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A MyMSTeam Member asked a question 💭
Texas City, TX

For most of my adult life (49 yo F), I have had a weird thing with my left ear. The outside of the ear will sometimes get bright red, painful, and hot. It usually lasts a few hours. The pain is never on the inside, only the outer cartilage part of the ear. It only happens with my left ear and sometimes the pain gets so bad it wakes me up at night. Anyone else deal with this issue? My doctor says it’s very rare and could be MS-related.

July 25
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MyMSTeam

What you're describing — a hot, red, painful outer ear on just one side — does sound like it could be connected to MS. MS damages the myelin (protective covering) around nerve fibers, which can cause nerves to fire random signals. The brain can misinterpret these as sensations like heat, burning, or pain, even when there's Show Full Answer

What you're describing — a hot, red, painful outer ear on just one side — does sound like it could be connected to MS. MS damages the myelin (protective covering) around nerve fibers, which can cause nerves to fire random signals. The brain can misinterpret these as sensations like heat, burning, or pain, even when there's no external cause.

This falls under what's called altered sensations or paresthesias, which are very common in MS. When these sensations are painful (like burning or stabbing), they're called dysesthesias. The fact that it only affects one side is also consistent with MS-related nerve pain, which can occur on just one side of the body. Other MyMSTeam members have reported similar one-sided facial and head heat sensations, describing feelings of burning or warmth that come and go.

If the pain is becoming disruptive — especially waking you at night — it's worth asking your neurologist about symptom management options, which may include:

- Gabapentin
- Certain antidepressants
- Botulinum toxin (Botox) injections

Tracking when it happens, how long it lasts, and what (if anything) triggers or relieves it can also help your care team find the best approach for you.

July 25
A MyMSTeam Member

Hugs right back MantisToboggan

July 25
A MyMSTeam Member

Neuropathy

July 25
A MyMSTeam Member

I get that sometimes , do you get migraines? It is sometimes connected to that.

July 25

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