The throbbing pain above the left ear may be related to mental factors, muscle spasm, periauricular neuralgia and so on. 1. Mental factors: Physiological throbbing pain above the left ear can be caused by high work pressure, tension and insufficient rest time in daily life. Patients should pay attention to relaxation and rest in general, and avoid overwork. 2. Muscle spasm: inflammation of head and neck muscles due to various reasons, or the presence of lumps, chronic abscesses and other diseases can lead to neck muscle contraction and spasm, resulting in headache. 3. Periauricular neuralgia: Some viral infectious diseases such as acute otitis externa, acute otitis media, acute mastoiditis, herpes zoster of the external auditory canal, etc., cause inflammation due to reflex stimulation of the brain nerves, resulting in throbbing pain above the left ear. It is recommended that patients seek timely medical treatment, check the cause, and treat the cause under the guidance of the physician.