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Dr. Centeno explains that the greater auricular nerve, which can become irritated at the C1-C2 level due to craniocervical instability (CCI) from alar and accessory ligament failure, may cause ear and mastoid region pain. While other causes of nerve irritation should be ruled out, if CCI is the cause, treating the instability is necessary to resolve nerve irritation. This can involve a PICL procedure to inject and stabilize the ligaments directly, while direct ultrasound-guided platelet growth factor injections can also treat the nerve itself. Overall, the video clarifies how the greater auricular nerve contributes to pain in CCI patients and outlines targeted treatments to alleviate this discomfort. Dr. Centeno practices at the Centeno-Schultz clinic, which is one of the founders of a new field of medicine called interventional orthobiologics., These are precise image-guide injections of PRP, stem cells, and other natural substances to help ligaments, tendons, and joints heal. The clinic is involved in many clinical research studies, runs a university level pure research lab in orthobiologics, and uses advanced clean room processing on-site of cellular therapies. See https://centenoschultz.com/ To schedule a telemedicine or an in-person visit, please reach out to the clinic at +1-303-429-6448 or contact Isis at [email protected]. Dr. Centeno also actively answers questions on his Reddit thread at / picl You can also download his book on craniocervical instability at https://centenoschultz.com/craniocerv... Finally, he does weekly FB Lives at / centenoschultzclinic