If you do not equalize early and often, the pain will increase quickly. Forcing it can cause injury to the eardrum or inner ear. Always start equalizing before you feel discomfort, and continue doing it every few feet on descent. If the pain does not go away, stop, ascend a little, and try again. Some divers also find that swallowing or wiggling their jaw helps the air move more easily.

I have had dives where my ears simply would not clear. It is frustrating, but pushing through it is not worth the risk. Your ears are delicate, and injuries take a long time to heal. If your ears hurt while diving, the correct response is to stop and fix the problem, not to fight through it.