There are many possible causes of pain in or around the ear, although the patients or doctors are considering a few of them. The main causes are allergies, ear infections or wax.
Another cause could be Eustachian tube dysfunction. Patients are often multiple doses of antibiotics, antihistamines and decongestant nasal sprays.
Why is a treatment aimed at ear pain does not help?
Some disorders of the head or neck can trigger ear pain. The main reason is secondary pain transmitted through nerves to the ear, although current diseases are the neck or head.
When spinal nerves are involved C2, C3 and C4, and the pain is felt mainly on the mastoid, the causes could be cervical collar disc disease, cervical meningioma, zvacniri cervical spine muscle or sternocleidomastoid muscle tendinitis.
When cranial nerve 7 (posterior auricular nerve) is affected, discomfort is felt behind the ear and has as geniculate neuralgia trigger or ponto-cerebellar angle tumors.
Cranial nerve 5 (auricular temporal nerve) brings about discomfort that feels the external ear and can be triggered by temporomandibular joint disease, dental problems and parotid gland tumors or infections.
When involved cranial nerve 9 (Jacobson nerve) pain is felt inside the ear and can be caused by tonsillitis, sinusitis, throat tumors, Aden and Eustachian tube dysfunction.
10 cranial nerve (Arnold nerve) pain makes them feel especially ear canal and has as reflux triggers tumors in the neck and lingual tonsils.
To determine the exact cause pain in a patient who presents no examination, no precise ear disease requires a detailed consultation include head and neck, including an examination of the nasal cavity and the mouth, throat examination, cervical spine and temporomandibular joint.
Palpation of the area of the tonsils or base of the tongue is a quick way to discover the hidden causes of ear pain in the mouth and throat. ENT doctor may perform an endoscopy to examine more closely optic hidden areas of the nose and throat.
Not all types of pain are caused by ear itself and it is likely that any other head or neck problem can cause ear pain.
If no ENT exams are not enough to discover why feel the pain of ear, the next step is a consultant to medical specialists in rheumatology, neurology.