Ear Pain: Possible Causes and When to Seek Help - Otolaryngology

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Ear pain?


Hello doctor, today I noticed that pressing on the indentation behind my left ear causes pain.
I don't feel any lumps, but it is painful.
I would like to know what could be the cause and if it is serious.

Jane, 20~29 year old female. Ask Date: 2021/03/11

Dr. Zheng Jueyi reply Otolaryngology


Hello: Common issues that may be related to inflammation.
If no obvious lumps are felt, you may start with self-observation.
If the pain persists without improvement, it is advisable to seek medical examination and treatment.
Wishing you peace and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2021/03/11

More Info


Ear pain can be a complex issue, often stemming from various underlying causes. In your case, the pain in the area behind your left ear when pressed could be attributed to several factors. It's essential to consider the anatomy of the ear and surrounding structures, as well as any recent activities or health changes that may have contributed to your symptoms.

One common cause of localized pain behind the ear is inflammation or irritation of the temporomandibular joint (TMJ), which connects the jawbone to the skull. This joint is located very close to the ear, and issues such as teeth grinding, jaw clenching, or even dental problems can lead to pain that radiates to the ear area. If you have been experiencing stress or have had dental work done recently, this could be a contributing factor.

Another possibility is mastoiditis, an infection of the mastoid bone located just behind the ear. This condition can occur as a complication of untreated ear infections. Symptoms may include pain, swelling, and redness behind the ear, along with fever and drainage from the ear. However, since you mentioned that there is no swelling or noticeable lumps, this may be less likely.

Additionally, lymph nodes located behind the ear can become swollen due to infections, such as a cold or throat infection, leading to tenderness in that area. If you have had any recent upper respiratory infections, this could explain the pain you are experiencing.

In some cases, referred pain from other areas, such as the throat or neck, can manifest as ear pain. Conditions like pharyngitis or even a pinched nerve in the cervical spine can lead to discomfort that feels like it is coming from the ear.

Given that you are experiencing pain without any visible swelling or lumps, it may not be an immediate cause for alarm. However, it is crucial to monitor your symptoms closely. If the pain persists, worsens, or is accompanied by other symptoms such as fever, hearing loss, or drainage from the ear, it would be advisable to seek medical attention. An ENT (ear, nose, and throat) specialist can perform a thorough examination, including imaging studies if necessary, to determine the underlying cause of your pain.

In summary, while the pain you are experiencing behind your left ear may not be severe at this moment, it is essential to remain vigilant. If you notice any changes or if the pain becomes more pronounced, do not hesitate to consult a healthcare professional for a comprehensive evaluation. Early intervention can often prevent more serious complications and provide you with the relief you need.

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