7 Causes of Right Neck and Ear Pain: Mild-to-Severe

Home » 7 Causes of Right Neck and Ear Pain: Mild-to-Severe

Experiencing right neck and ear pain and wondering, is there a connection? From inner-ear infections to more concerning spine conditions, let’s explore the structures and conditions you need to know.

In this guide we’ll discuss the common reasons we see every day for right neck and ear pain!

Muscle Strain

Muscle damage from excessive contraction is called a strain, and this can cause right neck pain that radiates to the ear. Stress, poor posture, and muscle weakness are common underlying issues that lead to muscle strain.

4 commonly strained neck muscles are:

  • Levator scapulae: This muscle runs from the upper cervical vertebrae to the shoulder blade and is responsible for lifting the scapula and tilting the neck to the side.
  • Sternocleidomastoid (SCM): This muscle extends from the sternum and clavicle to the mastoid process behind the ear, playing a role in turning the head and flexing the neck.
  • Trapezius: A large, triangular muscle that extends from the base of the skull, down the back of the neck, and across the shoulders, the trapezius helps move and stabilize the shoulder blades and neck.
  • Splenius capitis: This muscle is located at the back of the neck and runs from the cervical and upper thoracic vertebrae to the base of the skull, contributing to head and neck rotation and extension.
four neck muscles involved in right neck and ear pain: scm, trapezius, splenius capitis, levator scapulae

Your neck region includes many important structures: the cervical spine vertebrae, brachial plexus of nerves, blood vessels, and first rib.

With too much exertion or simply an awkward twist or lifting motion, you can strain any one of your neck muscles and experience head, ear and face pain. On the opposite side, this can manifest as neck and shoulder pain which I have covered in a separate article.

If the swelling is large enough to press on your right-side nerve bundle to the hand (brachial plexus) you can even experience tingling in the fingers.

When chronic, this is known as Thoracic Outlet Syndrome, which is common in bodybuilders, hairdressers, asthmatics, and people with poor neck and shoulder posture.

[essential read: Is it a muscle spasm or pinched nerve?]

Otitis Media (Middle Ear Infection)

Otitis media, a middle ear infection, is a common cause of ear pain. It occurs when the eustachian tube gets blocked, causing fluid buildup and inflammation in the middle ear.

Symptoms can include severe pain, sore throat, and headache pain. Your doc may diagnose otitis media through a physical examination, review of your medical history, and inspection of the inner ear. Treatment often involves pain relievers, and in some cases, antibiotics.

It’s important to address middle ear infections promptly to prevent complications like mastoiditis, which affects the mastoid bone behind the ear. It’s worth taking a look at this for clarity.

Anatomy Stop:

What is the Mastoid?

The mastoid is a small, spongy bone located behind your ear. It’s part of the temporal bone and serves as an attachment for several muscles that control movement in the head and neck.

The mastoid houses two important structures: the inner-ear labyrinth and facial nerve canal.

mastoid bone location on skull

This interesting little bump plays a role in hearing, balance, facial expression, and even our ability to turn our heads from side to side – because the SCM muscle (sternocleidomastoid) attaches to it.

Tenderness here can be caused by a variety of issues including infection, injury, a pinched nerve, or referred pain from your neck.

Swimmer’s Ear (External Ear Infection)

Swimmer’s ear, or an external ear infection, results from bacteria or fungi infecting the ear canal. This condition often occurs when water remains trapped in the ear after swimming, creating a moist environment for infections to develop.

Symptoms can include persistent pain, itching, and discharge from the ear. A healthcare provider will typically diagnose swimmer’s ear through a physical examination and may inspect the external ear and the back of the throat.

Treatment options can include pain relievers, antibiotic or antifungal ear drops, and obviously, keeping the ear dry during the healing process!

Temporomandibular Joint (TMJ) Disorder

Temporomandibular joint disorder, or TMJ disorder, affects the jaw joint and surrounding muscles that control jaw movement.

This condition can result from dental problems, infections, a stressful lifestyle, or chronic pain in the jaw area for other reasons.

Symptoms may include pain in the jaw joint, neck, and ear, as well as headaches.

A healthcare provider may diagnose TMJ disorder through a physical examination, review of your medical history, and potentially, imaging studies like X-ray, or magnetic resonance imaging (MRI) in severe cases of TMD.

Treatment options can include:

  • Chiropractic care and physical therapy to stretch the internal jaw muscles and correct biomechanics
  • Pain relief medication including NSAIDs, potentially muscle relaxants
  • Mouthguard night splint to address jaw grinding/clenching
  • Botox jaw muscle injections to reduce pressure on your TMJ
  • Massage, relaxation techniques

Occipital Neuralgia

Occipital neuralgia involves irritation or injury to the occipital nerves that run from the spinal cord to the scalp. This condition can cause sharp pain in the back of the head, neck, and ear.

Blood vessels and salivary glands in the neck area may also contribute to the pain. A healthcare provider may diagnose occipital neuralgia through a neurological exam and potentially additional imaging tests.

Treatment options can include chiropractic correction of the upper cervical vertebrae, pain relievers, nerve blocks, and in some cases, physical therapy to reduce muscle tension and improve neck mobility.

Cervical Spine Problems

Cervical spine problems, such as a right-sided herniated disc, arthritis, or neck injury, can cause neck pain that radiates to your right ear.

  • Cervical disc injury: This condition occurs when the cushioning discs between your neck vertebrae are damaged, often causing neck pain, stiffness, and numbness or tingling in your arms or hands.
  • Neck arthritis: As the protective cartilage in your neck joints wears down over time, you may experience neck pain, stiffness, and limited mobility, commonly known as neck arthritis.
  • Neck facet joint injury: Injuries to the small joints between your neck vertebrae, called facet joints, can lead to localized neck pain, tenderness, and reduced range of motion.


Lymphadenopathy means enlargement or swelling of your lymph nodes, which are small, bean-shaped organs that play a crucial role in the immune system. 

Lymph nodes act as filters for lymphatic fluid, trapping and destroying harmful substances like bacteria, viruses, and cancer cells. They are located throughout the body, including the neck, armpits, and groin, and are connected by a network of lymphatic vessels.

The swelling of lymph nodes can be caused by a variety of factors, such as infections, autoimmune disorders, and cancer. Infections are the most common cause of lymphadenopathy, with bacterial, viral, or fungal agents triggering the body’s immune response, leading to enlarged lymph nodes. 

Autoimmune disorders, where the immune system mistakenly attacks the body’s own cells, can also cause lymphadenopathy.

 In some cases, swollen lymph nodes may be a sign of cancer, either originating in the lymph nodes themselves (lymphoma) or spreading from another part of the body (metastasis).

How Different Structures Contribute to Right Neck and Ear Pain

Lymph Nodes

Lymph nodes are small, bean-shaped structures that play a crucial role in your body’s immune system. They help filter harmful substances and produce immune cells to fight infections.

When you have an infection or inflammation, nearby lymph nodes can become swollen and tender, causing discomfort. In the case of right neck and ear pain, swollen lymph nodes in the neck region can contribute to the overall discomfort you feel.

Ear Canal

The ear canal is a narrow, tubular passage that leads from the outer ear to the eardrum. It helps funnel sound waves to the inner ear, where they are processed and sent to the brain.

Infections or blockages in the ear canal, like swimmer’s ear, can cause inflammation and pain. Additionally, a buildup of earwax or foreign objects can irritate the ear canal, leading to discomfort in the ear and surrounding areas.

Blood Vessels

Blood vessels in the neck supply oxygen and nutrients to the tissues in the head and neck. Issues with these blood vessels, such as inflammation or compression, can lead to pain in the neck and ear regions.

For example, certain types of headaches, like migraines or cluster headaches, involve blood vessel changes that can cause pain around the head, neck, and ears.

Neck Muscles

The neck muscles provide support for the head and play a role in head movement. Muscle strain, tension, or weakness in the neck can contribute to neck and ear pain.

Poor posture, stress, or injury can cause neck muscle imbalances and lead to discomfort.

Additionally, muscle tension around the cervical spine can compress nerves, causing pain that radiates to the ear.

Salivary Glands

Salivary glands are responsible for producing saliva, which helps moisten your mouth and aids in digestion. There are several salivary glands located around the mouth and neck, and problems with these glands, such as infection or blockage, can cause pain in the neck and ear regions.

In some cases, a salivary gland stone or infection can lead to swelling and tenderness in the neck, causing discomfort that radiates to the ear.

Occipital Nerves

Occipital nerves are responsible for transmitting sensory information from the back of the head and neck to the brain. Irritation, inflammation, or injury to these nerves can cause a condition called occipital neuralgia, which leads to sharp pain in the back of the head, neck, and ear.

In some cases, tight neck muscles or other underlying issues can compress or irritate the occipital nerves, causing discomfort.

Eustachian Tube

The Eustachian tube is a small canal that connects the middle ear to the back of the throat. It plays a vital role in regulating air pressure in the middle ear and draining fluids.

When the Eustachian tube becomes blocked or isn’t functioning properly, it can lead to a buildup of fluid and pressure in the middle ear, causing pain and discomfort.

Conditions like otitis media (middle ear infection) or allergies can affect the Eustachian tube function, contributing to neck and ear pain.

How Do I Get Rid Of Earache And Neck Pain?

Identify the cause: Consult with a healthcare provider to determine the underlying cause of the earache and neck pain, as the appropriate treatment will depend on the diagnosis.

Chiropractic care: Seeking help from a chiropractor may alleviate neck pain and earaches, if caused by misalignments or pinched nerves.

Physical therapy: For neck pain related to muscle imbalances or poor posture, a physical therapist can design a customized treatment plan to improve strength, flexibility, and posture.

Of course, if you feel unwell, or your ear and neck pain is likely from an infection or trauma, head to your medical Doctor immediately.

FAQ – Right Ear and Neck Pain

Can right neck and ear pain be a sign of a serious medical condition?

While neck and ear pain can be caused by common issues like muscle tension or ear infections, it can also be a sign of more serious medical conditions. Take a trip to your healthcare provider to determine the cause of the pain and receive appropriate treatment.

When should I see a doctor for right neck and ear pain?

You should see a healthcare provider if your neck and ear pain persists for more than a few days, is severe, or is accompanied by other concerning symptoms like fever, loss of balance, or difficulty swallowing.

How long does it take for right neck and ear pain to resolve?

Right neck and ear pain resolves within a few days for non-serious issues like muscle strain or ligament sprain. In more serious cases such as infection, the pain will resolve as the root cause is either addressed medically, or goes away naturally over 1 week up to several weeks.

Home » 7 Causes of Right Neck and Ear Pain: Mild-to-Severe

Author Bio

Dr Jason Whealing headshot

Dr. Jason Whealing is a Chiropractor with extensive experience across the UK and Australia. He is passionate about family care and injury management. The cases Jason works with daily include back pain, neck pain, jaw pain, sciatica, knee pain, shoulder pain, headaches and migraine.

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