The second is very unnatural. You will need a more appropriate adjective like sore, aching, or throbbing.
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Jenny chiuAre they the same?No.
CalifJimMy ears are hurt. ~ Someone or something has injured my ears.Wouldn’t we need the present perfect or the simple past for that?
Aspara GusWouldn’t we need the present perfect or the simple past for that?Well, I wouldn't!
CalifJimScenario: Huge explosion. A man who was standing very near was subjected to a very loud sound that nearly burst his eardrums.Fair enough, I suppose.
Man (holding his ears with his hands): Help! Help! My ears are hurt!