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Hi, Dr. Stan here to help. The cause of your pain could be muscle spasm, infection in your ear, arthritis, or infection in the skull. You need to be evaluated to determine the cause. You can go to an Urgent Care Center for immediate evaluation and treatment. Since you have not gotten relief from NSAIDS, you need to be evaluated sooner rather than later. I hope this is helpful and I am here to answer any additional questions you may have. Please leave a positive rating of 3-5 stars, this is how I am compensated for my response. Thank you and feel better soon.