Pain Behind the Eye, Face, and Neck: Possible Causes and When to Seek Help - Family Medicine

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The symptoms you are experiencing, which include pain behind the right eye, discomfort in the facial area near the ear, and tension in the neck, can be indicative of several underlying conditions. Given the complexity of your symptoms and their location, it is essential to consider a range of potential causes.

1. Sinus Issues: One of the most common causes of pain in the areas you described is sinusitis. The sinuses are air-filled spaces in the skull that can become inflamed or infected, leading to pressure and pain around the eyes, cheeks, and forehead. If you have had any recent upper respiratory infections or allergies, this could be a contributing factor.
2. Temporomandibular Joint (TMJ) Disorders: The TMJ connects your jawbone to your skull and is located just in front of your ear. Issues with this joint can cause pain that radiates to the ear, jaw, and even the neck. Symptoms may include jaw pain, clicking sounds when moving the jaw, and headaches.

3. Cervical Spine Issues: Problems with the cervical spine, such as herniated discs or muscle strain, can lead to referred pain in the neck and head. If you have been in a position that puts strain on your neck, such as looking down at a phone or computer for extended periods, this could be a factor.

4. Nerve Compression: Conditions such as occipital neuralgia, where the occipital nerves are compressed or irritated, can cause pain that radiates from the neck to the back of the head and behind the eyes. This type of pain is often described as sharp or throbbing.

5. Dental Issues: Since you mentioned discomfort near the wisdom teeth area, dental problems such as impacted wisdom teeth or infections can also cause referred pain to the ear and neck.

6. Eye Strain or Conditions: Eye strain from prolonged screen time or underlying eye conditions can lead to discomfort behind the eyes. If you have recently increased your screen time or have not had your vision checked in a while, this could be a contributing factor.

Given that your symptoms have persisted for three days and are causing discomfort, it is advisable to seek medical attention. The appropriate specialist to consult would depend on the most likely cause of your symptoms:
- Otolaryngologist (ENT): If sinus issues or ear-related problems are suspected, an ENT specialist can evaluate and treat these conditions.

- Dentist: If dental issues are suspected, particularly with your wisdom teeth, a dentist can provide an assessment and treatment options.

- Neurologist: If nerve-related issues or headaches are suspected, a neurologist can conduct further evaluations.

- Orthopedic or Physical Therapist: If cervical spine issues are suspected, a physical therapist or orthopedic specialist can help assess and treat musculoskeletal problems.

In the meantime, you can manage your symptoms by applying warm compresses to the affected areas, practicing good posture, and avoiding activities that exacerbate the pain. Over-the-counter pain relievers may also provide temporary relief. However, it is essential to consult a healthcare professional for a thorough evaluation and appropriate treatment plan tailored to your specific condition.