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I have been experiencing this same type of pain for the last year or so.My pain is in my left ear and usually wakes me up in the middle of the night. Although lately it has happened when I am awake. I have had blood work done (which was all normal) a head and sinus CT ( both normal). 2 hearing test (both normal) and today I went for a CT of the temporal bones. I will find out the results on Thursday.My ENT thinks that it is some kind of migraine. Which I do not think it is, but when If the CT from yesterday is normal I will be going to a neurologist. I don't drink so I know that is not related to the problem, however your description of being stab with an ice pick is exactly the way that mine feels.