said it was nothing to fool with and I would be lucky if I didn't have any nerve damage!
Fortunatly I was lucky. I would strongly discourage this procedure to anyone.
I have always wondered about this procedure.  I too had heard both good and bad things about it but all my negative responses came from doctors who didn't like alternative medicine.  I am glad to hear someone tried it, didn't have any adverse reactions with the experience but also didn't have any real positive outcome either.  My opinion for now is to stay away and let my body (and the occasional Q-tip) to the work naturally.
I've done ear candling several times and I have never just had a little bit of powder in the end of the candle.  There has always been a substantial plug of wax.  If you have any wax going down into the ear from the candle, then you either have improperly made candles or you are doing the procedure incorrectly.  Dr. Leopold also sounds like another one of those medicos who claims to understand and support "alternative" medicine but does not.  There will always be voices to oppose natural remedies because they don't automatically make somebody rich!
I have two words for all the woo-woo believers:

Placebo Effect
About 15 years ago I had a problem with my ears becoming so plugged that I could hardly hear. I went to the doctor and went through the expense of the doctor cleaning a whole bunch of wax out of my ears so I could hear again. The doctor recommended I use drops to losen the wax.

Every few years since then, I seem to run into the same problem of the wax building up to the point that my hearing is seriously impacted, usually around the time that I have my sinuses flair up.
The drops do seem to losen the wax up, though it takes about a week to do it, which I have a hard time being patient waiting that long since I am pretty handicapped during that time with such bad hearing. I've found that after a day of the drops that if I use a couple of ear candles that it pulls the wax out and I can hear again.

The brownish-orange wax that is in the end of ear candles is the same color as the wax the doctor flushed out of my ears years ago.

When using the ear candles, I usually tilt them a little, making it so they have better angle to get the tip in deeper (I can feel and hear a difference), but also so that if any wax could possibly drip, that it wouldn't drip into my ear. I also use some sort of old pie tin or lid to catch any possible ash or hot wax, with a hole in the middle for the ear candle.

This has been a very effective treatment for me and has saved a lot of expense that I would other wise have had to pay to go to the doctor. The ear candles have been a little more confortable than the really hot water that got blasted in my ear by the medical doctor.
I detest how the "experts" are always so quick to nay-say anything thats not derived from some medical handbook. That's typical of scientists though, throughout history, to deny the blatantly obvious until it is proven by science.
When I was child I had problems with wax buildup in my ears that would cause me painful ear aches. My father did ear candling to get the wax buildup out. It was always successful it would relived the pain. Big chunks of hard wax would come out and I always felt better. To this day I have done ear candling and have helped many to learn about it. I do not do it as a business I teach as no cost because I  believe it is a healthly remedy that everyone should know about.
I know a lady that use to fall and had to stop driving do to vertigo and was limited as to what she could do. This started in her late 70’s at the age 80 she started having ear candling and now at the age of 87 is not suffering with vertigo. She is back to driving and doing all the things that she use to do and has not had a single fall since.  
Ear Candling is not new it has been around for 100ys if years, maybe even longer. If it did not work it would not exist anymore.
Ear candling takes time and one time doing the candling my not give the results that you want. You may need to do it a few times before you can see results. It’s not a quick fix. I seen great results with people that are welling to take the time to let candling work.
I know from my experience that ear candling can clear sinuses, relive headaches, relive nick aches and I could go on. Ear Candling is as successful as you want it to be just like chicken soap for the flu, it works for some people and some people think it’s crazy.
Ear candles are bunk. At most they may provide some ear stimulation but at the risk of severe damage to the ear. I know two people personally that have suffered short term hearing loss following a treatment. If you use common sense you would see there is no way that a little smoke would suck up all that "ear wax" and leave your inner ear intact. Just burn a candle without out putting it in your ear and see what happens.
Ahh.. look at all the suckers.

To those who think actual physical changes are occurring, I suggest you research the placebo effect.
I've done ear candling many times, and have always been amazed at the disgusting build up of wax - that doesn't come from the candle itself (the wax that ends up inside the candle is orangey-brown - same color as the wax inside my ear that I pull out from qtips, whereas the candle itself is a beige color).

I nearly keeled over when I read that people pay $40-$80 to go to a spa for this!  I get them for about $5 and either do them myself (in front of a mirror is best) or have a friend do it for me.  Wonderful stuff and clears me right out!

I'm most certainly not backwoods and I'm not into alternative medicines.  I just happened upon ear candles in high school and have used them ever since.  I've turned lots of friends and family onto them as well, and all have thanked me.
I've had my ears candled at home and no difference was felt.  My girl friend swears by the candles. I can live without it, peroxide works wonders for me.  I've also used some home remedies that would make most people cringe--but the earaches go away!
I've been using over-the-counter hydrogen peroxide for over 45 years.  Couple that with a quick rinse with warm water in a bulb, the wax comes out.  No danger and one can do it themselves
A few years back, there were a group of people getting this done at work by the nurse, we got one of the candles and lit it and burned it and compared the insides to one that had be used on someone, guess what the insides looked exactly the same. What does this prove? That nothing is pulled into the candle. What happens inside the ear, dont know, but nothing is coming out. Try it for yourself and see.
ear-candling is for suckers!
My sister and I do it all the time and we know it helps, for when we go to the Dr and he looks into my ears he comments on how clean they are.  I told him what I use and he says good job then, keep on.
My sister candles my ears for me at home.  It gets A LOT of wax out and I can hear better than ever when she's done.  She also does her own ears.  And not ONCE has any melted wax from the candle ever dripped down into one of our ears.  It's no more dangerous than sticking a Q-tip all the way down in your ear canal, which many people do and can cause significant damage.
Anyone that thinks there is ear wax leftover in a burnt ear candle is not using their brain.  The muslin is coated with candle wax that burns, melts and sinks to the bottom of the "ear candle" to produce "the gunk that comes out of your ear".

Try candling in a soda bottle and see how much "ear wax and fungus" comes from your Pepsi bottle.

If there is a benefit its from the warmth which could be acheived by rinsing warm water in the ear canal.

Dont be so gullable
What a stupid idea.  And how dumb would someone be to actually allow someone to put a lit, flaming, burning hot candle dripping wax into their own ear canal voluntarily?  Ridiculous.  Moronic.  Lucky no great infection or hearing loss has been a result, but time will tell.
The only truly qualified professionals to take care of wax removal are Audiologist!!  To see anyone other than your Audiologist for ear care is dangerous!  It would be like going to your local spa for "pink eye".  
P.S.  I've got a bridge I want to sell you all...  First I want the money, though.
Anyone with half a brain should realize that of course you will see a "waxy substance" after ear candling. IT'S MADE OF WAX!!!!
I have tried candling, and was amazed at the yellow ear wax that was left in the stub at the end of the process.  There was so much, I did it again in case all of it had not been removed from my ear with one candle.  The amount of wax was the same as the first time.  The third time, I stuck the candle in the top of a round ceramic piece with a small hole for a rose - same result.  The residue is from the candle itself, colored yellow with smoke particles that mix with the vaporized wax before it condenses in the bottom of the candle.  I don't deny that the process may have the same beneficial affects as any placebo - believe it works and it may be beneficial.
As a doctor of audiology, I have seen more than my share of ear-candling nightmares.  I keep several in my office to prove to patients that they are a farce.  Light one and burn it down without inserting it in the ear, and you'll see that same debris that the 'believers' rave about.  The wax and debris comes from the candle, not the ear.  Any benefit noted by patients is nothing more than a placebo effect.  
Too funny, this has been around forever!  Cupping is also a great alternative also - not for your ears of course.
When my daughter was in Kindergarten the nurse sent home a horrible report about how my daughter's hearing was not at the standard levelnad she may have hearing loss. She recommended that she see a hearing specialist. As a very concerned parent I made a doctors (pediatrician)appointment. When the doctor failed at trying to remove the compacted wax in her ear we tried an over the counter solution. To no avail the wax was stuck. A friend of mine told me about the ear caldling. I thought it was certainly worth a try since everything else seemed to fail. After doing the candles, we inspected the contents and were amazed that small pebble size pieces of wax had come out. I am a firm believer in ear candling. Needless to say I had my daughter's hearing retested and she passed with flying colors. To the doctor who wrote this article, you just want people to pay $$$$$ to see you. I guess that's one way to ensure job security.
I have done the candling thing twice, and both times I thought I pulled out a bunch of wax.  Then, a couple of months later, I had a really bad ear infection and after it had cleared up my ENT tried to pull out a giant piece of wax.  She couldn't, because it was stuck to my eardrum.  She immediately asked me if I'd ever done ear candling.  She explained to me that the hot wax had dripped down my ear canal and stuck to me ear drum, causing all sorts of problems I'd had with equilibrium, swimming, flying, and any major altitude shifts.  
I thought they were safe, but I still have a hunk of wax stuck to my eardrum.  Everyone's bodies are different, and I feel for the people with major wax buildup.  But all ear candling can do is add more wax to the ear canal- it can't "suck" it out.  I'm all for alternative remedies, but this one is just completely bunk.
When you're finished with your ear candling, please get thee to a barber and submit yourself for a good bloodletting.  

I'm constantly amazed by people's ability to delude themselves.  I hope all these people sticking candles in their ears aren't reproducing nor voting.
Uh...there's a reason they don't do it in hospitals.  The reason?  It's not medicine and doesn't work.
I've been into alternative therapies for many years so my comments aren't from a traditional background of scoffing at anything not AMA approved.  I have been candled several times.  I cut the remaining candle bits open and examined the contents. The person overseeing it commented "Oh that's good.  You got out a lot." But I wasn't impressed and thought "I wonder what the contents would look like if I candled another part of my body, like a thumb for example."  So I set one up on my thumb exactly like it had been in my ear and lit it up.  After it burned down, I cut the remaining bit open and the contents were exactly like what they were when the candle had been in my ear. I should have taken it one step farther and tried it on a chair or something, but unfortunately I didn't. So although I use alternative physicians and alternative therapies, I think this therapy is completely ridiculous. Just my opinion.


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