I've been dealing with strange headaches for years. the pain is on the top and around my head. i also have ear as well as neck pain. what should i do?

Need eval: There are many types of ha's- most common being migraines which can present in different forms. However with your neck and ear pain - you need eval by a doctor and likely a scan of your head if you haven't had one. It would be to eval for tumors aneurysms and other abnormalities- these are less likely.

Get help: Find a neurologist who specializes in headaches in your area. A full history of your headache will be taken and an appropriate work-up will be ordered to localize the cause of your pain. Good luck and best wishes to you.

Workup needed: Tense/sore scalp muscles may result from malocclusion, tmj, squinting (getting new prescription glasses may fix that), stress, or sinusitis (allergies). Other causes include vasculitis, neuritis, etc. May need to see ENT or headache specialist (neurologist) for workup, treatment will depend on the actual diagnosis.