Headache and earache on one side: can ear pain cause headache?

Woman holding both ears in pain

When experiencing both an earache and a headache simultaneously, it's important to consider the possible underlying causes, as these symptoms can sometimes occur together. Common causes include middle ear infections and migraines, each requiring specific treatments based on the root of the problem. Earaches and headaches, when appearing separately, may stem from varoius medical issues. However, their simultaneous occurrence often points to specific conditions affecting the ear and the head. Understanding the connection between these symptoms is crucial, but it’s also important to recognise that their co-occurrence can be influenced by multiple factors, not just anatomical links between the ears, nose, and throat. Identifying the exact cause when you have both an earache and a headache is essential for effective treatment. It’s advisable to consult a healthcare professional who can assess the symptoms and recommend the appropriate intervention. This approach ensures that both symptoms are addressed properly, providing relief and preventing further complications.

What causes headache and earache at the same time?

If you're experiencing concurrent ear pain and headaches, several conditions could be behind these symptoms. The ears, nose, and throat are closely linked, which explains why issues in one area can affect the others. For example, sinusitis can cause mucus build-up that not only leads to headaches but can also extend to the middle ear, resulting in infections that might aggravate the situation, potentially causing migraines or further headaches. Allergies and hayfever symptoms can also include headache and ear pain at the same time.

Understanding the specific condition causing your earache and headache is crucial. This interconnectedness often means that a problem starting in one area can lead to discomfort in another. If you notice persistent ear discomfort or pain that extends to your head, seeking medical advice promptly is advisable to address the issue effectively and prevent further complications.

Occipital neuralgia

Occipital neuralgia is a condition marked by intense, piercing pain starting from the back of the head and extending towards the ear, occasionally reaching the eyebrow and behind the eye. This debilitating condition can last from a few seconds to several hours or even days. It affects the occipital nerves, which travel from the neck to the scalp at the back of the head, due to nerve compression.

Symptoms of occipital neuralgia include headaches and pain originating at the base of the skull and spreading to the scalp. This pain is often described as shooting, burning, or throbbing and may sometimes be felt behind the ear. Other affected areas can include the upper part of the neck, the back of the head, the scalp, and the forehead or behind the eyes.

Vestibular migraine

Migraine is a recurring type of headache characterised by a pulsating or throbbing pain, often felt on one side of the head. It can be triggered by various factors like strong smells, missed meals, bright lights, or changes in the weather.

Some migraine episodes may be preceded by a set of symptoms known as aura. Other common migraine symptoms include sensitivity to light, sound, or smells, as well as feelings of nausea and vomiting.

Since the trigeminal nerve may be involved in migraines, some individuals may also experience ear pain. According to a 2022 review, 65% of participants reporting unexplained ear pain met the criteria for vestibular migraine.

Mastoiditis

Mastoiditis is an inflammation triggered by an infection affecting the mastoid cells in the mastoid bone. It can occur as acute or chronic inflammation. Key symptoms include intense, throbbing ear pain, persistent headaches, hearing loss, and fever. Some cases may also involve ear discharge and swelling. Typically, mastoiditis arises from untreated or inadequately treated otitis media, an ear infection. Prompt action is crucial upon experiencing symptoms to avert potential complications. Mastoiditis is an infection that affects the bone behind the ear, often arising as a complication of a middle ear infection.

Symptoms of mastoiditis may include:

  • Skin swelling or redness behind the ear (requires medical evaluation)
  • Fever
  • Fatigue
  • Ear discharge
  • Difficulty hearing
  • Irritability or fussiness in infants and toddlers
  • Tugging or rubbing the ear in infants and toddlers

Middle ear infections

Middle ear infections, also known as otitis media, can be caused by either a virus or bacteria. Infections cause swelling that can block the eustachian tubes, which regulate air pressure in the ears and help drain fluid. These issues are often treated with minor surgeries like ear grommet insertion. This swelling and fluid buildup can result in ear pain, sometimes accompanied by headaches. Other symptoms of a middle ear infection include:

  • Fever
  • Difficulty sleeping
  • Loss of appetite
  • Fluid draining from the ear
  • Difficulty hearing
  • Loss of balance

In babies and toddlers, symptoms may include irritability, fussiness, or pulling or rubbing at the ear.

Can a earache cause headaches and ear pain?

Ear infections can lead to significant discomfort, including ear pain due to congestion and pressure in the middle ear. This happens when infections cause inflammation and blockage in the tubes of the middle ear, leading to a build-up of mucus. Such conditions can not only cause headaches but may also result in fever, fluid drainage from the ears, and hearing difficulties. Therefore, it's quite possible for an earache to lead to a headache, and similarly, headaches can sometimes be related to pain and issues in the ear.

Do ear infections cause headaches and ear pain?

Yes, head pain with an ear infection, sinus infection headache, and earache are common issues linked to sinusitis and the associated inflammation and blockages. Sinusitis occurs when the tissue lining the sinuses, which are cavities within the bones surrounding the nose and head, becomes inflamed. This inflammation often results from a recent cold or nasal allergy. A common symptom of sinusitis is a headache, which arises due to increased pressure within the sinuses. This pressure builds up when mucus cannot drain properly.

The swelling of the tissue in the sinuses often spreads to the nose and can affect the eustachian tube, which connects the middle ear to the throat. This can lead to ear pain, as the eustachian tube may become a pathway for infections to reach the middle ear. Even without an infection, ear pain can occur if the eustachian tube is blocked due to swollen tissues in the nose.

According to many experts, sinusitis can be caused by viruses or bacteria, typically starting as a viral infection. If there is a green or yellowish discharge, it is likely a bacterial infection.

Treatment for sinusitis usually involves decongestants or antihistamines. If allergies are the underlying cause, these are also treated. In some cases, surgery might be necessary to enlarge the sinus openings to prevent future bouts of sinusitis.

Can an ear infection cause head pain?

An ear infection, or otitis media, can lead to head pain among other serious complications. This condition results from a buildup of pus and mucus behind the eardrum, usually triggered by a cold, allergy, or upper respiratory infection. Symptoms include earache and swelling, and while most children in developed countries experience at least one episode before school age, severe complications are rarer but can still occur. Complications from ear infections include hearing loss, facial paralysis, and more severe conditions such as meningitis and brain abscesses. A brain abscess presents with symptoms like headache, fever, nausea, vomiting, and can lead to neurological deficits and altered consciousness. Modern treatments can manage these symptoms effectively; neurosurgical techniques can drain abscesses and are followed by prolonged antimicrobial treatment, significantly reducing mortality and increasing recovery rates over the past decades. Other serious outcomes from ear infections include bacterial meningitis, characterised by severe headache, fever, and neck stiffness, and acute mastoiditis, an infection of the bone behind the ear. Both conditions require immediate medical treatment with high-dose IV antibiotics and, in some cases, surgical intervention to prevent further complications.
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Other common ear pain and headache causes

Among the other most common causes of earache and headache, we can include the following issues.

Upper Spinal Disorders

Arthritis and other spine disorders near the skull base can lead to headaches and earaches. This pain often occurs due to nerve compression at the spine's exit points. Headaches from this cause typically affect the back of the head, while ear pain can affect one or both ears. Eye discomfort may also arise, along with difficulty moving the head or neck normally.

Arthritis symptoms commonly involve stiffness, swelling, and redness in the affected area. Treatment varies depending on the arthritis type, so it's important to consult your doctor if you suspect you have this condition. These are the primary causes of headache and earache symptoms. However, other less common conditions could also trigger these symptoms. If you experience persistent head and ear pain, consult a doctor, especially if the symptoms last for more than a few days.

Seek immediate medical attention if you experience any warning signs or symptoms alongside your headaches and earaches, including fever, severe headache, visual changes, sudden neck stiffness, confusion, dizziness, nausea, or vomiting.

TMJ disorders

Temporomandibular disorders (TMD) often coincide with headaches and earaches. Common signs include a feeling of fullness in the ear, ear pain, ringing in the ears, dizziness, and, occasionally, hearing loss and itching. The intricate network of nerves connecting the head and neck contributes to the widespread discomfort in these regions. Temporomandibular joint (TMJ) dysfunction occurs when there are issues with the TMJ joint, linking the lower jaw to the skull. While jaw injury can trigger TMJ dysfunction, the cause is frequently unknown.

The trigeminal nerve, which passes through the TMJ, plays a role in sensation and brain signalling. Consequently, TMJ pain can extend to the ear. Headaches may also accompany TMJ dysfunction.

Other symptoms of TMJ dysfunction include:

  • Jaw pain that may radiate to the face or neck
  • Painful clicking or popping when opening the jaw
  • Jaw locking or restricted movement
  • Changes in how the upper and lower teeth align

Additional ear-related symptoms like dizziness or ringing in the ears (check out our article about TMJ tinnitus).

Ear, head, throat pain and infections

The throat and ears are closely linked organs because of their physical proximity. Therefore, it's common for people to have a sore throat and earache at the same time or share similar symptoms. When a viral or bacterial infection affects the throat, it can cause inflammation at the back of the throat, which might extend to the ears. This happens because these structures are close together and share certain anatomical features. Symptoms typically associated with pharyngitis, or a sore throat, often include headaches, which may occur due to fever, another common symptom of this condition.

Tinnitus and ears ringing

There's growing evidence suggesting a strong link between tinnitus and headaches. Various studies indicate that individuals with headaches, especially migraines, are more susceptible to developing tinnitus, hearing loss, and sudden deafness. Additionally, head or neck trauma can also trigger cervical tinnitus. This condition presents as an unpleasant ringing sensation in the ears, which can persist for extended periods, causing significant discomfort.

Tinnitus involves experiencing ringing, buzzing, or roaring sounds in the ears, often linked to factors like exposure to loud noises, hearing loss, medications, or chronic health conditions.

Many tinnitus sufferers also experience headaches. Researchers believe there's a bidirectional relationship between headaches and tinnitus, meaning they mutually influence each other.

Depending on the underlying cause of tinnitus, individuals may also experience ear pain. Other ear-related symptoms associated with tinnitus include feelings of ear fullness, dizziness, and ear discharge.

Acoustic neuroma

An acoustic neuroma is a benign tumor that impacts the vestibular nerve in the inner ear. The cause of these tumors is often unknown.

As an acoustic neuroma grows, it may occasionally cause headaches and ear pain. Additional symptoms may include:

  • Hearing loss
  • Tinnitus
  • Dizziness or vertigo
  • Coordination issues known as ataxia
  • Numbness or weakness in the face
  • Blurry or double vision
  • Difficulty swallowing
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Headache and ear pain on one side

Headaches and ear pain on one side of the head are common issues that may stem from various causes such as colds, flu, exposure to loud noises, continuous motion, bright light, and even stress or anxiety. Often, these pains can specifically affect the left side, leading to an earache and headache concurrently on that side. If the pain also spreads to the side of the head, it can further complicate the discomfort. For mild cases, home remedies might provide relief. However, if the pain is severe or persistent, it's important to consult a healthcare professional for appropriate diagnosis and treatment. This ensures that any underlying issues are properly addressed and managed.

Earache and headache on the left side: causes

Headaches that are concentrated on the left side of the head can affect many individuals and have various causes such as migraines, trigeminal neuralgia, cluster headaches, infections, cervical spine issues, and fatigue. These headaches might also bring additional symptoms like nausea, visual disturbances, and earaches. Typically, these headaches last only a few hours and aren't usually a cause for significant concern.

However, if the headaches are persistent, it's important to consult a healthcare professional to explore the underlying reasons. Measures like avoiding alcohol, coffee, cold cuts, and cheese, increasing water intake, ensuring adequate rest, and reducing exposure to bright lights and screens can help ease the symptoms.

In some instances, similar to headaches on the right side, individuals may experience headaches on the left side accompanied by ear pain. Possible causes for this include ear infections, which can make the pain radiate towards the head, as well as migraines and tension headaches. The pain experienced can vary from sharp to mild, with changes in duration and intensity. Consulting a doctor or an ENT specialist is advisable to properly assess all symptoms and determine the root cause.

Earache and headache on the right side: causes

Headaches on the right side of the head can occur for various reasons, such as migraines, cervical spine issues, fatigue, or trigeminal neuralgia, and they often come with accompanying symptoms like earaches. Good practices such as getting enough sleep, engaging in regular exercise, and maintaining proper posture can help alleviate these headaches. Over-the-counter medications may also provide relief. These headaches generally resolve fairly quickly, but if they persist, it's important to consult a healthcare professional. In some instances, individuals may experience these right-sided headaches along with ear pain, which could be caused by an ear infection where the pain spreads to include the head, or by migraines or tension headaches. The pain might be sharp and persistent, fluctuating between intense peaks and less severe moments, or it could be a constant, milder ache.

To accurately determine the cause of a headache and earache on the right side, consulting with an otolaryngologist (ear, nose, and throat specialist) is advisable. They can help diagnose the issue and recommend the best treatment options.

Other ear ache and headache symptoms in adults and kids

Sometimes you can experience related symptoms in addition to earache and headache, like dizziness or sore ears. Our list below includes the most common related issues.

Ears aching, eardrum pain and headache

Symptoms of labyrinthitis include a feeling of pressure inside your ears, ringing or humming sounds (tinnitus), nausea, and mild headaches. This condition can cause mucus to leak into the middle ear—the area just behind the eardrum—leading to an ear infection. Such infections, often viral, can irritate the nerves in the face and head, resulting in headaches or even migraines. If you experience eardrum pain and headache along with these other symptoms, it could be indicative of labyrinthitis. Prompt treatment can help alleviate the discomfort and prevent further complications.

Earache and headache and neck pain

Headaches, tinnitus, and neck pain can arise from a variety of sources such as muscle tension, stress, poor posture, and neck injuries. Other potential causes include migraines, temporomandibular joint (TMJ) disorders, and cervical spine issues. Identifying the exact cause is crucial to developing an effective treatment plan. In some cases, symptoms like headaches, tinnitus, and neck pain may be exacerbated by electromagnetic fields (EMFs) from electronic devices and wireless technology. Individuals particularly sensitive to EMFs might experience an increase in symptoms due to the interference these fields can cause with the body's natural electromagnetic balance, leading to nervous system inflammation and irritation. It is also important to note that these symptoms can be aggravated by factors such as muscle tension and stress. To reduce symptoms associated with electromagnetic field hypersensitivity, it's advisable to decrease EMF exposure by limiting the use of electronic devices, preferring wired connections, and keeping mobile phones away when not in use. Implementing stress reduction techniques such as meditation, deep breathing, and regular exercise, alongside maintaining correct posture and consulting professional healthcare advice, can also help alleviate these symptoms. Moreover, psychological factors such as stress, anxiety, and depression can significantly affect symptoms like headache, tinnitus, and neck pain, often intensifying them. Stress can lead to tension in the neck and shoulder muscles, while anxiety and depression might increase pain sensitivity. Addressing these psychological issues through therapy, relaxation techniques, and effective stress management can bring noticeable improvements. It is essential to consult healthcare or mental health professionals to manage these symptoms comprehensively, given the brain's critical role in processing pain signals and the impact of emotional states on symptom severity.

Eye and jaw pain, earache and headache

If you're experiencing jaw pain, headaches, and earaches, particularly with pain on the left side of your head, including around the eye and ear, these symptoms could be linked to several dental and jaw issues. One common cause is temporomandibular joint disorder (TMJ or TMD), where the joint that connects your jaw to your skull becomes misaligned. This misalignment can lead to discomfort and pain across your face and neck, and even cause tinnitus, which manifests as a ringing in your ears. Another related condition is bruxism, where you might grind your teeth during sleep. This can lead to wear and tear on your teeth, noticeable by a dentist, and result in jaw pain or a clicking sound when moving your jaw. Bruxism not only stresses the temporomandibular joint but can also cause persistent headaches, earaches, and a sensation of fullness in the ears.

These symptoms, including jaw pain and discomfort when chewing, might be exacerbated after episodes of teeth grinding. If you notice any ringing in your ears when moving your jaw or chewing, it could indicate a TMJ disorder. It's important to address these issues early by consulting a healthcare professional, as proper diagnosis and management can help alleviate your discomfort and prevent further complications.

Blocked ears and headache with ear pain pressure

Ear conditions can affect one or both sides of the head. Ear infections, allergies like hayfever and earwax blockages are common ear conditions that can cause head pressure and ear pain.

Constant and pounding headache and ear pain

There are various reasons why you might experience a pounding headache and ear pain, including migraines, trigeminal neuralgia, cluster headaches, infections, cervical issues, and fatigue. These headaches can also present with additional symptoms such as nausea, visual disturbances, and earaches. Other possible causes include occipital neuralgia, mastoiditis, and TMJ (temporomandibular joint) pain. If you are experiencing ongoing or severe headaches, especially if they are located behind the ears or are accompanied by other symptoms like fever, it's important to seek medical advice. Infants showing signs of ear pain should also receive prompt medical attention. Regarding the sensation of constant pressure in your ear and head, while most causes, like tension headaches, migraines, sinus issues, and ear infections, aren't usually serious, it's important to be vigilant. In some cases, severe or abnormal pressure can be a sign of more critical conditions such as a brain tumour or aneurysm. If you experience such symptoms, consulting a healthcare professional for an accurate diagnosis and appropriate treatment is crucial.

Headache and ear pain: sore painful ears

Ear infections can cause significant discomfort due to congestion and pressure in the middle ear, leading to painful ears and headaches. These infections, known as otitis media, can be viral or bacterial in origin. They often inflame and block the eustachian tubes, which help normalize air pressure in the ears and facilitate fluid drainage. This blockage results in a buildup of mucus and fluid, causing sore ears and headache. Additional symptoms may include fever, fluid drainage from the ears, and hearing difficulties. It's important to seek medical attention if you experience any severe symptoms such as pain in an ear with or without fever, itching in the ear or ear canal, or a loss of hearing. These could be signs of a more serious condition requiring urgent care. Early treatment can help manage the pain and prevent further complications.

Headache, earache and toothache

A toothache can often lead to headaches and ear pain due to the interconnectedness of nerves in the face and head. If a tooth infection is left untreated, it can escalate into migraines, which are intense, one-sided headaches frequently accompanied by nausea. An abscessed tooth can cause moderate to severe discomfort, and this pain may spread to the ear or neck. Dental issues can trigger nerve pain pathways, leading to referred pain that might be felt in the ears or as a headache. In more severe cases, the infection could spread to surrounding areas, causing a toothache that is associated with pain in the ear and jaw. It's crucial to address these dental problems promptly to prevent the spread of infection and the worsening of symptoms. Read our article about toothache and earache to learn more.

Earache headache and sore throat

Infections such as the common cold, strep throat, mononucleosis, sinus infections, tooth infections, allergies, TMJ, and acid reflux can all contribute to pain around the ear and head, often resulting in a sore throat and earache. Typically, this discomfort affects both sides, but it can occasionally be more pronounced on one side. Symptoms like earaches, headaches, ringing in the ears, and sore throats are commonly associated with upper respiratory conditions, including sinus infections or viral sore throats (pharyngitis). These sinus infections might be chronic, persisting over a long period, or acute, developing suddenly. Headaches are also a frequent accompaniment to sore throats and sinus infections. If you are concerned about these symptoms, it's important to consult a healthcare professional for advice. This ensures that any underlying issues are properly diagnosed and treated, helping to alleviate earache, headache, and sore throat, along with any associated body aches.

Headache and pain around ears

Young woman expressing pain

Various factors such as joint inflammation, dental infections, or nerve-related issues could be causing pain around your ears, with headaches that may specifically occur behind the ears or even extend from ear to ear. While headaches located at the back of the head or behind the ear might not always indicate a serious illness, it's important not to disregard the pain. Common causes of headaches and pain around the ears include nerve injuries, infections, and problems with the jaw. These headaches might be felt on just one side and could be accompanied by earache and back of head pain. Although it's relatively rare for headaches to occur exclusively behind the ear, they can still occur and cause significant discomfort. Both medical and alternative treatments are available to help alleviate this type of pain. If you experience such symptoms, it's advisable to seek medical advice to pinpoint the exact cause and receive the appropriate treatment. This will help ensure that any underlying issues are properly addressed and managed.

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How to treat an earache and pain in head

If you're dealing with simultaneous earache and headache, identifying the root cause is crucial for effective treatment. Once you determine what's causing these symptoms, you can address the source directly and alleviate the discomfort. Meanwhile, there are several treatments and home remedies that can help manage these symptoms.

For headaches:

  • Consider massaging your head to alleviate tension, or visit a professional masseuse.
  • Apply warm or cool compresses to your forehead. Remember to limit the use of cool compresses to less than 10 minutes.
  • Stay hydrated throughout the day, as dehydration can trigger headaches.
  • Reduce your caffeine intake, which can exacerbate headache symptoms.
  • Take over-the-counter pain relievers such as aspirin, ibuprofen, or acetaminophen, following the package instructions.

For earaches:

  • Apply a cold or hot compress to the affected ear, ensuring that cold compresses are used for no more than 10 minutes.
  • Use ear drops, either over-the-counter or as prescribed by your doctor, according to the directions.
  • Take suitable over-the-counter pain medication, such as aspirin, ibuprofen, or acetaminophen, according to dosage recommendations.

These methods can provide temporary relief while you seek a more permanent solution to your earache and headache. In addition to them, you can also try to:

  • Taking over-the-counter painkillers such as ibuprofen or paracetamol can help reduce pain from conditions like otitis media.
  • Adjusting your sleeping position: using a pillow to raise your head while sleeping can lessen pressure on the head and ears, easing discomfort
  • Doing neck exercises: carrying out simple neck rotations can relieve pressure in the ear canal and decrease head pain.

Home and alternative remedies

When you have headaches and earaches, several home remedies can help ease the discomfort. These include resting, drinking lukewarm drinks to keep hydrated, and applying essential oils such as eucalyptus and peppermint to your temples. While these methods can reduce pain, it's important to remember that they are not a replacement for medical advice. Always consult a doctor if your symptoms persist or worsen.

When to see a doctor

If your symptoms continue or worsen despite resting or trying home remedies, it's crucial to seek advice from a healthcare professional. Seeing your GP or a specialist is important to prevent the condition from deteriorating. They have the expertise needed to address the underlying cause effectively and provide relief from headaches and earaches.
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What types of headaches cause ear pain on one or both sides?

One-sided ear pain can be caused by a variety of headaches, including:

Migraines

A migraine is a severe and painful type of headache that is often accompanied by throbbing pain, nausea, vomiting, and sensitivity to light and sound. When a migraine starts, some people might experience vision loss, tingling or numbness in parts of their body, and visual disturbances like flashes of light. These headaches can last for hours or even days and typically affect just one side of the head. Additionally, the pressure felt during a migraine might also lead to ear pain. People suffering from migraines often report a sensation of fullness in their ears, along with tinnitus (ringing in the ears) and increased sensitivity to sounds, which are effects of this pressure.

Sinus headaches

Sinus headaches, often confused with migraines, are primarily characterized by pressure around the eyes, cheeks, and forehead, similar to the discomfort experienced during a sinus infection. While both sinus headaches and migraines can involve throbbing pain and symptoms like nasal congestion, sinus headaches typically do not include migraine-associated sensitivity to light or nausea. The close relationship between the ears and sinuses means that sinusitis and sinus pressure can also lead to ear pain. This is because issues in the sinuses can affect nearby areas including the ears.

Cervicogenic headaches

Cervicogenic headaches are unique because they originate from neck pain linked to various causes. These can include neck injuries like fractures or pinched nerves, and conditions such as arthritis. However, they can also be triggered by simpler issues such as poor posture or uncomfortable furniture, which strains the neck and body. Typically, the pain from a cervicogenic headache is felt on just one side of the head and can extend to the forehead, temple, eyes, and ears. Light physical therapy or a massage can often effectively alleviate this pain. If you also experience ringing in the ears, you can check our article about cervical tinnitus.

Chronic headaches

"Chronic" describes headaches that consistently last longer than an hour and occur on 15 or more days each month for at least three months. These headaches may be migraines or tension headaches, both of which can cause ear pain. Another type is hemicrania continua, a disorder characterised by persistent pain on one side of the head. It's important to note that "chronic" refers to conditions that persist for a year or more. In contrast, "severe" head and ear pain indicates the intensity of the pain or discomfort experienced.

Cluster headaches

Cluster headaches are an intensely painful type of headache that occur in cycles. Each cycle of headaches can last from several weeks to months, appearing sporadically. A person may not have any headaches for months or even years, but when cluster headaches return, they can persist for an unpredictable duration. The pain is typically focused on one side of the head, particularly around the eye area, and can sometimes extend to the area around the ear, causing ear pain.

Tension headaches

Tension headaches are the most frequently occurring type of headache. They typically present as mild to moderate pain that feels dull and achy. This discomfort often includes a sense of tightness or pressure across the forehead, at the back of the head, and around the ears. Tension headaches can vary in duration; they might be episodic, lasting from 30 minutes up to a week, or they can be chronic.

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