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Pain management for sinusitis and chronic headache - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Headache and Migraines
Answered by

General & Family Physician
Practicing since : 2009
Answered : 616 Questions
Doctor :   Hi
Doctor :  
How can I help you?
User :   Hi
User :   I just had a couple of questions to see if I could clear up some "anxiety" or worry I'm having..
User :   I've consulted a few other sources and thought I'd try here also..
Doctor :  
Please go ahead
Doctor :  
May I know what are those sources?
User :   For the last few months I've had a dull "ache" over my head.. it seems to not be just ONE spot..it goes from the back.. to over the ears ... to sometimes over my forehead.. and off and on it seems to be on the "crown" of my head..
User :   the ache doesn't stop me from doing my daily things or errands.. and usually if I do something like go to the gym or sauna .. or when I apply a heat pad to it the ache seems to disappear..
User :   I think I've come to the conclusion that when I worry and think about it that it becomes more than it is...
Doctor :  
Yes
Doctor :  
What is your age?
User :   I understand about tension headaches and things and I've been in that situation to have enough stress and tension.. currently I was laid off about a month or two before the ache started.. plus around the time the ache started I was also struggling to pay my bills on time
User :   I am 37
User :   I got behind on bills .. in the negative with my bank a few times.. things I've NEVER experienced before..
Doctor :  
Ok
User :   as for the ache it doesn't seem like it did when it started. I used to try to take advil all the time.. or sudafed because I had had a sinus infection
User :   but I wanted to quit taking them to avoid rebound headaches
User :   and actually I don't need them with the "ache" the way it is now..
User :   its one of those things when I think about it it's there... but if I'm preoccupied it seems to go away..
Doctor :  
Ok
User :   I was just wondering if you could help me out and give me your take on my situation..
Doctor :  
Ok
Doctor :  
May I ask you what sources did you approach before for the help, and what medicines did you take?
User :   i've just researched headaches .. went to forums.. used another "ask a doctor" site.. and previously before the ache I had been to the doctor for a small sinus infection which had caused some of the ache
Doctor :  
Ok
User :   medicines.. I've taken advil when the ache is more of a headache... I took sudafed and a nasal spray for the sinus infection..
Doctor :  
This appears to be Tension headache and if it is too frequent you have to stop the triggers, I guess you know them
User :   Again I haven't taken much recently because I don't want rebound headaches if that's what is most of the ache... and also that the ache again isn't that painful more like a dull ache
User :   I think I know them and it seems to be that I can't stop thinking about what's going on thats why I guess I'm trying to get such clarity..
Doctor :  
Do you have nausea / vomiting?
User :   NO
Doctor :  
Any other assosciated symptoms?
Doctor :  
like eye symptoms or ear symptoms
User :   That's the thing .. I don't have any blurred vision, nausea.. or anything else but this dull "ache"..
User :   Ear symptoms?
Doctor :  
Neck pain / tiredness / Gen body weakness
User :   Like hearing ?
Doctor :  
ringing in the ear, dizziness etc
User :   no pain in neck.. not tired , my wife just told me yesterday I had too much energy cleaning the house (LOL)...
Doctor :  
Wonderful
User :   I try to go to the gym and lift occassionally so no weakness that way
Doctor :  
Good to hear that
Doctor :  
I think you have to take up the relaxation part now
User :   No dizziness or ringing..
Doctor :  
You have to practise not to think lot about your lost job or the pending bills
Doctor :  
I know this is a difficult period
Doctor :  
but Health is Wealth
Doctor :  
what do you say?
User :   I just wondered if these "tension" headaches could last this long and then affect like the crown like it seems to be doing?
Doctor :  
Ys
Doctor :  
Yes
Doctor :  
Tension headache can get severe
Doctor :  
they seem dull and can stay for any long
Doctor :  
So you should know what are called Relaxation technques
User :   Right before all of this started I was severely stressed with job, money, I got the sinus infection so health.. and I think it all just came to a head .. (sorry no pun intended)
User :   ok
Doctor :  
Ok while chatting with me
Doctor :  
Try this one
Doctor :  
Start doing a muscle relaxation technique
Doctor :  
Start with one group of muscle in the foot
Doctor :  
Start tightening it stay for 10 sec and then relax
User :   ok
Doctor :  
and do it again for 3 times
Doctor :  
Now switch to other leg same muscle group
Doctor :  
3 times again
User :   ok
Doctor :   Then calf muscle of one leg
Doctor :  
and then other leg
Doctor :  
then thigh muscle
Doctor :  
This way try to do these technique from Toe to head
User :   ok
User :   Is that why the heating pad or sauna seems to make it disappear because of the relaxing heat ?
Doctor :  
Yea
Doctor :  
You understood the concept
User :   Yes
Doctor :  
Whenever you feel like thinking about those things and get stressed out
Doctor :  
Go into a room, sit on the floor and start doing this relaxation
Doctor :  
This will help you on long term
User :   ok.. and lately I haven't been focused on those too much or as much as I was.. lately its been more of the wondering about the "ache" being at the crown of my head.. but since its been a few months of this "all over ache" I didn't think it seemed to be too serious.. more of a reaction to my stressful situation
Doctor :  
YEs it is still the same
Doctor :  
If they are relieved by simple analgesic and hot packs
Doctor :  
it is mild
Doctor :  
So you got to try many things like Hot packs, Shower bath, Linimets like TIGER BALM
Doctor :  
Keep changing them each time you have an episode
User :   one other thing I was wondering, during the sinus infection my ears seem to click or pop more than usual.. and after the infection cleared they pop and click a little bit now off and on still.. I read and have researched that tension can also cause ears to feel clogged or pop .. is this true?
Doctor :  
If there is sinus infection they click
Doctor :  
because there is a connection between the nasal cavity and the middle ear
User :   if I think about it when I close my mouth and swallow I can hear my ears click sometimes
Doctor :  
That is normal
User :   so what is not normal then on the clicking ?
Doctor :  
Clicking can happen during the sinus infection
Doctor :  
Usually it clears after few days
Doctor :  
When did this clicking first appear.
Doctor :  
Learn to cope up with your stresses or triggers
Doctor :  
Yoga is another option you can try
User :   clicks happened when I had the sinus infection
Doctor :  
These relaxation techniques and Yoga they help in preventing the future episodes and the severity of the episodes
Doctor :  
of headache
User :   then seemed to clear a little before these "aches" in my head.. but usually they aren't something that I notice all the time unless I think about if the clicks are happening..
User :   but the clicks are there.. and I guess off and on since the "ache" in my head
Doctor :  
Leave it
Doctor :  
It is not bothersome
User :   Just things I haven't been sure of.. the clicks.. the crown "ache".. tension headaches lasting this long.. things to help relax and clear me up
User :   any medications you would suggest if the "ache" was a little more painful ?
Doctor :  
MOTRIN 400mg is the best thing available
Doctor :  
for you over the counter
Doctor :  
All the more I told you the other ways
Doctor :  
Try LINIMENTS like TIGER BALM, FLEXALL applications
User :   ok thats good to know in case.. but I am definitely trying the other ways first.. I'm trying to avoid always taking medication to relieve this
Doctor :   Let me reason out all once again
User :   what's flexall?
Doctor :  
Topical pain relieving gel
Doctor :  
Hot showers after these will help you
Doctor :  
relax more
User :   I can buy off the shelf?
Doctor :  
yes
Doctor :  
Let me reason out all once again
Doctor :  
1) CLICKS- Do not worry about them
Doctor :  
2) HEADACHE - Could be due to Chronic Sinusitis or Tension Headache
Doctor :  
3) Tension Headaches can last long
Doctor :  
as there might be triggers
Doctor :  
4) Thing to relax the ache - a) Topical applications b) ORal pain killers c) Hot pads and sauna bath
Doctor :  
d) Hot showers
Doctor :  
5) Methods that help on long run for Sinusitis and Ache onthe head
Doctor :  
a) Muscle Relaxation exercises
Doctor :  
b) Breathing exercise - Deep breath in slowly and breath out slolwy , 10 breaths at a time, 3 times a day
Doctor :  
c) Yoga
Doctor :  
I think you followed all these.
Doctor :  
you may save the text for easy reference in case of need.
User :   Yes I did... and as for the triggers .. one of the ones I have to make myself stop is thinking about the "ache" in my head .. constantly thinking about it.. that is a major trigger I am sure of..
Doctor :  
Yes, when ever you have sinus best way is the steam inhalations to release the stuffiness
Doctor :  
Sinusitis can be the major cause of the headaches too
Doctor :  
so take care of that
User :   I think about it.. then rub the spot with my hand (which does help)... and friends and family are constantly saying I'm always just rubbing my head...
User :   I think that either was a part of this or is still maybe a small part of this.. even though now I don't feel stuffy ... but I think it may have started with it at the time..
Doctor :  
Ok
Doctor :  
Is there any thing else I can help you with?
User :   I think that is it for now.
User :   Thank you for ALL of your advice
Doctor :   Ok Please fill the feedback form say done when done

User :   ok
Doctor :  
Thanks for consulting me
Doctor :  
Get back to me after one week
Doctor :  
of practising these techniques
User :   How can I get back in touch with you specifically?
Doctor :  
Doctor :  

Doctor :  
you will get an idea when will I be available
User :   ok thanks
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Diseases and Conditions
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