747, Poonamalle High Road
(Opp. Pachaiyappa's College)
Kilpauk, Chennai-600010

+91 73977 68795
044 4074 2000

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c l i n m e d i x

Headache & Sinus Clinic

Our specialized Headache & Sinus Clinic is dedicated to providing comprehensive and compassionate care for individuals suffering from persistent headaches and chronic sinus conditions. We understand the significant impact these issues can have on daily life, productivity, and overall well-being. Our expert team utilizes a multidisciplinary approach, combining advanced diagnostics with personalized treatment plans to bring you lasting relief.

What is a Headache & Sinus Clinic?

A Headache & Sinus Clinic is a specialized medical center focused on the diagnosis, treatment, and management of a wide spectrum of headache disorders and conditions affecting the paranasal sinuses. Unlike general practitioners, our clinic offers an in-depth understanding of the intricate relationship between headache pain and sinus health, providing targeted care that addresses the root cause of your symptoms.

Our clinic is built on a multidisciplinary care model, meaning you benefit from the expertise of various specialists working collaboratively. This approach ensures a holistic view of your condition, leading to more accurate diagnoses and effective, integrated treatment strategies. We emphasize:

  • Accurate Diagnosis: Differentiating between various types of headaches (e.g., migraine, tension, cluster) and identifying the specific sinus issues (e.g., chronic sinusitis, polyps, allergies) that may be contributing to your discomfort.
  • Personalized Treatment Plans: Recognizing that no two patients are alike, we develop customized treatment pathways tailored to your unique condition, lifestyle, and medical history.
  • Comprehensive Management: Offering a range of options from medication management and lifestyle modifications to advanced interventional procedures and surgical solutions.
  • Focus on Quality of Life: Our ultimate goal is not just to alleviate symptoms but to significantly improve your quality of life, allowing you to return to your daily activities free from chronic pain and discomfort.

Symptoms Addressed in Headache & Sinus Clinic

Patients typically seek care at our clinic when experiencing a range of persistent, recurrent, or severe symptoms related to headaches and/or sinus issues. These symptoms can be debilitating and significantly impact daily functioning. Common symptoms related to headaches.

Common symptoms related to headaches:

  • Recurrent or Chronic Headaches: Headaches occurring frequently (e.g., 15 or more days a month) or lasting for extended periods.
  • Severe Head Pain: Intense, throbbing, pounding, or vice-like head pain that interferes with daily activities.
  • Headaches with Nausea/Vomiting: Often associated with migraines.
  • Sensitivity to Light (Photophobia) or Sound (Phonophobia): Common migraine symptoms.
  • Auras: Visual disturbances (e.g., flashing lights, blind spots), numbness, or speech difficulties preceding or accompanying a headache.
  • Headaches Worsened by Exertion: Physical activity can aggravate certain headache types.
  • Headaches Affecting One Side of the Head: Characteristic of migraine or cluster headaches.
  • Headaches with Eye Pain or Tearing: Often seen in cluster headaches or some sinus headaches.
  • “Thunderclap” Headaches: Sudden, severe headaches that peak within seconds to minutes (require urgent medical evaluation).

Common symptoms related to Sinus:

  • Facial Pain, Pressure, and Fullness: Particularly around the eyes, forehead, and cheeks, often worsening when bending forward.
  • Nasal Congestion or Blockage: Persistent difficulty breathing through the nose.
  • Thick Nasal Discharge (Rhinorrhea): Green, yellow, or cloudy discharge.
  • Post-Nasal Drip: Mucus dripping down the back of the throat, causing coughing or throat irritation.
  • Reduced Sense of Smell (Hyposmia) or Loss of Smell (Anosmia): Often accompanies chronic sinusitis.
  • Ear Fullness or Pain: Due to eustachian tube dysfunction caused by sinus inflammation.
  • Toothache in Upper Jaw: Referred pain from inflamed maxillary sinuses.
  • Fatigue and Malaise: General feeling of unwellness.
  • Fever: Especially during acute sinus infections.

It's important to note that sinus problems can often trigger or exacerbate headaches, and differentiating between a "sinus headache" and a migraine can be challenging without expert evaluation. Our clinic is specifically designed to address this diagnostic complexity.

Diseases Treated at THANC

Our Headache & Sinus Clinic provides expert diagnosis and management for a wide range of conditions, ensuring specialized care for even the most complex cases.

Headache Disorders Treated:

  • Migraine: Including episodic, chronic, and complicated migraines, with or without aura.
  • Tension-Type Headache: Episodic and chronic forms.
  • Cluster Headache: A severe primary headache disorder.
  • Medication Overuse Headache (MOH): Headaches caused or exacerbated by overuse of acute headache medications.
  • New Daily Persistent Headache (NDPH): A headache that starts abruptly and becomes constant within 24 hours.
  • Trigeminal Neuralgia: Severe facial pain caused by nerve compression.
  • Cervicogenic Headache: Headache originating from problems in the neck.
  • Post-Traumatic Headache: Headaches following a head injury.
  • Secondary Headaches: Headaches caused by underlying conditions, including some related to sinus disease, structural brain issues, or systemic illness.

Sinus Disorders Treated:

  • Acute and Chronic Rhinosinusitis: Inflammation of the nasal passages and sinuses lasting less than 4 weeks (acute) or more than 12 weeks (chronic).
  • Nasal Polyps: Non-cancerous growths in the nasal passages or sinuses that can cause blockage and inflammation.
  • Allergic Rhinitis: Inflammation of the nasal passages due to allergens, often contributing to sinus issues.
  • Deviated Nasal Septum: A displacement of the wall between the nostrils, leading to breathing difficulties and increased susceptibility to sinus infections.
  • Turbinate Hypertrophy: Enlargement of the structures inside the nose that regulate airflow, causing congestion.
  • Fungal Sinusitis: Sinus infections caused by fungi.
  • Sinus Tumors (Benign and Malignant): Rare but serious conditions affecting the sinuses.
  • CSF Leaks (Cerebrospinal Fluid Leaks): Leakage of brain fluid through a defect in the skull base, sometimes presenting as clear nasal discharge with headache.

Facilities Available at THANC

Our Headache & Sinus Clinic is equipped with state-of-the-art diagnostic and treatment facilities to ensure the most accurate diagnosis and effective management of your condition. We leverage advanced technology and specialized expertise to provide comprehensive care.

State-of-the-Art Diagnostic Facilities

  • Advanced Imaging:
      • High-Resolution CT Scans of Sinuses: Detailed imaging to visualize sinus anatomy, inflammation, polyps, and structural abnormalities.
      • MRI Scans of Brain and Sinuses: Essential for identifying neurological causes of headaches, evaluating soft tissue abnormalities in sinuses, and detecting tumors.
      • CT Angiography (CTA) / MR Angiography (MRA): For evaluating blood vessels if vascular causes of headache are suspected.
  • Diagnostic Nasal Endoscopy: A minimally invasive procedure performed in the clinic using a thin, rigid or flexible scope with a camera to visualize the nasal passages and sinus openings directly. This allows for detailed inspection, identification of inflammation, polyps, or anatomical variations.
  • Allergy Testing: Skin prick tests or blood tests (RAST) to identify specific allergens contributing to rhinitis and sinus symptoms.
  • Neurological Assessment Tools: For detailed evaluation of headache types and associated neurological symptoms.

Treatment Modalities & Specialized Services

  • Medical Management:
      • Pharmacotherapy: Prescription of acute and preventive medications for headaches (e.g., triptans, CGRP inhibitors, beta-blockers, anti-depressants).
      • Nasal Sprays and Rinses: For managing sinus inflammation and congestion.
      • Antibiotics and Antifungals: For treating sinus infections.
  • Interventional Procedures (in-clinic or outpatient):
        • Nerve Blocks: Injection of local anesthetics and/or steroids to specific nerves (e.g., occipital nerve block, sphenopalatine ganglion block) to provide headache relief.
        • Botox Injections: Specifically approved for chronic migraine prevention.
        • Trigger Point Injections: For muscular pain contributing to headaches.
  • Surgical Interventions (Performed by ENT Surgeons):
          • Endoscopic Sinus Surgery (ESS): A minimally invasive surgical procedure to open blocked sinus pathways, remove polyps, and restore normal sinus drainage. This is often performed when medical treatments fail.
          • Septoplasty: Surgical correction of a deviated nasal septum to improve airflow.
          • Turbinate Reduction: Procedures to reduce enlarged turbinates and improve nasal breathing.
          • Balloon Sinuplasty and Eustachian tube Dilatation.
  • Lifestyle and Behavioral Counseling: Guidance on headache triggers, stress management, diet, sleep hygiene, and exercise to help manage chronic conditions.
  • Referral to Allied Specialties: Seamless coordination with other departments such as Neurology, Neurosurgery, Allergy & Immunology, Pain Management, and Audiology, ensuring comprehensive care for complex cases.

Multi-disciplinary Expert Team at THANC

The complexity of headache and sinus conditions often requires a coordinated effort from a variety of medical and allied health professionals. Our clinic prides itself on its collaborative multidisciplinary team, ensuring that every aspect of your condition is thoroughly evaluated and expertly managed. Our team typically includes:

  • Neurologists specializing in Headache Disorders: These physicians are experts in diagnosing and treating all forms of primary and secondary headaches, including migraines, tension headaches, cluster headaches, and more complex headache syndromes. They are crucial for medication management, interventional pain procedures, and understanding neurological components.
  • Otolaryngologists (ENT Surgeons) specializing in Rhinology and Endoscopic Sinus Surgery: These specialists focus on diseases of the nose and paranasal sinuses. They are skilled in diagnosing chronic sinusitis, nasal polyps, structural abnormalities, and performing advanced endoscopic sinus surgeries when medical management is insufficient.
  • Allergy Specialist/ Immunologists: Many sinus and nasal symptoms are rooted in allergies. These specialists diagnose specific allergies, provide desensitization therapies, and manage allergic rhinitis that can contribute to sinus inflammation and headaches.
  • Pain Management Specialists: For chronic and intractable headache pain, these experts offer a range of advanced interventional pain procedures, including nerve blocks, Botox injections, and neuromodulation techniques, to provide sustained relief.
  • Neuroradiologists: Crucial for interpreting complex imaging studies (CT, MRI) of the brain and sinuses. Their expertise helps in identifying subtle abnormalities, tumors, or structural issues that may be contributing to symptoms.
  • Neurosurgeons: While not always directly involved in the clinic’s day-to-day operations, neurosurgeons are invaluable for consultation or surgical intervention if a headache is determined to be caused by a structural brain issue (e.g., tumor, hydrocephalus) or vascular malformation
  • Dental and Oro-maxillary surgeons: For chronic facial and dental pain condition, these experts offer a range of advanced diagnostic and therapeutic interventions.
  • Physical Therapists and Occupational Therapists: These professionals can assist in managing cervicogenic headaches, improving posture, and providing ergonomic advice, as well as helping patients cope with the functional limitations imposed by chronic pain.
  • Psychologists/Behavioral Health Specialists: Chronic pain, including headaches, often has a significant psychological impact. These specialists can provide cognitive-behavioral therapy (CBT), stress management techniques, and biofeedback to help patients cope with pain and improve their quality of life.
  • Dietitians/Nutritionists: Can offer guidance on dietary triggers for headaches and anti-inflammatory diets that may benefit chronic sinus conditions.

By bringing together this diverse group of specialists, our Headache & Sinus Clinic ensures that every patient receives a comprehensive, integrated, and personalized treatment plan, addressing all facets of their condition for the best possible outcomes

Second Opinions

A second opinion can help you make the best health decisions. We review your medical history, diagnostic tests, any previous treatments and your personal preferences to give you an informed opinion.

Patient Care Coordinators

Our patient care coordinators guide you through your care plan. They can help you schedule appointments, gather medical records, address concerns and coordinate your care among all the specialists involved in your treatment.

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