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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Headache And Facial Pain

I have had evere headaches and face pain that felt ke sinus pressure without any congestion and Sudafed didn t work. Was taking dvil every four hours fpr 7 days. Now I just get tingle and shoot of pain at back of my head near neck and my lower back and achy legs when walking. I also have red rash that has spread under arm, chest and back.
Tue, 23 Oct 2018
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Neurologist,  's  Response
Hello,

The feelings of "sinus" pressure in the front of the face and "congestion" which does not clear with antihistamines, antibiotics, or nasal/sinus rinses using devices, etc. is the biggest clues to the pain not being from any sort of allergic or infectious process but rather headache, usually of the migraine type.

Sinus/allergy headaches are likely the most over-diagnosed sorts of headaches and the diagnosis is simply incorrect.
Your symptoms are much more likely due to those of activation of the trigeminal nerve, which richly innervates the sinuses, the facial region to include the forehead, eyes, and nose and should be looked at from that perspective.

Hope I have answered your query.
Let me know if I can assist you further.

Regards,
Dr. Dariush Saghafi,
Neurologist


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Suggest Treatment For Severe Headache And Facial Pain

Hello, The feelings of sinus pressure in the front of the face and congestion which does not clear with antihistamines, antibiotics, or nasal/sinus rinses using devices, etc. is the biggest clues to the pain not being from any sort of allergic or infectious process but rather headache, usually of the migraine type. Sinus/allergy headaches are likely the most over-diagnosed sorts of headaches and the diagnosis is simply incorrect. Your symptoms are much more likely due to those of activation of the trigeminal nerve, which richly innervates the sinuses, the facial region to include the forehead, eyes, and nose and should be looked at from that perspective. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist