I have severe muzzle blast effected hearing loss.
Self inflicted through negligence, no sympathy sought.
I find, for my own personal use, muzzle brakes to be an abomination.
Excessively noisy and physically offensive at the report of the shot.
So much so that I need to physically sheild myself from them when with hunters who are using them.
If I don't, I suffer for days.
I'm not here to dictate to anyone's choice of equipment.
If you NEED one and believe it helps then use one.
Personally I think that if your at that stage of your recoil intolerance you should perhaps step down to a milder caliber.
Muzzle brakes may indeed reduce "felt" recoil but I have also seen some shooters anticipate the muzzle blast, which is significant, and flinch.
In excess of 10 years of guiding buffalo hunters the only hunter who I have had to send home without a Trophy was a hunter who was using a .458 with a brake that was an absolute shocker (noise wise).
I respectfully requested leave of absence from this hunter (by placing myself behind the shooter) at the time of the shot.
The shot clipped the lower brisket, drawing deep red blood, producing a non-lethal hit.
That bull ran on for days and was never found.
I was in no position to back-up and the shooter did not either.
I attribute this loss to many varied contributing factors, not least of which was that brake.
At the end of the day, if you ask enough people you will get justification for what-ever piece of gear you may have invisaged as being "necessary", but that doesn't make it necessarily so out in the field.
Your mileage may vary.