Recent Articles
Sinusitis, Sinus Congestion and Sinus Headache
By Dr. Sal Masi
If you have not experienced the pain or pressure of a sinus headache consider
yourself fortunate. For many people sinus pain is a common ailment and for
some it can be a recurring, debilitating disorder.
There are 5 pairs of air filled sinuses and are connected to the nasal
cavity. They are named for the cranial bones they are located in - the frontal,
sphenoid, ethmoid, palatine and maxillary sinuses.
The sinuses and nasal cavity are lined with a membrane that produces a sticky
mucous. Mucous serves several important functions. It moisturizes and warms
the air we breath and traps dirt, dust and pathogens. The mucous is swept
out of the sinuses by finger -like projections called cilia into the back of the
mouth where it is swallowed and digested. This is an important protective
mechanism - protection against infection.
Irritation of the mucous membrane causes the membrane to swell and produce
excessive mucous. This swelling blocks some of the small passageways that
connect the sinuses and lead to the back of the throat. Once blocked the mucous
stagnates in the sinuses and causes congestion of the sinuses and nose. This
congestion is responsible for the pressure that people feel in the face and
head, commonly referred to as sinus headache
So what can irritate the sinuses ? There are many possibilities. To list a
few: viruses, bacteria, molds / fungi, trauma, volatile chemicals (including
perfumes), environmental allergens, foods / beverages that one may be sensitive
to, polyps or other malformation of the nasal passageways (deviated septum).
Sinusitis is most debilitating in its chronic form. These patients suffer
with recurring attacks of sinusitis and sinus headache. Other symptoms include:
forehead, eye orbit, nasal, cheek pain / pressure; referred pain into the
teeth, jaw and ear; pain worse in the morning; pain increases with certain
positions (usually bending forward); chewing, coughing, sneezing and bowel
movements increase pain; nasal stuffiness with possible discharge that can be
clear,
yellow, green to brown. The pain can be debilitating.
When evaluating and treating sinusitis there are many factors that must be
considered. The best treatment protocols will involve a multi-level approach
to care.
Disciplines to consider are:
Nutritional interventions
Chiropractic care
Endonasal techniques
Massage Therapy
Acupuncture
Craniosacral Therapy
The use of antibiotics may be necessary for acute bacterial infections but
keep in mind that many chronic cases of sinusitis are not bacterial infections.
The most prudent course of care that a patient can pursue is one that begins
with a doctor who understands the complexities of the disorder, is willing to
listen and spend time with the patient, is willing to consider all
possibilities of care that will benefit the patient and have the confidence to
help
guide the patient toward better health.
When you are ready to begin this process and want to feel better, I am ready
to help you get there.
In health, Dr. Sal Masi
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