Perhaps one of the most common reason for a patient visit to an ENT office is for a chronic sinus headache. The most common complaints include nasal congestion, chronic pain or pressure over the face or eyes, no fever, and no purulent drainage. The headaches typically are between the eyes, forehead, cheeks, or all these regions. Other symptoms that may or may not be present, include light and/or noise sensitivity, pain worsening with movement, nausea and/or vomiting, runny nose, and watery eyes. These headaches last ~4-72 hours, with or without antibiotics, and occurs regularly, up to several times a month.

However, the reality is that ~80% of such patients are actually suffering from migraines or some other type of neurologic condition.

More information on sinus headaches:
https://www.FauquierENT.net/sinusheadache.htm

Online store for OTC migraine treatment:
https://www.FauquierENT.net/store_migraine.htm

Video produced by Dr. Chris Chang:
https://www.FauquierENT.net

References:
The Sinus, Allergy and Migraine Study (SAMS). Headache 2007 Feb; 47 (2) : 213-24.
http://www.ncbi.nlm.nih.gov/pubmed/17300361

Migraine misdiagnosis as a sinusitis, a delay that can last for many years. The Journal of Headache and Pain volume 14, Article number: 97 (2013). https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/1129-2377-14-97

Prevalence and diagnosis of migraine in patients consulting their physician with a complaint of headache: data from the Landmark Study. Headache. 2004 Oct;44(9):856-64. https://pubmed.ncbi.nlm.nih.gov/15447694/

Prevalence of migraine in patients with a history of self-reported or physician-diagnosed "sinus" headache. Archives of Internal Medicine 2004 Sep 13; 164 (16) : 1769-72. http://www.ncbi.nlm.nih.gov/pubmed/15364670

Sinus headache: a clinical conundrum. Otolaryngol Clin North Am. 2004 Apr;37(2):267-88. https://pubmed.ncbi.nlm.nih.gov/15064062/

Etiology of ‘Sinus Headache’-Moving the Focus from Rhinology to Neurology. A Systematic Review. Brain Sci. 2021 Jan 9;11(1):79. doi: 10.3390/brainsci11010079. https://pubmed.ncbi.nlm.nih.gov/33435283/

Evidence-based guideline update: pharmacologic treatment for episodic migraine prevention in adults: report of the Quality Standards Subcommittee of the American Academy of Neurology and the American Headache Society. Neurology. 2012 Apr 24;78(17):1337-45. doi: 10.1212/WNL.0b013e3182535d20. http://www.ncbi.nlm.nih.gov/pubmed/?term=22529202

Evidence-based guideline update: NSAIDs and other complementary treatments for episodic migraine prevention in adults: report of the Quality Standards Subcommittee of the American Academy of Neurology and the American Headache Society. Neurology. 2012 Apr 24;78(17):1346-53. doi: 10.1212/WNL.0b013e3182535d0c. http://www.ncbi.nlm.nih.gov/pubmed/?term=22529203

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#sinusheadache #migraine #sinuspain #nasalcongestion
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There is a common belief among patients and some clinicians, that sinusitis is present and causing a headache whenever there is pain over the sinuses. In this video, we use the International Classification of Headache Disorders Criteria to diagnose sinus headaches by differentiating sinus related headaches from migraines.

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After course completion you will have the knowledge and skills to recognize and categorize primary headaches accurately, outline the warning signs of ominous headaches and those caused by medical conditions, and it teaches you how to help your patient to help themselves by recognizing triggers and adopting lifestyle changes.

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