neurological desies

im 51 years old.i have a pain in my right ear site for 14years,and i get treatments for many years,doctors said there is a narve in my right year site had injured,through that narve,blood circumtance increased some of times thats why i get that pain,still i get the pain,whats the way to cure the problem.pls help me.

[Christopher R Newey, DO]

Thanks for using the forum. I am happy to address your questions, and my answer will be based on the information you provided here. Please make sure you recognize that this forum is for educational purposes only, and it does not substitute for a formal office visit with a doctor.

Without the ability to examine and obtain a history, I can not tell you what the exact cause of the symptoms is. However I will try to provide you with some useful information.

I am not sure if this is what you have or not, but glossopharyngeal neuralgia has a similar pain sensation as another more common condition called trigeminal neuralgia. This type of neuralgia is rare and is usually one sided. The pain can be felt in the ear, and even the throat, tongue, and tonsillar region. The pain can be triggered by various activities such as laughing, chewing, coughing, speaking, etc.

The treatment is similar to that of trigeminal neuralgia. Medicines such as carbamazepine and phenytoin have had some success. Surgical decompression of the nerve is an option if the pain continues despite optimal medical treatment.

Have you been seen by an ENT? I would highly recommend this if you haven’t. If you have, you may wish to be seen by a neurologist who specializes in headache.

Thank you for this opportunity to answer your questions, I hope you find the information I have provided useful, good luck.