 [ Symptoms ] can ear infection cause neck and shoulder pain [ Disease ] i suppose it is possible middle ear infections can be very painful and i am sure it might feel as if the pain is radiating down the neck to the shoulder however the pain you are describing could be caused by many other conditions including muscle strain degenerative disc disease or even possibly mastoiditis the only way to tell what is causing your pain is for you to get an examination by a medical professional if your pain does not clear up or if it is accompanied by a fever i would suggest you contact your primary health care provider for an appointment to find out what is going on hope this helps shoulder pain problems shoulder pain problems