Intermittent Pain Near Ear and Temple: When to See a Specialist? - Neurology

More Info

---

Experiencing intermittent pain near the ear and temple, especially following a car accident that resulted in a mild brain hemorrhage and concussion, is a concerning symptom that warrants prompt medical attention. Given your history of head trauma, it is crucial to approach this situation with caution. The pain you describe, particularly if it worsens with actions like yawning or opening your mouth, could be indicative of several underlying issues that need to be evaluated by a healthcare professional.

First and foremost, it is essential to understand that pain in the temple and ear region can arise from various sources. These can include:
1. Neurological Issues: Given your history of brain injury, it is possible that the pain could be related to neurological complications. Conditions such as post-traumatic headaches, which can manifest as tension-type headaches or migraines, are common after concussions. Additionally, the presence of any nerve damage or irritation in the area could lead to referred pain.

2. Temporomandibular Joint (TMJ) Disorders: The TMJ is located near the ear and can cause pain that radiates to the temple. If you are experiencing pain during movements like yawning or chewing, this could suggest a TMJ disorder, which may have been exacerbated by the trauma from the accident.

3. Ear-Related Issues: Conditions such as ear infections, Eustachian tube dysfunction, or even referred pain from dental issues can also cause discomfort in the ear and temple region. Given that you have experienced pain near the ear, it would be prudent to rule out any otological causes.

4. Cervical Spine Issues: Whiplash or other neck injuries from the accident could lead to referred pain in the head and ear area. Muscle tension or nerve impingement in the cervical spine can manifest as headaches or ear pain.

In light of these possibilities, the best course of action would be to consult a specialist who can perform a thorough evaluation. Given your symptoms and history, I would recommend starting with a neurologist. A neurologist can assess for any post-concussion syndrome, evaluate your headache patterns, and determine if there are any neurological deficits that need to be addressed. They may also order imaging studies, such as an MRI or CT scan, to rule out any complications from your previous brain injury.

If the neurologist suspects that your symptoms are related to TMJ dysfunction, they may refer you to a dentist or an oral surgeon who specializes in TMJ disorders. Conversely, if they find that your symptoms are related to cervical spine issues, they may refer you to a physical therapist or an orthopedic specialist.

In summary, given your history of head trauma and the nature of your symptoms, it is advisable to see a neurologist first. They can provide a comprehensive evaluation and guide you to the appropriate specialist based on their findings. Do not delay seeking medical attention, especially since your symptoms are affecting your sleep and daily activities. Early intervention can lead to better outcomes and help alleviate your discomfort.