Guest guest Posted June 12, 2004 Report Share Posted June 12, 2004 I hope this is not a duplicate of something sent because I can't keep up with all of her articles. This report is amazing but I have no doubt it is true. My sister was treated for years for 'sinus headaches' before an allergist diagnosed the headaches as migraines. Now, I am a nurse and I was with her through all the years of unsuccessful treatment of sinus headaches, etc. However, it was 5 years later before I realized that I was also being treated for sinus headaches which were really migraines. I am fortunate because I do not get them as often as my sister which may be part of the reason it took so long to recognize. About thirty years ago, I was unsuccessfully treated for sinus headaches for a four month stretch shortly after my Mom died. Toady I would bet that those were actually migraines. Whenever I had a headache like that, I thought it was another sinus headache. It sounds terrible that people could go 25 years with an improper diagnosis but since the headaches come and go and sometimes I would go a year without one - it is easy to see how it can take so many years to finally get a proper diagnosis. Please, don't ignore headaches. Too many doctors do not investigate the causes for headaches. Headaches are often symptoms of serious but treatable conditions - high blood pressure, cervical spine problems, infections, etc. Too many people let doctors brush them off and wait for them to pass on their own. Pain is a warning that something is wrong - listen to your body. Many of you are probably having allergic reactions this time of year and really do have sinus headaches. However, if the treatment is not helping, don't be afraid to ask the doctor if it could be migraines.Also, it is a misconception that only women get migraines - they can hit men as well. Pat ----- Original Message ----- 9 in 10 Sinus Headaches Really Migraines http://my.webmd.com/content/article/88/99965.htm?z=1728_00000_1000_1n_01 Untreated Migraine Cause of Most 'Sinus Headaches' By DeNoon WebMD Medical News Reviewed By Brunilda Nazario, MD on Thursday, June 10, 2004 June 10, 2004 -- Got a bad sinus headache? Odds are, it's really a migraine. If your head hurts, does it really matter what you call it? Yes, says headache specialist Eross, DO, associate consultant in neurology at the Mayo Clinic in sdale, Ariz. People spend lots of money on over-the-counter " sinus headache " remedies. But they get little relief, Eross says, until they get proper treatment for migraine. " The vast majority of people with self-diagnosed sinus headache have migraine, " Eross tells WebMD. " These individuals often have a delay in getting a correct diagnosis. On average, they waited 25 years. These are headaches affecting people in the prime of their lives. The vast majority had severe disability. " Eross and colleagues advertised a free evaluation to people suffering from " sinus headaches. " They signed up the first 100 people, and gave them a rigorous 1.5-hour evaluation. It turned out 90 of the 100 patients were really suffering from migraines. Eross presented the findings at this week's meeting of the American Headache Society in Vancouver, British Columbia, Canada. What Is a Sinus Headache? If you have an active sinus infection, your head hurts. Typical symptoms include fever, swollen lymph nodes, and a green or yellow nasal discharge. But most people who think they have sinus headaches don't have these symptoms -- just pain high in their cheeks. They likely have migraines, Eross says. What do sinus doctors think? It is a controversial issue, says Bradley Marple, MD, chair of the rhinology and paranasal sinus committee of the American Academy of Otolaryngology -- Head and Neck Surgery (AAO-HNS), and vice chair of the department of otolaryngology at the University of Texas Southwest Medical Center in Dallas. " This is a really difficult and controversial area right now. It hasn't completely been resolved, " Marple tells WebMD. " There are headaches caused by sino-nasal disease. There is also a whole host of other types of headaches. It is difficult to clinically separate the two. But I think it's credible that if you do thorough neurological exams on sinus headache patients, you may find a number have other types of neurogenic headaches. " There are many types of primary headaches officially recognized by the International Headache Society. Sinus headache (without an infection) is not one of them. On the other hand, they do recognize headaches attributed to infections as a cause of headaches. But Eross says that one in 10 patients actually does seem to have what he calls a NIRSH -- a non-infectious rhino-sinus headache. Eross says that mild cases of NIRSH may be common. Since they're mild, headache specialists rarely see them. And Marple says that patients suffering disabling pain from these rhino-nasal headaches may get relief from surgery. " In studies where researchers diligently ruled out migraine and cluster headache and other neurogenic headaches -- that one out of nine patients in the Eross study -- if you do surgery on them, there appears to be a real improvement, " he says. Getting the Right Help If you are missing work or your child is absent from school because of a sinus headache, you need professional help. But which professional you see makes a difference. The 100 patients in the Eross study went to an average of four doctors each -- and still went on suffering. Relatively few got to a headache specialist: 64% saw their family doctor, 59% saw an ear-nose-throat (ENT) specialist, 25% saw an allergist, and only 19% saw a neurologist. " Among folks who saw neurologists, 83% got a [correct] migraine diagnosis, " Eross says. " Among those who saw ENTs, only 8.1% got a migraine diagnosis. Only 6.3% got a migraine diagnosis from an allergist. " Most health plans require patients to see a general practitioner first. Eross says it's important to ask for a referral to a headache specialist if you get frequent or disabling headaches. Eross ended up treating about half of the " sinus headache " patients in his study. " Most of them have dramatically improved with migraine management, " he says. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 12, 2004 Report Share Posted June 12, 2004 Thanks, Pat. That is very interesting and important information. I didn't send the article before, and I hope you and other members will feel free to post whatever medical research is of interest - duplicates are AOK! Better to see it twice or more than never. I have suffered from classic migraines - aura, severe headache, nausea and vomiting, photophobia, and sonophobia - since early childhood. They run in my family. When I was little, nobody really understood that what I was having was a migraine (and my maternal grandparents were a doctor and nurse), but as time marched on, it became obvious. After a few years, I myself made the diagnosis and realized that my paternal grandmother was referring to migraines when she said " sick headaches. " You're right. Men can have them, too. I know three men who do, and both of my sons have had infrequent episodes. Here's an interesting tidbit about true rhinosinusitis: In 1999, Mayo published a paper stating that there was strong evidence that most cases of chronic rhinosinusitis were fungal, not bacterial, in origin. Recently, they have patented a antifungal spray that they are hoping will help those who have sinus infections. Antibiotics aren't going to do a thing for a fungal infection! So, the moral of the story is to 1) get the right diagnosis and then 2) get the right treatment. RespiratoryReviews.com February 2003 " Intranasal Antifungal for Chronic Rhinosinusitis " : http://www.respiratoryreviews.com/feb03/rr_feb03_antifungal.html I'll tell you where to go! Mayo Clinic in Rochester http://www.mayoclinic.org/rochester s Hopkins Medicine http://www.hopkinsmedicine.org [ ] 9 in 10 Sinus Headaches Really Migraines > I hope this is not a duplicate of something sent because I can't keep up with all of her articles. This report is amazing but I have no doubt it is true. My sister was treated for years for 'sinus headaches' before an allergist diagnosed the headaches as migraines. Now, I am a nurse and I was with her through all the years of unsuccessful treatment of sinus headaches, etc. However, it was 5 years later before I realized that I was also being treated for sinus headaches which were really migraines. I am fortunate because I do not get them as often as my sister which may be part of the reason it took so long to recognize. > > About thirty years ago, I was unsuccessfully treated for sinus headaches for a four month stretch shortly after my Mom died. Toady I would bet that those were actually migraines. Whenever I had a headache like that, I thought it was another sinus headache. It sounds terrible that people could go 25 years with an improper diagnosis but since the headaches come and go and sometimes I would go a year without one - it is easy to see how it can take so many years to finally get a proper diagnosis. > > Please, don't ignore headaches. Too many doctors do not investigate the causes for headaches. Headaches are often symptoms of serious but treatable conditions - high blood pressure, cervical spine problems, infections, etc. Too many people let doctors brush them off and wait for them to pass on their own. Pain is a warning that something is wrong - listen to your body. > > Many of you are probably having allergic reactions this time of year and really do have sinus headaches. However, if the treatment is not helping, don't be afraid to ask the doctor if it could be migraines.Also, it is a misconception that only women get migraines - they can hit men as well. > > Pat > ----- Original Message ----- > > > > 9 in 10 Sinus Headaches Really Migraines > http://my.webmd.com/content/article/88/99965.htm?z=1728_00000_1000_1n_01 > Untreated Migraine Cause of Most 'Sinus Headaches' > > By DeNoon > WebMD Medical News Reviewed By Brunilda Nazario, MD > on Thursday, June 10, 2004 > > June 10, 2004 -- Got a bad sinus headache? Odds are, it's really a migraine. > > If your head hurts, does it really matter what you call it? Yes, says > headache specialist Eross, DO, associate consultant in neurology at the Mayo > Clinic in sdale, Ariz. > > People spend lots of money on over-the-counter " sinus headache " remedies. But > they get little relief, Eross says, until they get proper treatment for > migraine. > > " The vast majority of people with self-diagnosed sinus headache have > migraine, " Eross tells WebMD. " These individuals often have a delay in getting a > correct diagnosis. On average, they waited 25 years. These are headaches affecting > people in the prime of their lives. The vast majority had severe disability. " > > Eross and colleagues advertised a free evaluation to people suffering from > " sinus headaches. " They signed up the first 100 people, and gave them a rigorous > 1.5-hour evaluation. It turned out 90 of the 100 patients were really > suffering from migraines. > > Eross presented the findings at this week's meeting of the American Headache > Society in Vancouver, British Columbia, Canada. > > What Is a Sinus Headache? > > If you have an active sinus infection, your head hurts. Typical symptoms > include fever, swollen lymph nodes, and a green or yellow nasal discharge. But > most people who think they have sinus headaches don't have these symptoms -- just > pain high in their cheeks. They likely have migraines, Eross says. > > What do sinus doctors think? It is a controversial issue, says Bradley > Marple, MD, chair of the rhinology and paranasal sinus committee of the American > Academy of Otolaryngology -- Head and Neck Surgery (AAO-HNS), and vice chair of > the department of otolaryngology at the University of Texas Southwest Medical > Center in Dallas. > > " This is a really difficult and controversial area right now. It hasn't > completely been resolved, " Marple tells WebMD. " There are headaches caused by > sino-nasal disease. There is also a whole host of other types of headaches. It is > difficult to clinically separate the two. But I think it's credible that if you > do thorough neurological exams on sinus headache patients, you may find a > number have other types of neurogenic headaches. " > > There are many types of primary headaches officially recognized by the > International Headache Society. Sinus headache (without an infection) is not one of > them. On the other hand, they do recognize headaches attributed to infections > as a cause of headaches. > > But Eross says that one in 10 patients actually does seem to have what he > calls a NIRSH -- a non-infectious rhino-sinus headache. > > Eross says that mild cases of NIRSH may be common. Since they're mild, > headache specialists rarely see them. And Marple says that patients suffering > disabling pain from these rhino-nasal headaches may get relief from surgery. > > " In studies where researchers diligently ruled out migraine and cluster > headache and other neurogenic headaches -- that one out of nine patients in the > Eross study -- if you do surgery on them, there appears to be a real > improvement, " he says. > > Getting the Right Help > > If you are missing work or your child is absent from school because of a > sinus headache, you need professional help. But which professional you see makes a > difference. > > The 100 patients in the Eross study went to an average of four doctors each > -- and still went on suffering. Relatively few got to a headache specialist: > 64% saw their family doctor, 59% saw an ear-nose-throat (ENT) specialist, 25% > saw an allergist, and only 19% saw a neurologist. > > " Among folks who saw neurologists, 83% got a [correct] migraine diagnosis, " > Eross says. " Among those who saw ENTs, only 8.1% got a migraine diagnosis. Only > 6.3% got a migraine diagnosis from an allergist. " > > Most health plans require patients to see a general practitioner first. Eross > says it's important to ask for a referral to a headache specialist if you get > frequent or disabling headaches. > > Eross ended up treating about half of the " sinus headache " patients in his > study. > > " Most of them have dramatically improved with migraine management, " he says. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 14, 2004 Report Share Posted June 14, 2004 How true, Pat. I have a dear friend who was a stock broker with Merrill Lynch who retired on a disability his migraines were so severe. He goes to a special pain management clinic - if people have consistent problems it is well worth looking into. > I hope this is not a duplicate of something sent because I can't keep up > with all of her articles. This report is amazing but I have no doubt it is true. > My sister was treated for years for 'sinus headaches' before an allergist > diagnosed the headaches as migraines. Now, I am a nurse and I was with her > through all the years of unsuccessful treatment of sinus headaches, etc. > However, it was 5 years later before I realized that I was also being treated > for sinus headaches which were really migraines. I am fortunate because I do not > get them as often as my sister which may be part of the reason it took so long > to recognize. > > About thirty years ago, I was unsuccessfully treated for sinus headaches for a > four month stretch shortly after my Mom died. Toady I would bet that those were > actually migraines. Whenever I had a headache like that, I thought it was > another sinus headache. It sounds terrible that people could go 25 years with an > improper diagnosis but since the headaches come and go and sometimes I would go > a year without one - it is easy to see how it can take so many years to finally > get a proper diagnosis. > > Please, don't ignore headaches. Too many doctors do not investigate the causes > for headaches. Headaches are often symptoms of serious but treatable conditions > - high blood pressure, cervical spine problems, infections, etc. Too many people > let doctors brush them off and wait for them to pass on their own. Pain is a > warning that something is wrong - listen to your body. > > Many of you are probably having allergic reactions this time of year and really > do have sinus headaches. However, if the treatment is not helping, don't be > afraid to ask the doctor if it could be migraines.Also, it is a misconception > that only women get migraines - they can hit men as well. > > Pat > ----- Original Message ----- > > > > 9 in 10 Sinus Headaches Really Migraines > http://my.webmd.com/content/article/88/99965.htm?z=1728_00000_1000_1n_01 > Untreated Migraine Cause of Most 'Sinus Headaches' > > By DeNoon > WebMD Medical News Reviewed By Brunilda Nazario, MD > on Thursday, June 10, 2004 > > June 10, 2004 -- Got a bad sinus headache? Odds are, it's really a migraine. > > If your head hurts, does it really matter what you call it? Yes, says > headache specialist Eross, DO, associate consultant in neurology at the > Mayo > Clinic in sdale, Ariz. > > People spend lots of money on over-the-counter " sinus headache " remedies. But > they get little relief, Eross says, until they get proper treatment for > migraine. > > " The vast majority of people with self-diagnosed sinus headache have > migraine, " Eross tells WebMD. " These individuals often have a delay in getting a > correct diagnosis. On average, they waited 25 years. These are headaches > affecting > people in the prime of their lives. The vast majority had severe disability. " > > Eross and colleagues advertised a free evaluation to people suffering from > " sinus headaches. " They signed up the first 100 people, and gave them a rigorous > 1.5-hour evaluation. It turned out 90 of the 100 patients were really > suffering from migraines. > > Eross presented the findings at this week's meeting of the American Headache > Society in Vancouver, British Columbia, Canada. > > What Is a Sinus Headache? > > If you have an active sinus infection, your head hurts. Typical symptoms > include fever, swollen lymph nodes, and a green or yellow nasal discharge. But > most people who think they have sinus headaches don't have these symptoms -- > just > pain high in their cheeks. They likely have migraines, Eross says. > > What do sinus doctors think? It is a controversial issue, says Bradley > Marple, MD, chair of the rhinology and paranasal sinus committee of the American > Academy of Otolaryngology -- Head and Neck Surgery (AAO-HNS), and vice chair of > the department of otolaryngology at the University of Texas Southwest Medical > Center in Dallas. > > " This is a really difficult and controversial area right now. It hasn't > completely been resolved, " Marple tells WebMD. " There are headaches caused by > sino-nasal disease. There is also a whole host of other types of headaches. It > is > difficult to clinically separate the two. But I think it's credible that if you > do thorough neurological exams on sinus headache patients, you may find a > number have other types of neurogenic headaches. " > > There are many types of primary headaches officially recognized by the > International Headache Society. Sinus headache (without an infection) is not one > of > them. On the other hand, they do recognize headaches attributed to infections > as a cause of headaches. > > But Eross says that one in 10 patients actually does seem to have what he > calls a NIRSH -- a non-infectious rhino-sinus headache. > > Eross says that mild cases of NIRSH may be common. Since they're mild, > headache specialists rarely see them. And Marple says that patients suffering > disabling pain from these rhino-nasal headaches may get relief from surgery. > > " In studies where researchers diligently ruled out migraine and cluster > headache and other neurogenic headaches -- that one out of nine patients in the > Eross study -- if you do surgery on them, there appears to be a real > improvement, " he says. > > Getting the Right Help > > If you are missing work or your child is absent from school because of a > sinus headache, you need professional help. But which professional you see makes > a > difference. > > The 100 patients in the Eross study went to an average of four doctors each > -- and still went on suffering. Relatively few got to a headache specialist: > 64% saw their family doctor, 59% saw an ear-nose-throat (ENT) specialist, 25% > saw an allergist, and only 19% saw a neurologist. > > " Among folks who saw neurologists, 83% got a [correct] migraine diagnosis, " > Eross says. " Among those who saw ENTs, only 8.1% got a migraine diagnosis. Only > 6.3% got a migraine diagnosis from an allergist. " > > Most health plans require patients to see a general practitioner first. Eross > says it's important to ask for a referral to a headache specialist if you get > frequent or disabling headaches. > > Eross ended up treating about half of the " sinus headache " patients in his > study. > > " Most of them have dramatically improved with migraine management, " he says. > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 16, 2004 Report Share Posted June 16, 2004 I seem to have headaches when the barometric pressure changes/especially when it drops- and it hurts right behing the eyeball-no allergies that I can identify. Is this a migraine afterall?? --- k.j.choate@... wrote: > How true, Pat. I have a dear friend who was a stock > broker with Merrill Lynch who retired on a > disability his migraines were so severe. He goes to > a special pain management clinic - if people have > consistent problems it is well worth looking into. > > > > > > I hope this is not a duplicate of something > sent because I can't keep up > > with all of her articles. This report is amazing > but I have no doubt it is true. > > My sister was treated for years for 'sinus > headaches' before an allergist > > diagnosed the headaches as migraines. Now, I am a > nurse and I was with her > > through all the years of unsuccessful treatment of > sinus headaches, etc. > > However, it was 5 years later before I realized > that I was also being treated > > for sinus headaches which were really migraines. I > am fortunate because I do not > > get them as often as my sister which may be part > of the reason it took so long > > to recognize. > > > > About thirty years ago, I was unsuccessfully > treated for sinus headaches for a > > four month stretch shortly after my Mom died. > Toady I would bet that those were > > actually migraines. Whenever I had a headache like > that, I thought it was > > another sinus headache. It sounds terrible that > people could go 25 years with an > > improper diagnosis but since the headaches come > and go and sometimes I would go > > a year without one - it is easy to see how it can > take so many years to finally > > get a proper diagnosis. > > > > Please, don't ignore headaches. Too many doctors > do not investigate the causes > > for headaches. Headaches are often symptoms of > serious but treatable conditions > > - high blood pressure, cervical spine problems, > infections, etc. Too many people > > let doctors brush them off and wait for them to > pass on their own. Pain is a > > warning that something is wrong - listen to your > body. > > > > Many of you are probably having allergic reactions > this time of year and really > > do have sinus headaches. However, if the treatment > is not helping, don't be > > afraid to ask the doctor if it could be > migraines.Also, it is a misconception > > that only women get migraines - they can hit men > as well. > > > > Pat > > ----- Original Message ----- > > > > > > > > 9 in 10 Sinus Headaches Really Migraines > > > http://my.webmd.com/content/article/88/99965.htm?z=1728_00000_1000_1n_01 > > > Untreated Migraine Cause of Most 'Sinus Headaches' > > > > By DeNoon > > WebMD Medical News Reviewed By Brunilda > Nazario, MD > > on Thursday, June 10, 2004 > > > > June 10, 2004 -- Got a bad sinus headache? Odds > are, it's really a migraine. > > > > If your head hurts, does it really matter what you > call it? Yes, says > > headache specialist Eross, DO, associate > consultant in neurology at the > > Mayo > > Clinic in sdale, Ariz. > > > > People spend lots of money on over-the-counter > " sinus headache " remedies. But > > they get little relief, Eross says, until they get > proper treatment for > > migraine. > > > > " The vast majority of people with self-diagnosed > sinus headache have > > migraine, " Eross tells WebMD. " These individuals > often have a delay in getting a > > correct diagnosis. On average, they waited 25 > years. These are headaches > > affecting > > people in the prime of their lives. The vast > majority had severe disability. " > > > > Eross and colleagues advertised a free evaluation > to people suffering from > > " sinus headaches. " They signed up the first 100 > people, and gave them a rigorous > > 1.5-hour evaluation. It turned out 90 of the 100 > patients were really > > suffering from migraines. > > > > Eross presented the findings at this week's > meeting of the American Headache > > Society in Vancouver, British Columbia, Canada. > > > > What Is a Sinus Headache? > > > > If you have an active sinus infection, your head > hurts. Typical symptoms > > include fever, swollen lymph nodes, and a green or > yellow nasal discharge. But > > most people who think they have sinus headaches > don't have these symptoms -- > > just > > pain high in their cheeks. They likely have > migraines, Eross says. > > > > What do sinus doctors think? It is a controversial > issue, says Bradley > > Marple, MD, chair of the rhinology and paranasal > sinus committee of the American > > Academy of Otolaryngology -- Head and Neck Surgery > (AAO-HNS), and vice chair of > > the department of otolaryngology at the University > of Texas Southwest Medical > > Center in Dallas. > > > > " This is a really difficult and controversial area > right now. It hasn't > > completely been resolved, " Marple tells WebMD. > " There are headaches caused by > > sino-nasal disease. There is also a whole host of > other types of headaches. It > > is > > difficult to clinically separate the two. But I > think it's credible that if you > > do thorough neurological exams on sinus headache > patients, you may find a > > number have other types of neurogenic headaches. " > > > > There are many types of primary headaches > officially recognized by the > > International Headache Society. Sinus headache > (without an infection) is not one > > of > > them. On the other hand, they do recognize > headaches attributed to infections > > as a cause of headaches. > > > > But Eross says that one in 10 patients actually > does seem to have what he > > calls a NIRSH -- a non-infectious rhino-sinus > headache. > > > > Eross says that mild cases of NIRSH may be common. > Since they're mild, > > headache specialists rarely see them. And Marple > says that patients suffering > > disabling pain from these rhino-nasal headaches > may get relief from surgery. > > > > " In studies where researchers diligently ruled out > migraine and cluster > > headache and other neurogenic headaches -- that > one out of nine patients in the > > Eross study -- if you do surgery on them, there > appears to be a real > > improvement, " he says. > > > > Getting the Right Help > > > > If you are missing work or your child is absent > from school because of a > > sinus headache, you need professional help. But > which professional you see makes > > a > > difference. > > > > The 100 patients in the Eross study went to an > average of four doctors each > > -- and still went on suffering. Relatively few got > to a headache specialist: > > 64% saw their family doctor, 59% saw an > ear-nose-throat (ENT) specialist, 25% > > saw an allergist, and only 19% saw a neurologist. > > > > " Among folks who saw neurologists, 83% got a > [correct] migraine diagnosis, " > > Eross says. " Among those who saw ENTs, only 8.1% > got a migraine diagnosis. Only > > 6.3% got a migraine diagnosis from an allergist. " > === message truncated === Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 16, 2004 Report Share Posted June 16, 2004 , there are so many causes and types of headaches, that it would be difficult for me to guess. I would mention it to your physician on your next visit. Here's an excellent article: Postgraduate Medicine December 2002 " The Many Causes of Headache " : http://www.postgradmed.com/issues/2002/12_02/levin.htm I'll tell you where to go! Mayo Clinic in Rochester http://www.mayoclinic.org/rochester s Hopkins Medicine http://www.hopkinsmedicine.org Re: [ ] 9 in 10 Sinus Headaches Really Migraines > I seem to have headaches when the barometric pressure > changes/especially when it drops- and it hurts right > behing the eyeball-no allergies that I can identify. > Is this a migraine afterall?? Quote Link to comment Share on other sites More sharing options...
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