Ear Pain and COVID-19 Exposure: Your Health Questions Answered

Question inquiry?

Hello, I have two questions to ask.
Yesterday, I experienced pain when pressing on the scalp area above my right ear near the temple while washing my face, and I'm worried about what disease it could be.
However, I remembered that a couple of days ago, I adjusted my glasses, and the optician mentioned that the nose pads were misaligned, which could have caused the frame to press down on my right ear.
I would like to ask if it is normal to feel slight pain from prolonged pressure, as it seems to have diminished after I woke up today.
Should I consider getting it checked again?
Additionally, I overheard someone on the public transit saying, "I got COVID-19," and since I'm quite concerned, I quickly distanced myself from them.
I would like to know if there is a significant risk of transmission given that it was such a brief encounter, and we were both wearing masks.
If they have recovered from COVID-19, is it true that they are not as contagious? The contact lasted only about 10 seconds.
Thank you!

Vi, 20~29 year old female. Ask Date: 2022/02/27

Dr. Hong Yuanbin reply Internal Medicine

Hello,
1.
Regarding the headache, it is suspected to be either localized myofascial inflammation or tension-type headache based on your description.
Since it has improved, there should be no need for special treatment at this time; observation is sufficient.

2.
If everyone is wearing masks, there should be a low risk of infection.
Thank you for your inquiry.

Reply Date: 2022/02/27

More Info

When it comes to ear pain and concerns about potential COVID-19 exposure, there are several factors to consider. Let's break down your questions and provide some clarity.

Ear Pain and Its Possible Causes
From your description, it seems that you are experiencing localized pain near your right ear, particularly around the scalp area close to the temple. This could be attributed to several factors:
1. Muscle Tension or Strain: If you recently adjusted your glasses and applied pressure to the area, it’s possible that you strained the muscles around your ear and temple. Muscle tension can lead to discomfort and pain, especially if you were pressing on the area for an extended period. This type of pain is often described as a dull ache and may improve with rest or gentle stretching.

2. Temporomandibular Joint (TMJ) Dysfunction: If the adjustment of your glasses caused you to unconsciously clench your jaw or alter your posture, it could lead to TMJ issues. TMJ dysfunction can cause pain in the jaw, ear, and even headaches. Symptoms often include clicking sounds when moving the jaw and localized pain.

3. Ear Conditions: While less likely given your description, conditions such as ear infections or eustachian tube dysfunction can also cause ear pain. If you notice additional symptoms like hearing changes, dizziness, or persistent pain, it may warrant further evaluation.

Given that the pain has diminished since you first noticed it, it may not be necessary to seek immediate medical attention. However, if the pain persists or worsens, or if you develop other symptoms, it would be wise to consult a healthcare professional for a thorough examination.

Concerns About COVID-19 Exposure
Regarding your concern about potential COVID-19 exposure from a brief interaction on public transport, here are some key points:
1. Transmission Dynamics: COVID-19 primarily spreads through respiratory droplets when an infected person coughs, sneezes, or talks. Close contact, especially in enclosed spaces, increases the risk of transmission. However, wearing masks significantly reduces this risk.

2. Duration and Distance: The brief interaction you described (approximately 10 seconds) while both parties were wearing masks lowers the likelihood of transmission. Masks are effective in filtering respiratory droplets, and the risk of catching the virus in such a short time frame is relatively low.

3. Post-Infection Infectiousness: If the individual you overheard had recently recovered from COVID-19, their infectiousness would typically decrease significantly after 10 days from symptom onset, especially if they have been symptom-free for at least 24 hours. However, it’s essential to note that some individuals may still carry the virus in lower amounts, but the risk of transmission is greatly reduced.

Recommendations
- For Ear Pain: Monitor your symptoms. If the pain returns or you experience additional symptoms (like hearing loss, dizziness, or persistent discomfort), consider seeing an ENT specialist for a more comprehensive evaluation.

- For COVID-19 Concerns: Continue practicing good hygiene, such as wearing masks in crowded places, maintaining physical distance, and washing your hands frequently. If you develop symptoms consistent with COVID-19, consider getting tested and self-isolating until you receive your results.

In summary, while your ear pain may be related to muscle strain or TMJ issues, the risk of COVID-19 transmission from a brief encounter while wearing masks is low. Stay vigilant about your health, and don’t hesitate to seek medical advice if needed.

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