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It comes from impact and ear trauma, some are more prone to it than others. I have teammates that have decades of hard grappling more than I have, and they don't even have any signs of it. Whereas I did camp where we focused heavily on TDD (I'm a striker) and wrestling, and bam it popped up, I didn't think it was too bad, but one session I ate a nasty hook to the ear and it felt fucked. One of the most painful things I've had, so I had to get it drained, even tapping it very lightly was painful as well.
These days I wear an earguard. Also, I think it depends on the gym "style" of grappling for it to pop up. I did alot of clinching for years and nothing, then after 8 weeks of heavy wrestling, grinding off the fence drills, etc. it came
These days I wear an earguard. Also, I think it depends on the gym "style" of grappling for it to pop up. I did alot of clinching for years and nothing, then after 8 weeks of heavy wrestling, grinding off the fence drills, etc. it came