Which Specialist Should You See for Ear and Facial Numbness? - Neurosurgery

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If you are experiencing numbness behind the ear, which specialist should you consult?


Hello Doctor, I have been experiencing numbness behind my ear for several days.
I feel numbness on my ear and the surrounding scalp when I put on glasses or a mask.
I usually wash my hair by leaning forward, and today, while washing my hair, the numb area increased, and my face also felt numb.
The numbness subsided when I returned to a normal standing position.
However, I suddenly felt numbness in my right hand for a brief moment in the evening, but it resolved quickly.
The numbness in my ear persists.
Could you please advise me on which specialist I should see for this issue? Thank you for your response.
👍🏻

Cheni, 30~39 year old female. Ask Date: 2023/02/26

Dr. Lai Zhaokang reply Neurosurgery


Hello: It is suspected that the issue may be related to the cervical spine, facial or oral occlusion, ear, or neuromuscular fascia.
A doctor needs to conduct a personal examination to differentiate these conditions.
You may want to first consult with a neurologist or a neurosurgeon.
Best wishes, Dr.
Lai Chao-Kang, Changhua Hospital.

Reply Date: 2023/02/26

More Info


If you are experiencing numbness behind your ear and in your facial area, it is important to seek the right medical specialist to address your symptoms effectively. Given the nature of your symptoms, which include localized numbness around the ear and facial area, as well as transient numbness in your right hand, the most appropriate specialist to consult would be a neurologist. Neurologists specialize in disorders of the nervous system, which includes the brain, spinal cord, and peripheral nerves. They can help determine if there is an underlying neurological condition that needs to be addressed.

In addition to seeing a neurologist, it may also be beneficial to consult an ear, nose, and throat (ENT) specialist, especially since your symptoms are localized around the ear. An ENT specialist can evaluate for any potential issues related to the ear, such as infections, nerve compression, or other otological conditions that could be contributing to your symptoms.
When you visit these specialists, they will likely perform a thorough history and physical examination, focusing on your neurological and otological health. They may ask about the onset and duration of your symptoms, any associated symptoms (such as dizziness, hearing changes, or headaches), and any relevant medical history. Depending on their findings, they might recommend additional tests, such as imaging studies (like an MRI or CT scan) or nerve conduction studies, to further investigate the cause of your numbness.

It's also worth noting that the numbness you are experiencing could be related to several factors, including muscle tension, nerve compression, or even posture-related issues, especially if you notice that certain positions exacerbate your symptoms. For instance, leaning forward while washing your hair could potentially compress nerves in the neck or upper back, leading to referred sensations in the ear and face.

In summary, for your symptoms of ear and facial numbness, I recommend starting with a consultation with a neurologist to rule out any neurological conditions. Additionally, an ENT specialist can provide further insights into any ear-related issues. Early evaluation and diagnosis are crucial in managing your symptoms effectively and ensuring that any underlying conditions are addressed promptly. Remember to keep track of any changes in your symptoms and communicate them to your healthcare providers for the best possible care.

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