 [ Symptoms ] i have been experiencing sharp lancing pain behind my right ear in the mastoid area [ Disease ] sharp shooting pain behind the ear that is not continuous can be due to causes like occipital neuralgia other causes can be inflammation of facial nerve inflammation of mastoid also known as mastoiditis less commonly but jaw joint problems can be a cause consult a neurologist and get evaluated treatment can be advised once cause is ruled out as it will vary with the cause as of now take higher painkillers like tramadol if the pain is severe hope this helps regards