A Clear Guide to Ear Pain (Otalgia)
Expert Audiovestibular Care for Ear Pain (Otalgia)
Ear pain is a common experience and often comes from infections, pressure changes, or jaw and muscle strain rather than serious disease. Most episodes settle quickly with simple care. Seek urgent audiovestibular assessment if pain is severe, sudden, worsening, associated with hearing loss, dizziness, facial weakness, discharge, fever, or follows a head injury.
Comprehensive Care for Hearing, Vertigo & Balance
Comprehensive Care for Hearing, Vertigo & Balance
When the Ear Hurts
An Overview of Ear Pain (Otalgia)
Ear pain, medically known as otalgia, is discomfort felt in or around the ear. It can feel sharp, aching, burning, or pressure-like, and may affect one or both ears. Otalgia itself is a symptom, not a diagnosis, and it can appear suddenly or build gradually depending on the cause.
Some ear pain starts within the ear, such as from infection, inflammation, or pressure imbalance. In other cases, pain is referred from nearby structures like the jaw, throat, teeth, or neck. Understanding where the pain originates helps clinicians choose the right investigation and treatment approach. Age, recent illness, travel, and habits often influence how ear pain develops.
OUR REVIEW
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EXCELLENT Based on 112 reviews Posted on Google Diana GranadosTrustindex verifies that the original source of the review is Google. I had an outstanding experience with Harley Street Vestibular Clinic and cannot recommend them highly enough. I developed severe vertigo while visiting London, and it was an incredibly frightening experience as it was my first time ever experiencing dizziness like that. I called the clinic on a Saturday, fully expecting to leave a voicemail since they were closed. To my surprise, the office manager, Preeti, returned my call that same day. I was so grateful. She was kind, reassuring, and went above and beyond to arrange an appointment for me first thing on Monday. From the moment I arrived, the entire team was professional, efficient, and compassionate. They understood how urgent and distressing my symptoms were and made every effort to see me as quickly as possible. The vestibular audiologist was exceptional—she took the time to thoroughly evaluate me, clearly explain everything she was doing, answer every one of my questions, and perform the appropriate treatment. I never felt rushed, and her expertise immediately gave me confidence that I was in the right hands. The clinic was incredibly responsive, organized, and genuinely caring throughout the entire process. They turned what was a very scary situation into one where I felt supported and well cared for. I am truly thankful to Preeti and the entire team for their kindness, professionalism, and outstanding care. If you are experiencing vertigo, dizziness, or balance problems, I would not hesitate to recommend Harley Street Vestibular Clinic.Posted on Google erika thomaziTrustindex verifies that the original source of the review is Google. Great positive experience!Posted on Google Carol BunyanTrustindex verifies that the original source of the review is Google. I could not fault my follow up appointment with Dr Aran and his team. He really does take the time to listen to your questions and really puts himself out to set you on the road to recovery . He genuinely seems interested in getting you better. I would highly recommend this practice.Posted on Google Ged RobinsonTrustindex verifies that the original source of the review is Google. Dr Benjamin Shaw was extremely thorough in his assessment of my recent attacks of vertigo. I have total confidence in his ability, once I have completed the further tests he has arranged at the Wimbledon clinic, to diagnose what is causing this issue with my health.Posted on Google Adrian LoweTrustindex verifies that the original source of the review is Google. I thoroughly recommend the Harley Street Audio Vestibular Clinic. I had an appointment with Dr Rudy Palaniappan who listened carefully to me, conducted a brilliant examination and explained everything to me with a future plan very clearly. I was really impressed!Posted on Google EvanTrustindex verifies that the original source of the review is Google. Dr Arun provided an excellent virtual consultation, took the time to understand symptoms and history and provided an initial diagnosis and treatment plan. It did not feel rushed or with any bias. Received comprehensive notes and summary promptly after the appointment. Would fully recommend.Posted on Google shahram zarafshanTrustindex verifies that the original source of the review is Google. Dr. Arun Pajaniappane is a brilliant and expert doctor. He was also incredibly friendly, making for a truly excellent experience.Posted on Google Vasile BaltacTrustindex verifies that the original source of the review is Google. I had an excellent consultation where both the doctor Arun Pajaniappane and the audiologist were highly professional, attentive, and genuinely responsive to my concerns. They listened carefully to my problems and explained everything clearly throughout the appointment. The procedures carried out were handled with great care and efficiency, which made me feel comfortable and well looked after. I very much appreciated their professionalism and patient-centred approach.Posted on Google Carol lansleyTrustindex verifies that the original source of the review is Google. My first consultation with Dr Arun Pajaniappane was an excellent experience. He listened carefully to me & did extensive tests to try to determine the correct diagnosis.
Pinpointing the Cause
Diagnosing Ear Pain (Otalgia)
When to Get Checked
You should get assessed if ear pain is severe, persistent, or keeps returning, or if it interferes with hearing, sleep, or daily activities. Pain that worsens despite basic care, or follows a cold, sinus issue, flying, or swimming, also deserves clinical review.
Seek urgent assessment if ear pain appears suddenly with hearing loss, dizziness, discharge, fever, facial weakness, swelling around the ear, or after a head injury. These signs may indicate infection, nerve involvement, or inner-ear conditions requiring prompt audiovestibular or medical treatment.

How We Assess Ear Pain (Otalgia)
At Harley AVM, assessment is led by a senior audiovestibular clinician. It begins with a detailed clinical history to understand the nature of your ear pain, when it started, and how it has evolved. Time is taken to explore hearing changes, balance symptoms, jaw or neck discomfort, throat issues, recent infections, travel, or noise exposure to identify meaningful patterns or triggers.
This is followed by a focused examination of the ears and surrounding structures, with audiovestibular testing arranged where appropriate. This careful, methodical approach helps determine whether pain arises from the ear itself or is referred from nearby areas, ensuring accurate diagnosis, clear reassurance, and timely referral when further medical care is needed.

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DIAGNOSTIC TESTS
Specialist Tests to Assess Hearing, Balance and Inner Ear Health
Harley Street Specialists in Hearing, Dizziness & Balance
Specialist Care for Ear Pain (Otalgia)
Every Ear Pain (Otalgia) case is different. Your consultant will create a tailored plan to address your specific symptoms and lifestyle – when it started, how it affects your day, and which tests and treatments are right for you.