Ear throbbing pain involving headache may be related to trigeminal neuralgia, or it may be caused by ear inflammation and infection, cerumen impaction in the external ear canal and other reasons. 1. Trigeminal neuralgia: Trigeminal neuralgia is a relatively common neurological disorder in clinical practice. When trigeminal neuralgia strikes, it may cause throbbing pain in the ear, accompanied by tugging pain in the head. However, the duration of each pain attack is short, usually a few seconds to 10 seconds. 2. Inflammatory ear infections: commonly found in otitis media, otitis externa and other diseases, due to the presence of inflammation in the ear area, under the stimulation of inflammation, it may cause throbbing pain in the ear, accompanied by head tugging headache. 3. Cerumen impaction of the external auditory canal: When cerumen impaction occurs, it is easy to swell when it meets water and cause pressure on the wall of the external auditory canal, thus causing throbbing ear pain, which can be accompanied by nerve reflex pulling headache symptoms. The throbbing ear pain and headache may also be caused by other reasons, it is recommended to consult a doctor as soon as possible, after a clear diagnosis of the causative factors, the doctor will guide the treatment.