Not uncommonly, patient will come with palate-throat pains. Often there is not much to find but when they start describing nerve-like shooting pains, one is suspicious of something amiss. The Hamular process pokes on the palate and can cause pains. Something to consider.
Case Rep Surg. 2018 Aug 12;2018:5108920.
Pterygoid Hamular Bursitis: A Possible Link to Craniofacial Pain.
Shetty SS et al
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6109540/pdf/CRIS2018-5108920.pdf
The pterygoid hamular appears so:
If it is too pointy it can project on palate so:
- Symptoms can include:
palate pains near hamulus
throat pains
maxillary pains
earache
dysphagia
in their case, pins and needles left temporal/orbital - diagnosis made by prominent hamulus impression and pain on pressure of it.
- treatment involves removal
Comment – knowing it exists is probably the best measure. I’m not sure an oral surgeon would handle it- might be better to sent to our regional dental college.