Written by Toni Bailey ยท Living with fibromyalgia. Developer, Oregon Coast.

I noticed the sound before I noticed the stars. That first night โ€” the one that started all of this โ€” I walked out onto the deck at 3 AM and the first thing that hit me wasn't the sky. It was the bay. Not loud. Not crashing. Just... there. A low, rhythmic pulse of water against the pilings and the shore rocks and the mud flats, and under that, a deeper sound I couldn't quite name. The bay breathing.

I've written four articles now about different pieces of why star bathing works โ€” the awe, the darkness, the fog, the cold. Every time, I've mentioned the sound of the bay in passing. Background detail. Atmosphere. The thing playing behind the real show.

I was wrong. The sound isn't background. It might be the conductor.

Medical Disclaimer This blog shares one person's experience with fibromyalgia, supported by peer-reviewed research on acoustic environments and pain perception. It is not medical advice. Sound therapy should complement, not replace, your treatment plan. Always consult your healthcare provider.

What Alsea Bay Sounds Like at 3 AM

Most people have never heard a tidal bay at night. It's not what you'd expect if your reference is a beach vacation. There's no crashing surf โ€” the bay is protected from open ocean by a sand spit and the bridge, so the wave energy is transformed by the time it reaches our shore. What you get instead is layered.

๐Ÿ”Š Alsea Bay โ€” 3 AM Soundscape (What I Actually Hear)

  • Layer 1 โ€” The pulse. Water against pilings and shore rock. Rhythmic but not metronomic โ€” it varies slightly with each wave, like breathing that's almost regular but alive. Roughly every 4-6 seconds.
  • Layer 2 โ€” The draw. Water pulling back across the mud flats. A lower sound, like a long exhale. Fills the space between pulses.
  • Layer 3 โ€” The hum. I can't fully explain this one. It's beneath the other two โ€” a very low-frequency vibration that I feel as much as hear. Ken says it's a combination of tidal current resonance and the bay's natural acoustic properties. It's always there. You stop noticing it after a few minutes, which is when it starts working.
  • Layer 4 โ€” The small sounds. Water dripping off dock structures. Bubbles in the mud. Something small moving in the shallows โ€” a crab, maybe, or a sculpin. These come and go. They're not rhythmic. They're the bay being alive.
  • Layer 5 โ€” The absence. What's NOT there. No traffic. No HVAC. No refrigerator hum. No neighbors' TVs. After midnight on the central Oregon coast, the man-made soundscape drops to nearly zero. What's left is water.

I didn't analyze this at first. I just lay there and listened. But after five articles and a lot of research, I realize the layered sound of the bay maps onto almost everything pain researchers are studying about acoustic environments and the nervous system.

Your Brain on Nature Sounds (It's Not What You Think)

Ken pulled up a 2017 fMRI study that changed how I think about the sounds I've been lying in. Researchers at the University of Sussex played naturalistic and artificial soundscapes to people inside a brain scanner and measured what happened.1

Here's what they found: naturalistic sounds increased parasympathetic nervous system activity โ€” the rest-and-repair branch โ€” while artificial sounds pushed the brain toward sympathetic activation (fight-or-flight). But the interesting part wasn't just the direction. It was where it happened in the brain.

Nature sounds altered connectivity in the default mode network โ€” the same brain system involved in mind-wandering, self-reflection, and pain processing. The shift in the DMN was correlated with the shift in heart rate variability. Brain and body were changing together, and the direction of that change depended on whether the sounds were natural or artificial.1

Ken's Research Notes

The Sussex study found something else worth noting: participants who started with the highest sympathetic tone โ€” the most stressed bodies โ€” showed the biggest shift toward parasympathetic activity when exposed to nature sounds.1 The people who needed it most got the most benefit.

For someone with fibromyalgia โ€” a condition characterized by chronic sympathetic overdrive and disrupted DMN function โ€” this matters. The bay at 3 AM isn't just pleasant. It's selectively therapeutic. Toni's nervous system is exactly the kind that responds most strongly to natural acoustic environments.

Water Sounds Are Different From Other Nature Sounds

Not all nature sounds do the same thing. A 2018 study at the University of Zurich tested water sounds specifically โ€” not birdsong, not forest ambience, not generic "nature" โ€” and found that water sounds reduced cortisol output after stress induction in a way that was distinct from music and silence.2

But here's the part that caught me: the cortisol reduction from water sounds was strongest in participants who reported fewer somatic complaints. People with more body symptoms โ€” closer to the fibromyalgia profile โ€” showed a weaker cortisol response to water sounds alone. The researchers suggested that people with chronic somatic symptoms might need more powerful interventions โ€” specifically, they proposed combinations of visual and auditory stimuli.2

Combinations. Like, say, water sounds plus darkness plus cold air plus stars plus being outdoors in a natural environment.

Like everything I've been doing on the deck.

Toni's Debug Notes

This is the paper that made me sit up. Because I've noticed that on nights when I go outside and just listen โ€” no stars because of clouds, no fog, just me and the bay sound โ€” my pain drops less than on the multi-channel nights. Maybe a point, point and a half. Not bad. But when I get the full stack โ€” water sound plus stars plus cold plus darkness โ€” the drop is two to three points.

The Zurich study basically predicted my data. Water sounds alone = helpful but limited for someone with chronic pain. Water sounds combined with other sensory inputs = that's where the real shift happens. The bay isn't enough by itself. But without the bay, nothing else works as well either.

The Rhythm Hypothesis

Waves are rhythmic. Not perfectly regular โ€” that's important โ€” but rhythmic. They follow a pattern with variation. In acoustics, this kind of pattern has a name: 1/f noise, sometimes called pink noise. It's the acoustic signature of natural systems โ€” heartbeats, rainfall, ocean waves, wind through trees. The power spectrum is inversely proportional to frequency: low frequencies dominate, higher frequencies are present but quieter.

Your brain treats 1/f noise differently from both white noise (equally random at all frequencies) and silence. It's been shown to improve sleep quality, enhance memory consolidation during sleep, and โ€” crucially โ€” it matches the natural 1/f pattern of neural activity in the brain itself.3

The bay at night is a 1/f generator. Not because anyone designed it that way, but because tidal water moving over varied terrain at varied speeds produces exactly the kind of frequency distribution that characterizes natural systems. Low, slow pulses carrying most of the energy. Higher-frequency splashes and drips riding on top. Random enough to not be boring. Regular enough to not be startling.

Ken's Research Notes

There's a fascinating parallel between 1/f noise in acoustics and 1/f noise in neural activity. A 2026 study confirmed that aperiodic 1/f brain activity indexes different brain states โ€” it increases during cognitive engagement and decreases during sleep.3 The brain's own electrical activity follows the same scaling law as ocean waves.

The hypothesis I'm working with: when Toni lies on the deck listening to the bay, the 1/f pattern of the water sounds is entraining โ€” or at least resonating with โ€” the 1/f pattern of her neural activity. External acoustic rhythm meeting internal neural rhythm. This could explain why the bay sounds feel like they "get inside" the body in a way that a white noise machine doesn't.

I can't prove this yet. But the math is suggestive.

Nature Sounds Reduce Pain. The Meta-Analysis Is In.

A January 2026 systematic review and meta-analysis โ€” the most comprehensive to date โ€” examined all published studies on nature exposure and pain. The conclusion: nature exposure produces a "small-to-moderate analgesic effect" across diverse settings, countries, and both acute and chronic pain conditions.4

That "small-to-moderate" sounds underwhelming until you remember two things. First, this is across all types of nature exposure โ€” a photo of a forest, a recording played through speakers, actual outdoor immersion. The effect size for real outdoor exposure is larger than for recorded stimuli. Second, small-to-moderate is roughly where many approved pain medications land. We put drugs through billion-dollar trials for effects that size.

A companion study published in Nature Communications went further, using fMRI to show that nature exposure reduced pain by acting directly on nociception-related neural processing โ€” the brain circuits that process pain signals.5 Not just distraction. Not just mood improvement. Actual changes in how the brain handles pain at the circuit level.

And a 2024 review in Therapeutic Advances in Chronic Disease specifically connected the dots: higher parasympathetic tone is correlated with higher capacity for pain inhibition. Nature environments increase parasympathetic tone. Therefore, nature-induced parasympathetic shifts may be a direct mechanism of analgesia.6

Low-Frequency Sound and Fibromyalgia

This is where the bay's low hum โ€” Layer 3 in my soundscape โ€” gets its own section.

Researchers have hypothesized that fibromyalgia involves thalamocortical dysrhythmia โ€” a disruption in the brain's relay circuits that leads to amplified pain signaling. A clinical study tested whether low-frequency sound stimulation could address this directly, and found that it showed promise in treating certain pain conditions associated with this type of dysfunction.7

The bay generates low-frequency sound naturally. Not the dangerous industrial infrasound that causes tissue damage at high decibels โ€” the bay's output is gentle, well below any harmful threshold. But it's in the frequency range where thalamocortical effects have been observed. And unlike a clinical sound stimulation device, it arrives embedded in a natural soundscape, combined with all the other layers that activate parasympathetic pathways.

I'm not saying the bay is a medical device. I'm saying the bay produces a frequency profile that happens to match what researchers are testing in clinical settings, and it does it while simultaneously providing every other acoustic feature known to reduce sympathetic activation.

The Fibromyalgia Music Study (And What Pink Noise Couldn't Do)

There's a study that keeps me honest about this. Researchers tested music versus pink noise in fibromyalgia patients using fMRI. Music reduced pain and normalized brain connectivity patterns in the pain matrix. Pink noise โ€” which is closer to what the bay produces than music is โ€” did not reduce pain in the fibro group. In fact, it slightly increased pain perception, though not significantly.8

I sat with that for a while. Because if pink noise doesn't help fibro pain in a lab, why does the bay help mine?

Ken had an answer, and I think he's right: the bay isn't pink noise. Pink noise is a statistical category โ€” a frequency distribution played through speakers in a controlled environment. The bay is a living soundscape with 1/f characteristics plus variation, complexity, biological sounds, spatial depth, and the physical sensation of the sound arriving through cold air and vibrating the deck under my body. The study controlled for everything except the thing that matters: the sound being real, present, embodied, and multi-sensory.

Also โ€” and I keep coming back to this โ€” the Zurich study predicted exactly this. Water sounds alone weren't enough for people with chronic somatic symptoms. They needed the combination. The bay at night doesn't work alone. It works as one instrument in an orchestra that includes cold, darkness, stars, humidity, and the physical experience of being outside.

Toni's Tide Table

I've been tracking this. Not scientifically โ€” Ken would cringe at my methods โ€” but honestly. Here's what I've noticed across six weeks of paying attention to the sound:

Bay Condition Sound Character Typical Pain Response
Incoming tide, light wind Full pulse rhythm. All five layers active. The hum is strongest during tidal flow. Richest soundscape. Best sessions. 2-3 point drops. The rhythm seems to do something โ€” my breathing syncs to it without me trying.
Slack tide (high) Very quiet. Minimal wave action. Small sounds dominate โ€” drips, bubbles, occasional bird. Almost silence. Similar to fog bathing. The quiet itself works, but differently. More internal. Less rhythmic entrainment, more sensory reduction.
Outgoing tide Draw sounds dominant. Water pulling across mud flats โ€” a long, textured exhale. Less pulse, more continuous. Good but slower. Takes longer to settle in. The continuous sound is less entraining than the pulse rhythm.
High wind, any tide Wind noise dominates. Bay sounds get buried. Higher frequencies โ€” whistling, rattling. Less rhythmic. Worst conditions. Wind noise is activating, not calming. My nervous system treats it like threat signals. I go inside.
Fog + incoming tide Fog muffles the high frequencies. Low pulse and hum are amplified relative to everything else. Deep, slow, thick sound. The best of both worlds. Fog filtering + tidal rhythm. These are my best nights. Rare but remarkable.

The tide table isn't science. It's pattern recognition from someone who lies in the same spot three or four nights a week and pays attention. But the patterns are consistent enough that I now check the tide chart before going outside, the same way I check the cloud cover and the moon phase.

Why I Stopped Using a Sound Machine

I used to have a white noise machine on my nightstand. Ocean setting. I thought it was helping.

After a month of the real bay, I can't listen to it anymore. It sounds wrong. Flat. Dead. Like a photograph of a meal versus the meal.

The difference isn't volume or quality. It's dimensionality. The bay sound arrives from everywhere โ€” in front, below, to the sides. It moves. It has depth. A wave that starts at the bridge end of the bay reaches me a second before the same wave's edge arrives from the south shore. There's spatial information in real water sound that a speaker can't reproduce.

And there's the vibration. The deck is physical โ€” it conducts the low-frequency energy of the bay through the structure and into my body. I feel the bay in my back and my ribs and the bottoms of my feet. A speaker gives you sound through your ears. The bay gives you sound through your skeleton.

The closest thing I can compare it to: the difference between someone describing a hug and actually being hugged. One is information. The other is an experience that changes your body.

CEO Performance Review: The Bay

Subject Under Review: Alsea Bay (Night Shift Operations)

Performance Period: October through present

The bay has been making sounds for the entirety of my tenure as CEO, and I have always found them adequate. Neither threatening nor interesting. The bay does not bring food. The bay does not provide warmth. The bay is, at best, ambient.

However, I note that when the bay makes its sounds at night, the humans go outside, and when the humans go outside, I get the couch. The bay is therefore a net positive for household resource allocation.

I have also noticed that Toni returns from these sessions moving differently. Less careful. More willing to provide shoulder rides. This is relevant to my interests.

Rating: 4 out of 5 paws. Would be 5 if it produced fish instead of sounds.

โ€” Samba, CEO
Acoustic Environment Supervisor
(Currently monitoring the bay from the window. It has not produced fish.)

What I Do Differently Now

Ken's Final Note

What Toni has built โ€” without intending to โ€” is a multi-modal sensory intervention that stacks every mechanism pain researchers are studying individually: natural acoustic environments for parasympathetic activation,1 cold exposure for vagal stimulation, darkness for melatonin production, sensory reduction for interoceptive recalibration, and nature immersion for overall analgesic effects.4

The sound of the bay is the thread that ties these together. It's the constant. On clear nights, it plays under the stars. On foggy nights, it's amplified. On cold nights, it's carried differently through the dense air. On every night, it's there โ€” rhythmic, low-frequency, embodied through the deck, and doing measurable things to the nervous system of anyone who lies still long enough to sync with it.

Nobody is going to fund a clinical trial on "lying on a deck listening to a tidal bay." But the mechanism research says it should work, Toni's experience says it does work, and six articles in, I'm starting to think the bay has been the most underestimated part of this entire experiment.

Sources

  1. Gould van Praag CD, et al. (2017). "Mind-wandering and alterations to default mode network connectivity when listening to naturalistic versus artificial sounds." Scientific Reports, 7, 45273. fMRI study showing naturalistic sounds increased parasympathetic activity and altered DMN connectivity, with the strongest effects in participants with highest baseline sympathetic tone. https://pmc.ncbi.nlm.nih.gov/articles/PMC5366899/ โ†ฉ
  2. Thoma MV, et al. (2018). "Preliminary evidence: the stress-reducing effect of listening to water sounds depends on somatic complaints." Medicine, 97(8), e9851. Water sounds reduced cortisol after stress, but less effectively in participants with somatic complaints โ€” suggesting combinations of stimuli are needed for chronic symptom populations. https://pmc.ncbi.nlm.nih.gov/articles/PMC5842016/ โ†ฉ
  3. Helfrich RF, et al. (2026). "Aperiodic 1/f noise drives ripple activity in humans." Nature Communications. Confirmed that 1/f aperiodic neural activity indexes different brain states, with implications for understanding how external 1/f patterns (like natural soundscapes) interact with neural dynamics. https://www.nature.com/articles/s41467-026-68404-5 โ†ฉ
  4. Steininger MO, et al. (2026). "Nature exposure reduces self-reported pain: a systematic review and meta-analysis." Nature Mental Health. Preregistered meta-analysis finding small-to-moderate analgesic effects of nature exposure across diverse settings and both acute and chronic pain. https://www.nature.com/articles/s44220-025-00569-2 โ†ฉ
  5. Steininger MO, et al. (2025). "Nature exposure induces analgesic effects by acting on nociception-related neural processing." Nature Communications. fMRI evidence that nature exposure reduces pain through direct modulation of nociceptive brain circuits, not merely distraction. https://www.nature.com/articles/s41467-025-56870-2 โ†ฉ
  6. Smith A, et al. (2024). "Harnessing the therapeutic effects of nature for chronic pain." Therapeutic Advances in Chronic Disease. Review connecting parasympathetic tone to pain inhibition capacity, positioning nature-induced autonomic shifts as a mechanism of analgesia. https://pmc.ncbi.nlm.nih.gov/articles/PMC11671320/ โ†ฉ
  7. "The effect of low-frequency sound stimulation on patients with fibromyalgia: A clinical study." DOAJ. Investigated low-frequency sound stimulation for thalamocortical dysfunction in fibromyalgia, showing promise in treating associated pain conditions. https://doaj.org/article/80210e4b5d86435cb28f93036ed72e10 โ†ฉ
  8. Garza-Villarreal EA, et al. (2019). "Functional connectivity of music-induced analgesia in fibromyalgia." Scientific Reports, 9, 15486. Music reduced pain and normalized pain matrix connectivity in FM; pink noise did not. Demonstrates that acoustic analgesic effects in fibromyalgia require more than frequency profile โ€” context and complexity matter. https://www.nature.com/articles/s41598-019-51990-4 โ†ฉ