Can long-time earphone usage cause pain in ears?

Hi, Welcome to icliniq.com.

My understanding and inference is that the pain is not related to the earphones or sound level. This is because of loud noise which usually produces classical symptoms like giddiness, ringing sound in ear, hearing loss, intolerance to loud sounds and some pain in ear.

Your symptoms are not very classical to diagnose. Please answer below questions for clear diagnosis. Do you have any difference in pain with rest or change of positions? Did you perform any exercise or difficult posture the previous day? Do you have any other symptom like fever, throat pain, ear discharge or decreased hearing?

With the details available as of now, I infer that the pain is muscular most probably. For the same, I suggest you the following measures.

Take a tablet of Paracetamol 650 mg. Take adequate rest. For few days you should not use ear phones, do not listen loud sounds and no restriction for normal sounds. Sleep welland have nutritious food rich in all vitamins. Do some neck stretching exercises. If pain does not decrease /is persistent/increases do contact me.

To understand any occurrence of sound trauma to your ears we must do a pure tone audiometry. This is the definitive investigation to understand any damage to inner ear due to sound. I feel a strong pain killer like Aspirin is not required for these complaints. However, there is no reason to worry as of now.