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It do not believe that they are related. The painless one is most likely nothing to worry about. The painful one may be muscle tension. Here's how you finds out: If you are having a headache and your press on it and the headache subsides, and: if you are not having a headache and your press on it and you feel like you are having a headache, then it is most likely muscle tension that is causing it.

My suggestion is that you find a professionally trained massage therapist and make an appointment to get a massage.

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Q: You have had a painless lump behind your ear on the skull for years now you have a painfull one right next to it you keep getting headaches is it something you should worry about?
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