Acute sinusitis: Do over-the-counter treatments help?

I have acute sinusitis, and my doctor doesn’t think I need antibiotics. Are there nonprescription medications that can help relieve symptoms?

Answer From James T C Li, M.D., Ph.D.

Yes. Over-the-counter (OTC) pain relievers and decongestants may help relieve facial pain and sinus congestion associated with acute sinusitis.

OTC medications that may help include:

• Decongestants. These work by narrowing blood vessels to help reduce inflammation and swelling that cause sinus congestion. Such OTC medications (Sudafed, others) are available in liquids, tablets and nasal sprays.
• Pain relievers. Pain caused by pressure buildup in the sinus cavities may be relieved by pain relievers such as acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin IB, others).

Always use OTC products as directed. If your child becomes infected, check with his or her doctor to find out what’s safe.

Other home remedies you may want to try:

• Inhale warm water vapor. Drape a towel over your head as you breathe in the moist air from a bowl of warm or moderately hot water. Or take a hot shower, breathing in the warm, moist air.
• Apply warm compresses. Place warm, damp towels around your nose, cheeks and eyes to ease facial pain.
• Drink plenty of fluids. Consuming additional fluids helps dilute mucous secretions and promotes drainage.
• Use a saline nasal spray. Saline washes or sprays can remove thick secretions and allow the sinuses to drain.
• Use a neti pot. A neti pot is a container designed to rinse debris or mucus from your nasal cavity. Neti pots are often available in pharmacies and health food stores, as well as online. Talk to your doctor to see if nasal rinsing is right for you.

Most people with acute sinusitis get better without antibiotics. However, if your symptoms are severe or last longer than a few days, talk to your doctor.

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• Sinus infection and toothache: Any connection?
• Nasal spray addiction: Is it real?

Nov. 06, 2019

Show references

1. Symptom relief. Centers for Disease Control and Prevention. https://www.cdc.gov/getsmart/community/for-patients/symptom-relief.html. Accessed Sept. 29, 2017.
2. Patel ZM, et al. Uncomplicated acute sinusitis and rhinosinusitis in adults: Treatment. https://www.uptodate.com/contents/search. Accessed Sept. 29, 2017.
3. Kids aren’t just small adults — Medicines, children, and the care every child deserves. U.S. Food and Drug Administration. https://www.fda.gov/Drugs/ResourcesForYou/Consumers/ucm312776.htm. Accessed Sept. 29, 2017.

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Sinusitis: Over-the-Counter Medicines | Michigan Medicine

Topic Overview

Medicines available without a prescription may help relieve pain and promote sinus drainage. Be safe with medicines. Read and follow all instructions on the label. You can:

• Try a pain reliever such as acetaminophen or ibuprofen to relieve facial pain and headache.
• Use a nasal spray, gel, or drops to help a stuffy nose. There’s a decongestant kind (such as Afrin, Dristan, or Neo-Synephrine) and a steroid spray kind (such as Nasacort). Don’t use the decongestant kind longer than the label says. Overuse can cause rebound congestion. It makes your mucous membranes swell up more than before you used the spray.
• Try an oral decongestant for a stuffy nose or head. It provides longer relief than the ones that are used in the nose, but it may cause more side effects.
• Try using a medicine that thins mucus and improves sinus drainage (mucolytic). Guaifenesin is a commonly used mucolytic. Mucolytics are often combined with other medicines such as cough suppressants.
• Acetaminophen can be found in many forms and comes in different doses.
• Be safe with medicines. Read and follow all instructions on the label.
• Do not take more than the maximum dose recommended on the label.
• Be careful when taking over-the-counter cold or flu medicines and acetaminophen (Tylenol) at the same time. Many of these medicines already contain acetaminophen. Too much acetaminophen can be harmful.

Be careful with cough and cold medicines. They may not be safe for young children or for people who have certain health problems, so check the label first. If you do use these medicines, always follow the directions about how much to use based on age and weight.

Many doctors do not recommend using antihistamines unless your symptoms are related to having allergies. Antihistamines and decongestants may dry out the mucous membranes in your nose and sinuses and slow the movement of the cilia (the tiny hairs that line the nose, sinuses, and the air passages inside the lungs and that remove irritants). This can make mucus thicker, adding to drainage problems. But other experts believe antihistamines may help treat sinusitis by reducing the amount of mucus that builds up in the sinus cavities. Don’t give antihistamines to your child unless you’ve checked with the doctor first.

Credits

Current as of: December 2, 2020

Author: Healthwise Staff
Medical Review: Patrice Burgess MD – Family Medicine
Kathleen Romito MD – Family Medicine
Martin J. Gabica MD – Family Medicine

Current as of: December 2, 2020

Author:
Healthwise Staff

Medical Review:Patrice Burgess MD – Family Medicine & Kathleen Romito MD – Family Medicine & Martin J. Gabica MD – Family Medicine

TYLENOL® SINUS CONGESTION & PAIN DAYTIME

TYLENOL® SINUS CONGESTION & PAIN DAYTIME | TYLENOL®
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Get back to the things you love with sinus medication that delivers fast relief for sinus headaches and sinus pain.

Learn the symptoms of a sinus headache and how to treat them.

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This website contains current product information and may differ from the information on the product packaging you may have.

Learn the symptoms of a sinus headache and how to treat them.

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Treatment of sinus headache as migraine: the diagnostic utility of triptans

Objective:

To determine the response rate to triptans in alleviating “sinus headache” in patients with endoscopy- and computed tomography (CT)-negative sinus examinations.

Study design:

Prospective clinical trial.

Methods:

Patients who presented to a tertiary care center Otolaryngology Department with primary complaints of facial pain, pressure, or headache localized over the area of the sinuses, and a self- or physician-diagnosis of “sinus headache” were enrolled. Patients underwent directed history, physical examination, rigid nasal endoscopy, a sinus CT scan, and completed a headache questionnaire. Those patients that had negative findings were treated empirically with triptans. Patients completed a headache diary for each headache, using a visual analogue scale to rate the headache before and after triptan use. Response was considered as significant improvement (greater than 50% reduction of pain), partial (25-50% reduction), and no response.

Results:

Fifty-four patients were enrolled. Thirty-eight (69%) completed follow-up, 63% were women. The mean age was 41 years (23-70). Thirty-one patients (82%) had significant reduction of headache pain with triptan use. Thirty-five patients (92%) had a significant reduction in headache pain in response to migraine-directed therapy. Seventeen patients (31%) withdrew or failed to follow-up, often reluctant to accept a diagnosis of migraine.

Conclusions:

This study demonstrated that the demographics of patients with self-described “sinus headaches” who did not have findings of sinusitis on endoscopy and CT scan closely reflected the demographics of patients afflicted with migraines. It also showed that 82% of these patients had a significant response to empiric treatment for sinus headaches with triptans. These findings support that “sinus headaches” may represent migraines, and response to triptans may aid in diagnosis.

Zolmitriptan Nasal Spray: MedlinePlus Drug Information

Zolmitriptan comes as a spray to inhale through the nose. It is usually used at the first sign of a migraine headache. If your symptoms improve after you use zolmitriptan but return after 2 hours or longer, you may use a second dose of zolmitriptan. However, if your symptoms do not improve after you use zolmitriptan, do not use a second dose without talking to your doctor. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use zolmitriptan exactly as directed. Do not use more or less of it or use it more often than prescribed by your doctor.

You may use your first dose of zolmitriptan nasal spray in a doctor’s office or other medical facility where you can be monitored for serious reactions.

Call your doctor if your headaches do not get better or occur more frequently after using zolmitriptan nasal spray.

If you use zolmitriptan more often or for longer than the recommended period of time, your headaches may get worse or may occur more frequently. You should not use zolmitriptan nasal spray or take any other headache medication for more than 10 days per month. Call your doctor if you need to use zolmitriptan nasal spray to treat more than three headaches in a 1-month period.

Ask your pharmacist or doctor for a copy of the manufacturer’s information for the patient.

To use the nasal spray, follow these steps:

1. Read all of the manufacturer’s instructions for using the nasal spray before you use your first dose.
2. Blow your nose gently.
3. Remove the protective cap from the sprayer.
4. Hold the sprayer between your fingers and thumb, but be careful not to press the plunger.
5. Use your other hand to block one nostril by pressing firmly on the side of your nose.
6. Put the tip of the sprayer into your other nostril as far as feels comfortable and tilt your head back slightly. Be careful not to press the plunger or spray the medication in your eyes.
7. Breathe in gently through your nose. At the same time, press the plunger firmly with your thumb. The plunger may feel stiff and you may hear a click.
8. Keep your head slightly tilted back and remove the tip from your nose.
9. Breathe gently through your mouth for 5-10 seconds. It is normal to feel liquid in your nose or the back of your throat.
10. The sprayer only contains one dose of medication. After you have used it, dispose of it in a trash can that is out of the reach of children and pets.

Migraine misdiagnosis as a sinusitis, a delay that can last for many years | The Journal of Headache and Pain

Our study included 130 patients with migraine-type headache according to 3^rd edition (ICHD-III-beta). We found that 81.5% of them were misdiagnosed and managed as sinusitis. The similarity of sinusitis symptoms and migraine complicates the diagnostic evaluation process. Although both historical and new data show that nasal symptoms frequently accompany a migraine, these symptoms are not required by the ICHD-III-beta diagnostic criteria for a migraine.

Our data are in agreement with the study of Schreiber and colleagues [6] which included approximately 3000 patients with a history of self-described or physician-diagnosed “sinus” headache and they determined that 80% of patients met ICHD criteria for migraine. Our data are also in agreement with the other previous studies [3, 9, 14, 15] which reported that “sinus headache” is one of the most commonly reported terms used in combination with a migraine diagnosis and most patients presenting with a “sinus headache” may not actually have a rhino sinusitis associated headache.

Migraine can be mistaken for rhinosinusitis because of similarity in location of the headache and the commonly accompanying nasal autonomic symptoms. The presence or absence of purulent nasal discharge and/or other features diagnostic of acute rhinosinusitis help to differentiate these conditions [12]. In order to properly establish a diagnosis of migraine, it is essential to know the ICHD criteria and apply these criteria in clinical practice.

We demonstrated that chronic migraine was significantly higher in patients misdiagnosed with sinusitis. MOH was reported only in those patients. A delay in the diagnosis of migraine led to chronification of the headache and transformation, in some cases, into MOH.

We found that the diagnosis of migraine was delayed in more than 80% of our cohort up to 38 years. Eross and colleagues [15] similarly found that their patients waited 25.3 years (longest of 62 years) prior to the correct diagnosis. Previous studies showed this as well [4, 5]. The diagnostic delay in our cohort could be explained by the presence of sinus pain, sinus congestion and nasal discharge during headache attacks. These symptoms have been reported with previous studies which concluded that presence of autonomic symptoms during migraine attacks often leads to confusion and incorrect diagnosis of sinusitis [16, 17]. The ICHD criteria do not highlight the presence of cranial autonomic symptoms in the disorder, or perhaps more usefully comment upon them. This may help general practitioner and otorhinolaryngology specialist to be aware of the phenotyping overlap.

The majority of our patients had at least one investigation looking at the sinuses which were all normal. This result is similar to previous results which demonstrated that patients with “sinus headache” did not have findings suggestive of sinusitis on endoscopy or CT scan [14] and over 50% of them were diagnosed with migraine later [18]. These unnecessary investigations increase time delay to obtain the correct diagnosis and management [19].

We demonstrated that 56% of the misdiagnosed patients had consulted a primary care physician and 44% of them an otorhinolaryngology specialist before the diagnosis of migraine was made. We are in agreement with Foroughipour and colleagues [17] who studied 58 patients with the diagnosis of sinusitis made by a primary care physician. After comprehensive otorhinolaryngologic and neurologic evaluation, the final diagnoses was migraine in 68% of the patients. Furthermore, our study demonstrated that the misdiagnosed patient received either medical in 87.7%, or surgical treatment in 12.3% of them without relieve of their symptoms in 84.9% and 76.9% respectively. However, migraine headache improved in 68.9% after proper diagnosis and treatment. These results are similar to that of Foroughipour and colleagues [17] who reported that recurrent antibiotic therapy was received by 66% patients and therapeutic nasal septoplasty was performed in 16% of the patients with a final diagnosis of migraine.

An appropriate recognition of migraine in patients who complain about sinus headaches may help to minimize the suffering and unnecessary interventions, start migraine directed therapy [20] and improve quality of life [9].

Sinus Headaches Kirkland & Bellevue- NW Face Medical

Sinus Headache Treatment in Kirkland, WA

Here in the Northwest, one of the most common sinus problems people experience is headaches caused by pressure that builds up in the sinuses. These sinus headaches range in severity from mild (occasional pressure and discomfort) to severe (chronic, disruptive pain). Sinus headaches can cause discomfort on their own, but they can also exacerbate other problems. If you regularly suffer from migraines, then a blockage in the sinuses may be causing your migraine symptoms to worsen.

Dr. Sunil Ummat, MD, is a double board-certified ENT (Ear, Nose & Throat) specialist with over 15 years of expertise in the field. Dr. Ummat and the staff at NW Face Medical help patients suffering from sinus headaches in Kirkland and Bellevue, WA and throughout the Seattle metro area find relief.

What are Sinus Headaches?

What is a sinus headache and how do you know if you are experiencing one? To answer that, it is important to know what the sinuses are in the first place. Sinuses are the air-filled spaces in the forehead, cheeks, and behind the nose. The sinuses create a thin mucus which drains into the nasal passages and helps to protect them. However, when the sinuses are inflamed or blocked, congestion and pressure can occur. The sinus cavity becomes blocked and prevents mucus from draining, resulting in a sinus headache.

Many people who regularly suffer from this type of blockage, whether due to allergies or another cause, notice that their sinus headaches worsen when the weather changes, they fly on a plane, or even drive up a hill. The sinus blockage makes them incredibly sensitive to pressure changes so that in a sense, they become a “human barometer.”

The areas in which patients experience pain from sinus headaches differ quite a bit from person to person, but the most common regions are:

• Over the sinuses in the cheeks
• Between the eyes
• In the brow and forehead
• Behind the eyes

The good news is that the vast majority of sinus headache problems can be treated using conservative, non-invasive methods.

Treatment for Chronic Sinus Headaches

Individuals suffering from sinus headaches who have sought treatment from a primary physician with little success may find it beneficial to seek other treatment options from a specialist. Although primary care physicians can often help patients with occasional sinus headaches, an ENT is better suited to helping patients with chronic sinus problems. Treatment for chronic sinus headaches can provide significant relief for those who suffer from them and make their daily lives much more enjoyable.

Candidates for Sinus Treatment

At NW Face Medical, Dr. Sunil Ummat and his staff treat sinus problems ranging from simple to complex. Some of our patients are struggling with an acute sinus infection, while others have ongoing sinus congestion that won’t go away. Individuals who may be the best candidates for sinus headache treatment have typically experienced one or more of the following:

• Chronic sinusitis that has not responded to antibiotics and care from their primary doctor.
• Acute sinus infections three or more times a year.
• Recurrent sinus infections of which the underlying cause is allergies.
• Sinus disorders which haven’t been successfully managed with allergy treatment.

Other patients we treat include those with complex sinus disorders that require a second opinion about endoscopic sinus surgery, rare sinus disorders like fungal sinusitis, osteomyelitis, or cerebrospinal fluid leaks, and people with nasal polyposis such as triad asthma or nasal polyps. Individuals who have had a significant decrease in sense of smell or taste due to sinus problems may also be good candidates for sinus headache treatment. Since the cause of sinus headaches can vary, it is important for each patient to meet with Dr. Ummat for a thorough diagnosis and custom treatment plan.

The Consultation

When you come in for a sinus headache consultation in Kirkland, WA, one of the most valuable tools at our team’s disposal will simply be a detailed medical history, including any medications you are taking. There are many clues that may point to the sinuses as the source of headaches. Additional diagnostic steps may be recommended, including examining the nasal passages with a thin endoscope, an MRI, or a CT scan of the sinuses. If indeed there is blockage of the sinuses, then it is typically clear that the problem is sinus-related. The doctor may discuss surgical options if other treatments do not prove effective.

Patients should come to their consultation with any questions or concerns they may have about their condition or possible treatment options. Some patients have already tried using a nasal spray or home remedies and may be good candidates for more invasive intervention. Dr. Ummat may recommend more conservative treatments for patients who have not yet exhausted these options, however. Minimal intervention is always preferred whenever possible.

Treatment Options for Sinus Headaches

Treatment for sinus headaches is typically used to relieve symptoms and treat any underlying sinus infections. If an infection is present, Dr. Sunil Ummat typically prescribes antibiotics to treat the infection with an antihistamine or decongestant for symptoms. It is important to note that taking decongestants without an actual sinus headache could make symptoms worse. Patients must take the entire course of antibiotics as prescribed, even if they feel better after a few doses. This is because the infection may not be fully under control, even if symptoms start to disappear.

Along with antibiotics and medication to treat symptoms, analgesics like aspirin and ibuprofen, vasoconstrictors, and sometimes corticosteroids may be prescribed. If sinus problems are allergy-related, then preventative allergy medication including a nasal spray may be recommended and prescribed by the doctor.

Additional aspects of the chronic sinus headache treatment protocol often include keeping the home’s air warm and moist with a humidifier, since dry air can trigger symptoms in patients with sinusitis. Warm compresses often can provide pain relief in the nose and sinuses. Saline drops for the nose may also be recommended to relieve dryness and reduce discomfort.

If these treatments are unsuccessful, Dr. Sunil Ummat may recommend endoscopic sinus surgery as a good option to relieve sinus problems long-term.

Why Choose Dr. Ummat?

Dr. Sunil Ummat, MD, a board-certified ENT specialist, brings more than 15 years of ear, nose and throat experience to his Seattle area practice serving all of Kirkland, Bellevue, and surrounding suburbs. His strong focus on patient care combined with the excellent results he is able to achieve have earned him a reputation as one of the top otolaryngologists in the Seattle area. He sees patients for a wide range of ear, nose, and throat problems, including sinus headaches, in Kirkland, WA.

Frequently Asked Questions About Sinus Headaches

What are the symptoms of sinus headaches?
Sinus headaches cause deep, constant pain in the forehead, bridge of the nose, and cheekbones. Sudden head movement or straining can make the pain worse. Nasal discharge, full feeling in the ears, fever, and swelling of the face are all common symptoms of sinus headaches. These headaches can disrupt a person’s everyday life, especially if they become a chronic problem.

Do migraine headaches cause sinus pain?
Not typically. Migraine headaches are often mistaken for sinus headaches but are generally not caused by sinus congestion. While not causal, migraine headaches can be associated with sinus and nasal congestion. According to studies, over 95% of headaches labeled “sinus headaches” are in fact migraines. Therefore, while nasal congestion can accompany a migraine, it is most likely not the cause of the headache and should be treated separately.

How can I tell if my headache is a sinus headache and not a migraine?
There are a few ways to tell if your headache is being caused by a sinus cavity blockage or infection. Often, the headache is accompanied by fever if the headache is sinus-related. Dr. Ummat may order a CT scan, MRI, or endoscopy to see if a sinus blockage is to blame for your headaches.

What types of medications can treat sinus headaches?
In many cases, the most effective treatments are anti-inflammatory and antihistamine nasal sprays (oral tablets are generally useful only for temporary relief). If an active sinus infection is present, then an antibiotic may be prescribed. In some cases, putting a potent anti-inflammatory medication directly into the nasal tissues (essentially painless) may offer dramatic and rapid relief. Allergy testing and treatment may be of benefit to the patient as well. If all else fails, endoscopic sinus surgery may be recommended.

If you’re suffering from sinus headaches and have tried various treatment options with your primary care provider with little success, it’s time to seek specialized treatment. Dr. Sunil Ummat, MD has earned a reputation for excellent results and quality patient care for ENT problems like sinus headaches across Kirkland, Bellevue, WA and the surrounding Seattle areas for more than 15 years. To request an appointment to consult with the doctor, call our Kirkland office at (425) 522-0555.

Sinus headache (Sinus headache)

Sinus headaches are also called sinus headaches. Sinus headache is characterized by sinusitis (sinusitis) and can cause a headache so severe and depressive that it can sometimes be interpreted as migraine or stress headaches.

Sinus headache: when your sinuses are giving you headache

Sinus headaches are caused by increased pressure inside the sinuses.Sinuses are air-filled areas inside the forehead, jaw, and behind the nasal bone (see picture). When they become inflamed due to an allergic reaction or infection, they can swell and release more mucus and snot. This overproduction can clog the drainage ducts, causing pressure inside the sinuses to build up quickly and cause severe headaches.

Where are the sinuses?

Illustration showing the location of the four sinus regions.

Affected? Join the Facebook group “ Headache Network – Norway: Research, Discoveries and Cohesion ” For the latest research news and media coverage of this disorder. Here, participants can also get help and support – at any time of the day – by sharing their own experiences and advice.

Pain Relief: How to Reduce Sinus Headache?

To relieve headaches in the sinuses (headaches with sinusitis), we recommend lying down for a while (about 20-30 minutes) with the so-called “headache / migraine mask” Above the eyes (a mask that is stored in your freezer and which specially adapted to relieve migraines, neck headaches and stress headaches – it can also be heated to stimulate circulation to tired and puffy eyes) – this will reduce some of the pain signals and relieve tension.Click on the image or link below to learn more about it. Regular use of saline is also recommended to prevent this condition. A nasal spray (available over the counter) may also be needed when the condition has actually improved.

For lasting improvement, it is also recommended to regularly use saline rinse, and apply trigger balls to tense muscles in the shoulders and neck (you know you have it!) And exercise and stretching.Meditation and yoga can also be helpful measures for reducing mental stress in daily life. Gently, regular self-massage of the facial muscles can also help and relieve some pressure on the sinuses located under the eyes and next to the nose.

Read more: Pain Relief Headache and Migraine Mask (Opens in a new window)

Pain presentation: Sinus headache symptoms (sinusitis headache)

Typically, sinusitis causes headache, which is felt as deep and depressive pain in the cheeks, forehead and around the nose, and between the forehead and nose.The pain usually gets worse if you suddenly move your head (for example, bend forward) or engage in physical activity. Sinus headache symptoms and signs may vary slightly, but some typical and characteristic symptoms are:

• Moderate to moderate fever (for other types of headache, you usually do not have a fever)
• Mild swelling of the face and around the sinuses
• Sinus pressure (see illustration)
• Concentration Difficulty
• Feeling of constant pressure in the ears
• Difficulty or impossible to equalize the pressure in the ears
• Soreness and discomfort in the muscles – especially at the transition of the forehead / nose and above the masseter major muscle (Chewing)

Unlike migraine, then you will not have neurological symptoms of sinus headaches.Examples of nerve symptoms that can occur with migraines include muscle weakness and blurred vision.

Epidemiology: Who Gets Sinus Headache? Who has suffered the most?

Everyone can be affected by sinus headaches, but as mentioned earlier, the most common causes are allergic and inflammatory reactions (eg due to flu and colds). Therefore, sinus headaches most often affect people with weakened immune systems and allergy sufferers.

Cause: Why do you have sinus headache (sinusitis headache)?

The two main causes of sinus headaches are allergic reactions and inflammation / infections (eg due to influenza virus). This causes pressure changes in the air pockets, which we call sinuses, and leads to the characteristic headache symptoms. If you are often bothered, there may also be polyps in your sinuses – in some cases this can be an alternative to removing them to make room and reduce the frequency of this type of headache.The good news (especially for your bed partner) is that it can also reduce snoring.

Exercise and Stretching: What Exercises Can Help For Sinus Headaches?

An important exercise we would recommend is a gentle massage of the facial muscles, which is directly related to the sinuses. It can also be nice to stretch your neck and shoulders, as they tend to stretch when you have a headache. We recommend that you get a good routine that includes a daily, one-on-one, neck stretch.

Try this: – 4 stretching exercises against neck stiffness

We also recommend these 5 specific jaw exercises.

Sinus headache treatment

When we talk about treating sinus headaches, the greatest symptom relief is actually applied, as well as the elimination of blockages inside the sinuses causing poor mucus and snot flow.

• Medical treatment : Allergy tablets and their correct use can prevent allergic reactions and thus prevent sinus reactions.
• Muscle Whip Treatment: Muscle therapy can reduce muscle tension and muscle pain in the neck and shoulders.
• Treatment Together: A muscle and joint specialist (eg chiropractor) will work on both muscles and joints to give you functional improvement and symptom relief. This treatment will be tailored to each individual patient based on a thorough examination, which also takes into account the general health of the patient. Most likely, treatment will consist of joint correction, muscle work, ergonomics / posture counseling, and other forms of treatment appropriate for the individual patient.
• Saline solution (drug-free): Pharmacies and stores provide non-drug saline solutions (often added to aloe vera) that can be used to maintain good nasal and nasal passages. Regular use can also work prophylactically.
• Pain Relief Headache and Migraine Mask: These masks can be either frozen or heated, which means they can be used for more severe pain (cooling) and more prophylactic (heating and increased circulation).
• Yoga and Meditation Yoga, mindfulness and meditation can help reduce mental stress in the body. A good measure for those who have too much stress in their daily life.

Self-help: what can I do even for muscle and joint pain?

As already mentioned, it often happens that we additionally strain the muscles, and the painful fibers become more sensitive when we have headaches. We always recommend that self-medication be one of the main ways to deal with pain – regular self-massage (for example, with a ball point trigger) and stretching can help prevent muscle and joint pain.

1. General exercise, special exercises, stretching and activity are recommended, but stay within the pain. Two walks a day for 20-40 minutes are good for the whole body and muscle soreness.

2. Trigger point / massage balls we highly recommend – they come in different sizes, so you can hit even all parts of the body. There is no better self-help than this! We recommend the following (click the image below) is a complete set of 5 trigger points / massage balls in different sizes:

3. Training: Special training with training techniques of different opponents (for example, this set of 6 matings of different resistances) can help you train strength and function. Knitting training often involves more specific training, which in turn can lead to more effective injury prevention and pain relief.

4. Pain relief – cooling: Biofreeze is a natural product that can relieve pain by gently cooling the area. Cooling is especially recommended when the pain is severe. When they have calmed down, heat treatment is recommended – so it is advisable to have both cooling and heating.

5. Pain Relief – Heating: Warming up muscles can improve blood circulation and reduce pain. We recommend the following reusable hot / cold pad (click here to learn more about this) – which can be used for both cooling (freezing) and heating (microwaveable).

6. Prevention and Treatment: Compression noise like this can increase blood circulation in the affected area, thereby accelerating the natural healing of damaged or worn out muscles and tendons.

Recommended Pain Relief Products

Biofreeze (Cold / Cryotherapy)

Find out more here: – What You Should Know About Fibromyalgia

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90,000 Tension headache: symptoms, diagnosis, treatment of headache, tension

Tension headache (TCH) refers to pain that occurs in response to mental stress as a result of acute or chronic stress. Tension headache (HDN) is the most common form of headache. Their prevalence in the population reaches 70%. HDN can occur in people of all age groups. More often women suffer from HDN.

Tension headache is due to many reasons: psychosocial stress and emotional disorders (anxiety and depression), prolonged postural muscle strain, abuse of analgesic drugs. As a rule, each person has several causes of headache, and any combination of them is possible.The factors that provoke the next increase in pain with HDN include a change in the weather, forced fasting, work in a stuffy room, sleepless nights, alcohol intake, prolonged physical and mental stress.

Tension headache is conventionally divided into episodic and chronic. To episodic include headaches in which the number of days with a headache does not exceed 15 days per month or 180 per year. With chronic tension headaches (HDN), the number of days with headache exceeds 15 days per month or 180 per year.

Both episodic and chronic HDN are divided into subgroups: with and without pericranial muscle tension. The selection of subgroups is primarily necessary for the correct choice of treatment tactics.

Clinically, HDN is characterized by the presence of monotonous bilateral diffuse (like “helmet” or “helmet”) pain of a pressing-compressive nature. The headache is not aggravated by normal daily physical activity. At the height of the headache, accompanying symptoms may appear: painful perception of sounds, photophobia, lack of appetite or nausea.As a rule, these symptoms do not appear at the same time, but are observed in isolation and clinically mild. With episodic HDN, the intensity of the headache is mild or moderate. Disturbing manifestations are expressed. Chronic tension headache is characterized by a combination of intense headache with depressive disorders, leading to impaired social activity of patients and a pronounced decrease in the quality of life.

Diagnostics of HDN is carried out on the basis of the patient’s complaints and anamnesis of the disease, scales and questionnaires are used to assess the intensity of pain, the degree of emotional disorders, strategies to overcome pain. Patients with HDN must undergo an MRI of the brain and an examination of the cervical spine.

In the treatment of HDN at the Central Clinical Hospital of the Russian Academy of Sciences, an integrated approach is used, where, along with classical drug treatment, psychotherapy, auto-training, relaxation exercises, biofeedback method (aimed at relieving emotional stress, anxiety and achieving muscle relaxation), physiotherapy, manual therapy are used, acupuncture, relaxing massage of the neck and collar muscles and other relaxation activities.

Get expert advice from a specialist by contacting the Central Clinical Hospital of the Russian Academy of Sciences. Do not postpone making an appointment with a neurologist if any alarming symptoms appear. We remind you that early diagnosis allows you to stop the problem at a rudimentary level. You can make an appointment at the central clinical hospital of the capital by phone or using the form on the website.

90,000 Treatment of chronic and acute frontal sinusitis in adults

Treatment of acute frontal sinusitis

Treatment of acute frontal sinusitis is most often conservative.The disease begins with a sharp deterioration in health, usually accompanied by a high fever. Nasal breathing is difficult, thick yellow or greenish mucus is secreted from the nasal passages. Characterized by a pronounced pain syndrome in the forehead, sometimes the pain radiates to the upper jaw, eyes and ears. Unlike sinusitis, frontal pain does not subside at night, but, on the contrary, becomes more intense, interfering with normal sleep. First of all, antibiotics are selected for the patient. Sometimes, to prescribe adequate antibiotic therapy, a preliminary study of the sensitivity of the microflora is carried out.For this, nasal discharge is sown. In addition, in the treatment of acute frontal sinusitis , topical agents are effective: vasoconstrictor drops and sprays with antibiotics. At a high temperature, the patient needs bed rest, he is prescribed antipyretic drugs. Sometimes anti-inflammatory drugs are used to improve the condition and relieve inflammation.

Treatment of chronic frontal sinusitis

Treatment of chronic frontal sinusitis consists in the combined use of medications and physiotherapy.The chronic form of the disease most often develops against the background of an acute process. Main manifestations: minor headaches, discharge of purulent mucus from the nasal passages in the morning, dizziness, general weakness, malaise. Often, patients do not go to the doctor for a long time, which can be very dangerous. The frontal sinuses are directly adjacent to the brain, therefore, complications of the disease are associated with the transition of the inflammatory process to the meninges with the development of meningitis and meningoencephalitis. Treatment of chronic frontal sinusitis consists in the appointment of vasoconstrictor drops to facilitate the outflow of purulent contents from the sinuses, as well as in the use of physiotherapeutic techniques: UHF, electrophoresis, galatherapy and others.