Hi, Thanks for posting in HCM. I understand your concern. Sinusitis is infection of the nasal sinuses. The procedures which you are suggesting like saline flush and acupuncture could be effective in only few of the mild cases who do not have gross anatomical abnormalities. In case you have any anatomical abnormalities, it needs to be corrected by means of surgery only. Kindly undergo investigations like x-ray of para-nasal air sinuses and CT scan of nasal sinuses (if required). Kindly consult ENT specialist with the report for appropriate evaluation and management. Hope the information provided would be helpful. All the best.