A light suction action (chimney effect) and the movement of the flame create a vibration of air in the Ear candle, generating a massage-like effect on the eardrum. This induces a pleasant feeling of warmth and a balance of pressure in the ears, forehead and sinuses. This physical effect is often described directly after the treatment as a soothing, pressure and pain relieving sensation, mainly in the ear and head area. Treatment may also spontaneously cause freer nasal breathing and an improved sense of smell, even when the nose was blocked before treatment.