You have an interesting dignostic dilemma here. It is pretty safe to say that you head pain has nothing to do with your ears or Eustachion tubes. (The acoustic nerve does not go to the back of your head). It *could* be an occipital neuralgia, (although I doubt it); if so, injecting a local anaesthetic into the nerve as it comes up the back of your head should relieve the pain promptly. (If it does, I would suggest injecting a mixture of steroid and local, as a more permanaent fix). The hyperacusis strongly suggests a migraine equivalent. My suggestion is a referral to a neurologist, preferably one specialising in head pain. You need a lot more thorough workup than you have had to date. (I am a retired Emergency Doc., (and a pretty good diagnostician...))
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You have an interesting dignostic dilemma here. It is pretty safe to say that you head pain has nothing to do with your ears or Eustachion tubes. (The acoustic nerve does not go to the back of your head). It *could* be an occipital neuralgia, (although I doubt it); if so, injecting a local anaesthetic into the nerve as it comes up the back of your head should relieve the pain promptly. (If it does, I would suggest injecting a mixture of steroid and local, as a more permanaent fix). The hyperacusis strongly suggests a migraine equivalent. My suggestion is a referral to a neurologist, preferably one specialising in head pain. You need a lot more thorough workup than you have had to date. (I am a retired Emergency Doc., (and a pretty good diagnostician...))
March 12, 2011 - 8:09amThis Comment
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