Sinus headaches are an American problem only�"true! Europeans do not have “sinus headaches." This myth all started on the Ed Sullivan Show. His show is famous for introducing The Beatles to America. The Ed Sullivan Show is infamous in my book�"literally! His show introduced a seemingly innocent advertisement for Anacin as a cure for “sinus headache." This advertisement caught the attention of the naive. These unfortunate headache sufferers were horrified by an image of a man’s head being pounded on by a large mallet. To the enlightened, it is obviously a migraineur having a throbbing migraine with sinus congestion and drainage. To the unsuspecting victims of this distorted propaganda, it ensnared them in a web of deception. The evils of too much Anacin (or like products) will be discussed in the next myth.
#4) This daily Anacin (or like product) is the only thing that takes my “sinus headache" away; therefore, it is good for me�"myth.
All too often the patient is prescribed or takes too much narcotics and other medications and develops rebound pain. If someone were to take Tylenol, aspirin, Excedrin, Fiorinal, Anacin, narcotics, Ultram, Darvon, Lortab, Percodan, or many other medications, then the person could develop rebound headaches. This perpetuates the pain and prolongs recovery. For example, many simple neck injuries become permanent when over-prescribed inappropriate medicine is taken.
If someone used Afrin Nasal Spray all the time, then the nasal passages would be stopped up unless Afrin was used constantly. Rebound works much the same way. The pain receptors get “confused" and perceive pain unless the rebound medicine is continually used. Relief is only temporary at best. Usually people with migraines transform to chronic head, sinus, and/or neck pain with regular pain medications. Frequently, the episodic pain has changed to a more constant state and often there is less nausea and throbbing.
#5) Sinus surgery is the answer for my “sinus headache." This unfortunately is usually a myth.
Regrettably, the presentation of migraine as “sinus headache" usually receives a prescription of antibiotics rather than appropriate care. Just as bad, the patient gives up on seeking medical care and resorts to self-medicating which can lead to complications, such as rebound headaches or chronic daily headaches. Proper diagnosis is essential to beginning appropriate care. CT scans of the sinuses can also be confusing. Fifteen percent of patients with primary headaches (not from sinusitis, tumor, or other secondary cause) have a CT abnormality of the sinuses. No wonder many people with migraines have surgery for sinus problems, which unfortunately does not resolve the symptoms completely. I am pleased to report that the efforts of headache experts are starting to be realized. I have found ENT surgeons in my area of the country are now more aware of migraine presentations and are more alert to recommend that their patients receive appropriate care.
To find additional information about “sinus headache", migraines, fibromyalgia, temporomandibular joint (TMJ) syndrome, irritable bowel syndrome (IBS), palpitations, vertigo, hypoglycemia, panic attacks and their interrelationship, go to http://www.migrainesyndrome.net.
Many myths confound the proper treatment of migraines presenting primarily as “sinus headaches." The nasal congestion caused by migraines fails to distinguish itself from allergic rhinitis, sinusitis, and vasomotor rhinitis. Migraine causes inflammation in the nerves and blood vessels in the head. In the typical migraine headache the upper branches of the nerve, which supply the coverings of the brain, are involved and the head pain is the predominant symptom.
In cases of “sinus headaches" the inflammation starts within the nerve, causing sinus pain and nasal discharge and/or stuffiness. The branch that gives touch and pain sensation to the nose causes nasal discharge and the lining of the nasal passages to become swollen. Nasal congestion is very common with migraines. The nasal stuffiness is usually reversible as demonstrated in studies of the nasal passages�"congested and swollen during the migraine, however, are normal before and after. The nasal congestion that develops in a migraine is not infection. Slowly, as the migraine goes away, the congestion will disappear.
#2) My nasal discharge means I need antibiotics for my sinusitis�"myth.
If the patient has a 102 degree temperature and a thick yellow foul-smelling discharge, there certainly may be infection. It is even possible it could be bacterial. Then antibiotics would be appropriate. Many headache sufferers describe pain or pressure in areas around their sinuses. I was a medical investigator in a national study involving about 3000 patients with sinus pain thinking they had infections. Nearly 90% of the patients actually were having migraines.
Because of the location, many patients presume that their symptoms are caused by problems with their sinuses themselves. It takes infection under pressure to generate pain from bacterial sinusitis. Most patients with chronic bacterial sinusitis do not present themselves at the doctor’s office with high fever or pain. Certainly allergies and sinusitis and changes in the weather or barometric pressure can be triggers for migraine headache. Upper respiratory tract infections, chemicals, or smells can irritate the trigeminal nerve, and this nerve through the migraine mechanism is the source of headache pain. It is not good to make your trigeminal nerve unhappy.
More myths of “sinus headache" will be covered in the next article. To find additional information about “sinus headache", migraines, fibromyalgia, temporomandibular joint (TMJ) syndrome, irritable bowel syndrome (IBS), palpitations, vertigo, hypoglycemia, panic attacks and their interrelationship, go to http://www.migrainesyndrome.net.
J. Wes Tanner, Md has sinced written about articles on various topics from Migraine Headaches, Fibromyalgia and Panic Attacks. J. Wes Tanner, MD is a family practice and headache specialist who has been treating people for about 30 years. He has extensive experience in treating migraines and fibromyalgia with excellent success. In "Doctor, Why Do I Feel This Way?", Dr. Tann. J. Wes Tanner, Md's top article generates over 2900 views. to your Favourites.