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Crigger Hearing Aid Center
STAFF
Charles D.
Crigger, M.D.
Office Staff

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Sinus /
Sinus Headaches
Not every headache is the
consequence of sinus and nasal passage problems. For example, many
patients visit an ear, nose, and throat specialist to seek treatment
for a sinus headache and learn they actually have a migraine or
tension headache. The confusion is common, a migraine can cause
irritation of the trigeminal or fifth cranial nerve (with branches in
the forehead, cheeks and jaw). This may produce pain at the lower-end
branches of the nerve, in or near the sinus cavity.
Pain in the sinus area does not automatically mean that you
have a sinus disorder. On the other hand, sinus and nasal
passages can become inflamed leading to a headache. Headache is one of
the key symptoms of patients diagnosed with acute or
chronic sinusitis. In addition to a headache, sinusitis patients
often complain of:
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Pain and pressure around the eyes, across the
cheeks and the forehead
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Achy feeling in the upper teeth
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Fever and chills
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Facial swelling
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Nasal stuffiness
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Yellow or green discharge
However, it is important to note that there are
some cases of headaches related to chronic sinusitis without other
upper respiratory symptoms. This suggests that an examination for
sinusitis be considered when treatment for a migraine or other
headache disorder is unsuccessful.
What to Do for a Sinus Headache
Sinus headaches are associated with a swelling of the membranes lining
the sinuses (spaces adjacent to the nasal passages). Pain occurs in
the affected region – the result of air, pus, and mucus being trapped
within the obstructed sinuses. The discomfort often occurs under the
eye and in the upper teeth (disguised as a headache or toothache).
Sinus headaches tend to worsen as you bend forward or lie down. The
key to relieving the symptoms is to reduce sinus swelling and
inflammation and facilitate mucous drainage from the sinuses.
There are several at-home steps that help prevent
sinus headache or alleviate its pain. They include:
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Breathe moist air: Relief for a
sinus headache can be achieved by humidifying the dry air
environment. This can be done by using a steam vaporizer or
cool-mist humidifier, steam from a basin of hot water, or steam from
a hot shower.
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Alternate hot and cold compresses:
Place a hot compress across your sinuses for three minutes, and then
a cold compress for 30 seconds. Repeat this procedure three times
per treatment, two to six times a day.
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Nasal irrigation: Some believe
that when nasal irrigation or rinse is performed, mucus, allergy
creating particles and irritants such as pollens, dust particles,
pollutants and bacteria are washed away, reducing the inflammation
of the mucous membrane. Normal mucosa will fight infections and
allergies better and will reduce the symptoms. Nasal irrigation
helps shrink the sinus membranes and thus increases drainage. There
are several over-the-counter nasal rinse products available. Consult
your ear, nose, and throat specialist for directions on making a
home nasal rinse or irrigation solution.
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Over-the-counter medications:
Some over-the-counter (OTC) drugs are highly effective in reducing
sinus headache pain. The primary ingredient in most OTC pain
relievers is aspirin, acetaminophen, ibuprofen, naproxen, or a
combination of them. The best way to choose a pain reliever is by
determining which of these ingredients works best for you.
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Decongestants: Sinus pressure
headaches caused by allergies are usually treated with decongestants
and antihistamines. In difficult cases, nasal steroid sprays may be
recommended.
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Alternative medicine: Chinese
herbalists use Magnolia Flower as a remedy for clogged sinus and
nasal passages. In conjunction with other herbs, such as angelica,
mint, and chrysanthemum, it is often recommended for upper
respiratory tract infections and sinus headaches, although its
effectiveness for these problems has not been scientifically
confirmed.
If none of these preventative measures or
treatments is effective, a visit to an ear, nose, and throat
specialist may be warranted. During the examination, a CT scan of the
sinuses may be ordered to determine the extent of blockage caused by
chronic sinusitis. If no chronic sinusitis were found, treatment might
then include allergy testing and desensitization (allergy shots).
Acute sinusitis is treated with antibiotics and decongestants. If
antibiotics fail to relieve the chronic sinusitis and accompanying
headaches, endoscopic or image-guided surgery may be the recommended
treatment.
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