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02 Apr 2007

Temporal Lobe Headaches
Hi, have been experiencing bad headaches, just in the front where the temporal lobes, more on the left side, headaches get so severe, during the night i feel this pressure in both ears, as if my ears are going to explode. No ear infection. The vein on the side of my neck in the front also throbs. Have been have a lot of tingling, diagnosed with carpal tunnel in both hands.

Had a lumbar puncture done last year (suspected meningitis) All the CSF results showed was high protein content which the neurologist couldn't explain.

What can i do , these headaches are almost every day and gets me down.
Answer 389 views
Headache expert
headache expert

01 Jan 0001

Dear Kay,

One of the most common causes of earache is referred pain from the masseter muscle – that is the muscle between your top and bottom jaws that you use for chewing. When this muscle is abnormally tense it can refer pain to the ear.

Another common cause of the pain in headaches and migraines one or more of the veins become painful, as you have described. But there may also be other factors contributing to the problem, so you have to have a proper diagnosis, which is not a simple thing. Anyone suffering from a headache like yours must have a proper medical assessment, which should include a neurological examination. The reason for this is to make absolutely certain that there is not some serious or life threatening underlying medical condition causing the headaches. Although this is uncommon, it is essential to exclude this possibility before doing anything else.

Once this has been done, then the next part of the investigation is started. The correct way to deal with the problem is to have a proper diagnosis of the underlying causes of the headache. If these are treated, the headaches no longer occur, and it is no longer necessary to rely on potentially harmful “rescue” medication.

To get to the root of the problem, you need what is called a “multidisciplinary” assessment. There are many different structures in the head and neck, all of which can be involved in the headache process, and no single specialist can have all the knowledge necessary to make a comprehensive assessment and diagnosis. For this reason, the combined the expertise of different specialists who would normally treat headache patients in isolation, are co-ordinated into a single more comprehensive body of knowledge. This enables a more comprehensive treatment plan, in which all the contributing factors are addressed. This assessment must include examination to determine the presence of tension in the head and neck muscles.

Headache sufferers often have a poor Quality of Life due to the constant pain and associated symptoms. For a free assessment of how your headaches are affecting your Quality of Life, click on

This information has been supplied and checked by the multidisciplinary team of specialists at The Headache Clinic, in association with The International Headache Society and the South African Institute of Headache and Migraine Science. For consultation with these specialists, call The Headache Clinic on 0861 678 911 (Johannesburg, Cape Town, Durban).
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical examination, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.
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