 [ Symptoms ] what causes lupus systemic lupus erythematosus [ Disease ] your concern is regarding the pain that you are having in the face jaw ear and eye without physical examination it is very difficult to confirm and it can be either tmj or toothache tmj pain disorders usually occur because of unbalanced activity spasm or overuse of the jaw muscles this causes inflammation of the jaw joint and hence severe pain which may radiate to the ears as well diagnosis is confirmed by x rays or ct of the joint you can apply warm compresses to the joint and take anti inflammatory pain killer drugs after consulting your doctor a physical therapist can also be approached as craniosacral therapy to relax the muscles and fascia of the jaw is very helpful in relieving the pain it is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided for exact diagnosis you are requested to consult your doctor i sincerely hope that helps take care