Pain Behind Left Jaw Under Ear

Pain under the ear and behind the jaw bone on the left side can have several causes, ranging from mild muscle strain to more complex joint or nerve issues. The most common reasons include temporomandibular joint (TMJ) disorders, muscle tension, dental problems, ear infections, and sinus issues. Each cause affects the area differently, and understanding the source is key to finding the right treatment.

Everyday habits, such as poor posture, teeth grinding, or sleeping in an awkward position, can lead to this type of pain. Conditions like arthritis in the jaw joint, trigeminal neuralgia, or inflammation from an infection can also be linked to discomfort in this area. The location of the discomfort often provides clues about what is happening beneath the surface.

Definition of Symptom

Pain under the ear and behind the jaw bone on the left side is a type of discomfort that may involve the jaw joint, ear structures, or nearby tissues. It can feel like a dull ache, sharp sting, or pressure in a small area. Sometimes, the pain spreads to the neck, cheek, or side of the head.

This symptom often appears with other sensations, such as earache, facial pain, or joint pain when moving the jaw. It may occur on its own or alongside swelling, tenderness, or stiffness. Common characteristics include:

  • One-sided location (left side in this case).
  • Pain that worsens with chewing or talking.
  • Discomfort near the ear opening or jaw hinge.
  • Possible radiation toward the temple or throat.

The area affected lies close to the temporomandibular joint (TMJ), salivary glands, and ear canal. Because these structures are close together, irritation in one can cause pain in another.

This symptom can fall under jaw pain or ear pain, depending on the source. Pain in this region may also be linked to dental or sinus issues, which can mimic ear or joint discomfort. A brief table can help outline the related pain types:

Pain TypeLocation FocusPossible Sensation
Jaw painJaw hinge, lower faceAching, clicking, stiffness
Ear painOuter or inner earThrobbing, pressure, sharp
Facial painSide of faceDull, tender, radiating
Joint painTMJ areaStiff, sore, aggravated by movement

Possible Causes/Disease Conditions

Different structures in the head, neck, and jaw can cause pain under the ear and behind the jaw bone on the left side. The source may be the joint, teeth, ear, nerves, or nearby tissues.

  • Temporomandibular joint (TMJ) disorders often cause this pain. The joint that connects the jaw to the skull can become painful due to jaw clenching, teeth grinding, or joint inflammation. Clicking, stiffness, or pain when chewing may also appear.
  • Arthritis can affect the TMJ, leading to gradual joint damage and discomfort on one or both sides.
  • Dental problems can also trigger pain in this area, including:
    • Cavities and tooth decay
    • Gum disease
    • Dental abscess from infection

These issues can cause pain that radiates toward the ear and jaw.

  • Ear infections like swimmer’s ear or middle ear infections may cause sharp or throbbing pain near the jaw.
  • Sinus infections can create pressure and discomfort under the ear, especially if the maxillary or ethmoid sinuses are involved.
  • Trigeminal neuralgia is a nerve condition that can produce sudden, severe facial pain, which may extend to the jaw and ear area.
Possible CauseRelated Symptoms
TMJ disorderJaw clicking, stiffness, pain when chewing
ArthritisGradual joint pain, reduced movement
Dental abscessSwelling, tooth sensitivity, fever
Otitis externaEar tenderness, discharge
Sinus infectionNasal congestion, facial pressure
Trigeminal neuralgiaSudden, sharp facial pain

Other Non-Disease Causes

Pain under the ear and behind the jaw on the left side can happen even without an underlying disease. Everyday habits, environmental factors, and emotional health can all play a role.

  • Stress and anxiety can cause muscle tension in the jaw and neck. This tension may create mild to moderate discomfort in the area.
  • Poor oral health or inconsistent oral hygiene can lead to gum irritation or tooth sensitivity. Even without infection, these issues can cause pain that radiates toward the ear and jaw.
  • Allergies and nasal congestion can create pressure in the sinuses. This pressure may extend to the jaw and ear region. People with seasonal allergies often report similar discomfort during flare-ups.
  • Colds and mild sinus issues can temporarily affect nearby nerves and tissues, causing a dull ache that improves as the congestion clears.
  • Headaches and migraines sometimes include facial or jaw pain. Migraines may also bring nausea or sensitivity to light and sound, making the discomfort feel more intense.

Below is a quick reference table for common non-disease triggers:

TriggerPossible Effect on Jaw/Ear Area
Stress/AnxietyMuscle tension, jaw soreness
Poor Oral HygieneGum irritation, referred pain
AllergiesSinus pressure, ear discomfort
Cold/Sinus CongestionDull ache, temporary swelling
Migraine/HeadacheRadiating facial or jaw pain

How It Causes the Symptom

Nearby structures sharing nerves or tissues often lead to pain under the ear and behind the jaw bone. Inflammation, infection, or strain in one area can send pain signals to another.

  • Temporomandibular joint (TMJ) disorders can cause this pain when the joint or surrounding muscles become irritated. Jaw movement, especially when chewing or talking, may worsen discomfort.
  • Dental problems such as tooth decay, gum disease, or abscesses can spread pain toward the ear and jaw. Nerve pathways in the face allow pain to radiate between these areas.
  • Ear or sinus infections may create pressure that extends to the jaw. Swelling in the middle or inner ear can press on tissues near the joint.
  • Parotid gland swelling from infection or blockage can produce tenderness under the ear. This gland sits between the jaw and ear, so inflammation here can feel like jaw pain.
Possible CauseHow It Triggers Pain
TMJ disorderStrain on joint and muscles
Dental issuesNerve irritation from decay or infection
Ear infectionPressure on nearby tissues
Sinus infectionCongestion affecting jaw nerves
Parotid swellingInflammation near jaw joint

Possible Complications

If pain under the ear and behind the jaw is not treated, more serious problems can develop. Infections may spread to nearby tissues, including the middle ear, jawbone, or salivary glands.

Untreated ear infections can cause hearing loss if the ear structures become damaged. This may be temporary or, in some cases, permanent. Severe bacterial infections can lead to swelling and redness extending to the neck or face, making it harder to open the mouth or chew.

Untreated dental infections in this area may lead to abscesses, which sometimes need drainage or antibiotics. In rare cases, an infection of the bone behind the ear can develop and needs urgent care to prevent further spread. Possible complications may include:

ComplicationPossible CauseRisk Level*
Hearing lossEar infectionModerate to high
AbscessDental infectionModerate
MastoiditisUntreated ear infectionHigh
Facial swellingSalivary gland or jaw infectionModerate

*Risk level depends on how quickly treatment is started.

Nerve-related conditions, such as trigeminal neuralgia, can worsen over time if not addressed, leading to more frequent or intense pain episodes. Some conditions, like parotid gland infections, can cause long-term gland damage if infections recur.

When to Seek Medical Attention

Pain under the ear and behind the jaw bone on the left side is often mild and temporary. However, certain signs mean it is best to see a healthcare provider promptly. Seek medical care if pain:

  • Lasts for several days without improvement.
  • Becomes more severe over time.
  • Makes it hard to eat, speak, or sleep.

Other warning signs include:

SymptomPossible Concern
Fever or chillsInfection
Swelling near jaw or earAbscess, inflammation
Difficulty opening mouthTMJ disorder, infection
Hearing changes or ringingEar condition
Numbness or tingling in faceNerve involvement

If you experience pain after an injury to the face or jaw, see a healthcare provider immediately to check for fractures or joint damage. Pain with redness, warmth, or pus near the ear or jaw may mean you have an infection that needs treatment. You should also get help if the pain comes with dizziness, facial weakness, or sudden hearing loss, as these can point to more serious conditions.