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Question

11 Jul 2011

headache
severe frontal headache around &  around sinus bone
Answer 412 views
Expert
Headache expert
Headache expert

01 Jan 0001

Dear Connie,

It is highly unlikely that the headache is from the sinuses. Although the sinuses can play a part in the headache process, it is not nearly as common as people think. Research from headache clinics throughout the world shows that “sinus headache” is the most common misdiagnosis. Just because the pain is in the area of the sinuses, or because the patient has a post-nasal drip or blocked nose when the headache strikes, doesn’t mean that the sinuses are responsible. In fact what often happens is that when the underlying cause of the headache is treated, the sinus problems often clear up.

To get to the root of the problem, you need what is called a “multidisciplinary assessment”, which should include a neurological examination to rule out any serious underlying condition. There are so many different structures in the head and neck, all of which can be involved in the headache process, that no single specialist can have all the knowledge necessary to make a comprehensive assessment and diagnosis. For instance, a neurologist will examine the brain and nervous system, a physiotherapist will look at the muscles, a dentist will examine the teeth etc. For this reason, the “multidisciplinary assessment” combines and integrates the expertise of different specialists who would normally treat headache patients in isolation, into a single more comprehensive body of knowledge. This enables the different members of the team to provide a co-ordinated treatment plan, so that all the contributing factors are addressed.

This assessment must include a thorough examination of the head and neck muscles to determine the presence of abnormal tension, and of the external carotid vasculature to determine whether there is an arterial element to the pain.
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical examination, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.
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