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Q. Can migraine cause sharp pain in ears?

Answered by
Dr. Ajay Panwar
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Jan 22, 2020 and last reviewed on: Jan 23, 2020

Hello doctor,

I have a migraine. I have readjusted my eyeglasses prescription for headaches. I feel sharp pains in my right and now started to feel like it is in my left ear as well. Please help.

Dr. Ajay Panwar

Internal Medicine Neurology


Welcome to

If you would have presented to me as an outpatient, I would have told you that your medical history is grossly inadequate to make any clinical impression. Migraine is unlikely to cause sharp ear pains. It may be related to inner ear pressure abnormalities, eustachian tube abnormalities or TMJ (temporomandibular joint inflammation). Stress caused by wearing improper eye glasses can cause stress headache which can cause precipitation of even migraine episodes.

Meanwhile please start taking tablet Tryptomer (Amitriptyline) 10 mg once a day at bedtime. Along with that start mental relaxation exercises, Pranayama, and yoga. These things will likely help you. Please have an ENT opinion also.

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Thank you doctor,

I have a sharp pain in both of my ears along with a migraine. Is this the oncoming signs of an ear infection? I have a history of bothersome ears although I have never had tubes placed in my ears.

Dr. Ajay Panwar

Internal Medicine Neurology


Welcome back to

As I already said, that sharp pains in ears can be caused by inner ear pressure abnormalities, eustachian tube abnormalities or TMJ (temporomandibular joint inflammation). The symptoms being bilateral, ear infection is an unlikely cause. However, ENT specialist's consultation should be taken to rule out all these etiologies.

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