There is a lot that osteopaths can do to help sinus conditions regardless of how long you have been experiencing the symptoms for! After treatment patients often report feeling lighter, less congested through the face and able to breathe better.

​Osteopathic treatment for sinuses addresses the whole respiratory system. An osteopathic treatment will aim to:

• Improve the functional drainage from the paranasal sinuses to the nasal cavity

• Address imbalances through the face, neck, chest and thorax

• Facilitate good breathing mechanics

​Normal function of the cranial bones allows the paranasal sinuses to drain freely into the nasal cavity. When the sinuses are blocked by inflammation, a mass or excess fluids, drainage of mucous can be interrupted. Stagnant mucosal fluids can become a hotbed for infection which can contribute to symptoms of pain, discomfort, breathing difficulties and even diminished hearing!

​Osteopaths are trained to diagnose and treat imbalances and restrictions throughout the head, neck and chest that may be contributing to sinus symptoms. Techniques often include a range of gentle hands on osteopathic techniques and will vary for each individual presentation

Research has shown that there is great variation in the nasal cavity and sinus pathways between individuals. Due to natural anatomical variation some of us are more prone to sinus conditions than others. Anatomical variations can influence how out sinuses drain whether it is due to narrow nasal pathways or a mechanical restriction between two or more bones. Factors contributing to disrupted drainage pathways may be congenital (since birth) or traumatic (such as a neck or head injury).

An osteopathic treatment will diagnose your unique condition and look to address the underlying anatomical cause.

Sinus infection is most often viral rather than bacterial. Symptoms of a viral sinus infection do not require antibiotics and can ease on their own. Alongside osteopathic treatment, there are a few things you can do at home to help:

• Rest and slowing down

• Drinking plenty of fluids

• Elevating your head with an extra pillow when lying down

• Steam

• Humming

• Irrigation techniques (neti pot)

Indications for a bacterial sinus infection include fever, tenderness of the face and changes in the colour of mucosa.

​Whether it's a long term thing, or fluctuating seasonal symptoms, osteopathy can help relieve your sinus symptoms by addressing the underlying cause contributing to your unique condition.

Bibliography

• Cappello, Z. and Dublin, A. StatPearls [Internet]. StatPearls Publishing; Treasure Island (FL): January 2020. Anatomy, Head and Neck, Nose Paranasal Sinuses

• Lafci Fahrioglu S, Andaloro C. StatPearls [Internet]. StatPearls Publishing; Treasure Island (FL): Nov 14, 2018. Anatomy, Head and Neck, Sinus Function and Development.

• Gach P, Tuchtan-Torrents L, Delteil C, Adalian P, Piercecchi MD, Ebert LC, Gorincour G. Virtual reconstruction of paranasal sinuses from CT data: A feasibility study for forensic application. Diagn Interv Imaging. 2019 Mar;100(3):163-168.

• Mahmood HT, Shaikh A, Fida M. Reliability and validity of maxillary and sphenoid Sinus morphological variations in the assessment of Skeletal maturity. J Ayub Med Coll Abbottabad. 2018 Jul-Sep;30(3):360-365.

• Villarreal R, Wrobel BB, Macias-Valle LF, Davis GE, Prihoda TJ, Luong AU, McMains KC, Weitzel EK, Yao WC, Brunworth J, Clark DW, Nair S, Valdés CJ, Halderman A, Jang DW, Sivasubramaniam R, Zhang Z, Chen PG. International assessment of inter- and intrarater reliability of the International Frontal Sinus Anatomy Classification system. Int Forum Allergy Rhinol. 2019 Jan;9(1):39-45

• Weitzberg E, Lundberg J. American Journal of Respiratory and Critical Care Medicine; 2002. Humming Greatly Increases Nasal Nitric Oxide. Vol 166(2), pp.144-145

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