Flying can cause pain in the neck, but for some it can also cause a huge pain in the ear.

We're talking about excruciating, stabbing pain that can lead to ringing or fuzzy hearing for hours after you've landed.

Avoid flying if you have a respiratory infection or allergies that cause congestion. But if you can't, take these steps.

The day before your flight: Take a decongestant, such as Sudafed, every 6 hours and continue for 24 hours after you land to shrink membranes in the sinus and ear. Follow the precautions on the label.

Right before you board: Use a pediatric-strength nasal spray once as directed. This helps open the Eustachian tube, without giving you more medication than you need.

During the flight:  Chew gum, yawns, or swallows to help keep the tube open. Or try earplugs specially designed to minimize ear pain while flying.

Before you land: About 45 minutes prior to arrival, Dr. Derebery recommends using the pediatric nasal spray every 5 minutes for 15 minutes. Sit upright to make it easier for pressure to equalize.