Bumps inside the earlobe that are painful to pinch are usually tiny cysts that grow inside the soft tissue of the earlobe. Most of them are sebaceous cysts or epidermal cysts, which are initially the size of a rice grain or a green bean and usually have no obvious subjective clinical symptoms. It is usually recommended to avoid repeated squeezing and stimulation to avoid secondary infection. For smaller cysts, they can be closely observed and there is no need for excessive medical treatment. For larger, faster-growing or repeatedly infected cysts, if there is a treatment claim, the only way to achieve a clinical cure is to remove them surgically.