Hi Aussie,

When I had this ear pain happen; it was coming from my neck; occipital neuralgia. Just a thought because I went through a lot of testing. But my PM explained that the nerves are so tight or congested in the neck (and of course every nerve runs through your neck), that there is "crosstalk". And something about the nerves talking to the auditory nerves. Anyway, once I had injections done and eventually a fusion; the pain in my ears stopped.

And to be honest, I could even see where TMJ could cause this too.

But, if nothing else, yes I would check with an ENT.

Anyway, I could never figure out what it was either and it was very, very painful. But, nope, no infections, no sinus problems, hearing tests were fine, etc., just the nerves causing it.