What Causes Sore Neck and Ear Pain on One Side?

sore neck and ear pain on one side
Medically reviewed by Dr. Devindra Bhatt

Overview

Sore neck and ear pain on one side can be caused by various conditions, ranging from infections and muscle tension to more serious issues like cervical radiculopathy or temporomandibular joint (TMJ) dysfunction. Common culprits include ear infections, tight neck muscles, or sinusitis, all of which may cause pain that radiates to the ear. Sometimes, referred pain from the jaw, throat, or even head can contribute to this discomfort. If you experience persistent neck and ear pain, you must consult a healthcare provider for a proper diagnosis and targeted treatment in order to avoid any complications.

What causes sore neck and ear pain on one side?

Sore neck and ear pain on one side can stem from various underlying conditions, ranging from muscle strain to infections. Below are the primary causes of such pain, complications if left untreated, and the treatment options available for each.

1. Sternocleidomastoid muscle strain

The sternocleidomastoid is a large superficial muscle that runs from behind the jaw and ear down to the collarbone. It plays a vital role in head movement. However, poor posture, sudden movements, or trauma can cause irritation or injury to this muscle, causing pain that radiates to the ear and neck.

Complications

If untreated, sternocleidomastoid pain can lead to chronic discomfort, headaches, dizziness, and pain radiating to areas like the ear or eye. Chronic pain can also limit neck mobility, affecting daily activities.

Treatment options

  • Lifestyle changes: Improving posture, adjusting ergonomics at work, and avoiding heavy lifting in awkward positions can prevent aggravation.
  • Pain management: Ice, heat, and nonsteroidal anti-inflammatory drugs (NSAIDs) can relieve inflammation. Gentle stretching under the guidance of a doctor or physical therapist can also help.
  • Physical therapy: Targeted exercises can restore neck strength and flexibility.
  • Chiropractic care: Adjustments may help realign the neck and reduce muscle tension.

“Neck and ear pain on one side can often result from infections, musculoskeletal issues, or nerve irritation. It’s important to monitor associated symptoms and consult a healthcare provider if the pain persists, as early diagnosis is key to effective treatment.” – Dr. Ola Tarabzuni at Your Doctors Online

2. Meningitis

Meningitis is the inflammation of the membranes surrounding the brain and spinal cord. Neck stiffness, ear pain, and headache on one side, along with fever, are classic symptoms of bacterial meningitis. Neck stiffness is present in 70% of adults with bacterial meningitis. This condition requires immediate medical attention as it can be life-threatening.

Complications

Untreated meningitis can lead to serious consequences, including brain damage, seizures, or even death.

Treatment options

  • Prescription medications: Antibiotics or antivirals are prescribed based on the cause of the infection.
  • Hospital care: In severe cases, hospitalization may be necessary for close monitoring and supportive care.
Experiencing neck and ear pain on one side?
It could be a muscle strain or something serious—don’t ignore the signs!

3. Temporomandibular joint disorder (TMD)

TMD occurs when the jaw’s temporomandibular joint is dislocated or injured, causing pain that radiates to the ear and neck. Misalignment of the jaw, teeth grinding, or injury can lead to TMD.

Complications

If left untreated, TMD can cause chronic pain, difficulty chewing, headaches, and a locked jaw.

Treatment options

  • Pain management: Doctors prescribed NSAIDs, muscle relaxants, and jaw exercises can help ease pain.
  • Physical therapy: Strengthening jaw muscles and improving alignment can prevent further strain.
  • Chiropractic care: Jaw realignment and soft tissue therapy can reduce pressure on the temporomandibular joint.

4. Degenerative disc disease

As we age, the discs between our vertebrae may deteriorate, leading to degenerative disc disease. This condition can cause neck pain that radiates to the ear due to pressure on the nearby nerves.

Complications

If not addressed, degenerative disc disease can lead to herniated discs, chronic pain, and limited neck mobility.

Treatment options

  • Pain management: Rest, anti-inflammatory medications, and muscle relaxants can help.
  • Physical therapy: Strengthening exercises can improve neck function.
  • Surgery: In severe cases, surgery may be necessary to repair or remove damaged discs.

5. Ear infections

Ear infections, whether affecting the middle or external ear, are a common cause of ear pain that can also affect the neck. Infections can arise from colds, sinus issues, or earwax build-up.

Complications

Untreated ear infections can spread, causing hearing loss, dizziness, or chronic pain.

Treatment options

  • Antibiotics: If the infection is bacterial, antibiotics may be necessary.
  • Over-the-counter medications: Pain relievers and decongestants can help reduce pressure and pain.
  • Home remedies: Applying warm compresses to the ear and neck can soothe discomfort.
Feeling pressure or burning pain in your neck and ear?
Muscle tension might be the cause. Get relief now.

6. Muscle spasms

Muscle spasms in the neck, especially after overuse or strain, can lead to sharp pain that extends to the ear. These spasms often result from dehydration, prolonged muscle use, or sudden movements.

Complications

Without treatment, recurring muscle spasms can limit neck mobility and lead to chronic tension headaches.

Treatment options

  • Stretching: Gentle neck stretches can alleviate tension.
  • Heat and ice therapy: Alternating heat and ice may reduce pain and relax muscles.
  • Hydration: Ensuring proper hydration and electrolyte balance can prevent future spasms.

7. Osteoarthritis

Osteoarthritis is a degenerative joint disease that causes cartilage to break down in the neck joints. This causes stiffness, neck pain, and pain that can be referred to the ear.

Complications

If left untreated, osteoarthritis can cause chronic pain, limited movement, and permanent joint damage.

Treatment options

  • Pain Relief: Your doctor may prescribe NSAIDs and corticosteroids to reduce inflammation.
  • Physical therapy: Strengthening exercises to support joint mobility.
  • Heat and cold therapy: To reduce pain and swelling.

8. Myofascial pain syndrome

Myofascial pain syndrome occurs when trigger points in the muscles cause pain in other areas, such as the neck and ear. It often develops due to injury or chronic poor posture.

Complications 

Myofascial pain syndrome can cause widespread muscle pain and tension causing problems in everyday mobility. 

Treatment options

  • Trigger point therapy: Massaging trigger points to relieve pain.
  • Physical therapy: Postural correction and strengthening exercises.
  • Pain management: Heat, ice, and NSAIDs can alleviate discomfort.

Proper diagnosis is key to receiving appropriate treatment, preventing complications, and ensuring lasting relief. If you experience persistent pain, consult a healthcare professional for a personalized treatment plan.

If neck and ear pain persists, it may need more than just rest.
Be cautious with self-medication; it can cause serious side effects.

When should I consult a doctor?

If you experience ear pain along with more severe symptoms, it’s crucial to seek medical attention without delay. Some red flags that require immediate consultation include:

  • Stiff neck: A stiff neck and ear pain could signal a more serious condition, such as meningitis.
  • Severe drowsiness: Excessive fatigue or difficulty staying awake might indicate a serious infection or neurological issue.
  • Vomiting or high fever: These symptoms, combined with neck and ear pain, could suggest a severe infection, such as meningitis or a viral illness.

Additionally, sternocleidomastoid injuries often go unnoticed because the pain may spread to other areas of the head, face, or even the ears. This can lead individuals to mistakenly believe they are suffering from other conditions like:

  • An ear infection
  • A migraine episode
  • Eye-related issues

If you’re experiencing unexplained or persistent symptoms, consulting a doctor is essential for an accurate diagnosis. Timely medical attention can help treat the root cause of your symptoms and prevent the condition from worsening.

FAQs about sore neck and ear pain on one side

What kind of neck pain radiates to the ear?

Neck pain caused by the sternocleidomastoid muscle often radiates to other areas, including the ear, eyes, and sinuses. This is due to trigger points in the muscle that can cause referred pain to these regions.

Why does my ear feel clogged and my neck hurt?

A combination of earache and neck pain could be due to several conditions, such as spinal or aseptic meningitis, temporomandibular joint dysfunction (TMD), ear infections, neck muscle tightness, cervical radiculopathy (pinched nerve), or eustachian tube dysfunction. Less common causes include cholesteatoma or earwax blockage.

How long should a sore throat and earache last?

The duration depends on the underlying cause. Viral infections like the flu may last up to two weeks, but most sore throats typically resolve within one week. Ear pain can persist for 2–3 days, but this may vary depending on the cause.

Your Doctors Online uses high-quality and trustworthy sources to ensure content accuracy and reliability. We rely on peer-reviewed studies, academic research institutions and medical associations to provide up-to-date and evidence-based information to the users.

Get started today

Talk to online doctors now and get medical advice, online prescriptions, and referrals within minutes. On-demand healthcare services at your fingertips.

talk to online doctor 24/7 free