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sinusitis doctor los angelesRhinoscopy

DESCRIPTION: A rhinoscopy (nasal endoscopy), inserting a thin tube with a fiber-optic light through your nose to examine your sinuses, can be performed at the clinic to screen for chronic sinusitis. In addition, instruments can be passed through the scope to obtain tissue samples for laboratory examination.


Who may not be a good candidate for rhinoscopies?

Those who experience frequent nosebleeds or have a severe bleeding disorder may not be suitable candidates for this procedure.

What should I expect during a rhinoscopy?

Local anesthetic will be sprayed into your nose and possibly the back of your throat to    suppress any gag reflexes. The doctor will insert the scope into a nostril to closely examine your sinuses, looking for abnormalities and/or removing or taking tissue samples at the same time.

How long will the procedure take?

The procedure generally only lasts from 10 to 15 minutes.


DESCRIPTION: A tympanometry is a test used to detect abnormalities in your middle ear. A device will be placed into your ear and detect the changes in air pressure in your ear. A machine records the results in graph form. The test could reveal possible fluid accumulation, tumors, ear wax in the middle ear or even a perforated eardrum.


How will the test feel? And will it hurt?

You may feel some discomfort during the test. Pressure might be felt in your inner ear as measurements are taken. Be aware that loud sounds may be heard during the test so it is important to stay clam and not get startled.

trigger point injection los angelesTrigger Point Injections 

Trigger Point Injections combine techniques of acupuncture, local anesthesia, and your body’s natural pathways to boost your own immune system.

  • Works like Acupuncture
  • Numbs Painful Knots
  • Stimulates the Immune System

Trigger Point Injections have succeeded in getting patients with CHRONIC SINUS HEADACHES off medications and headache-free.


Common symptoms of Chronic Sinusitis include: Dull, Aching Facial Pressure and Pain, Neck and Shoulder Pain, Nasal Congestion, Postnasal Drip, 
Sore Throat, Snoring and Mouth Breathing, Bad Breath, Puffy Eyes, 
Chronic Cough, Headache and Fatigue.

The standard treatment for chronic sinusitis and sinus headaches typically involves the use of Antibiotics and Corticosteroids (ie Prednisone). The side effects from antibiotics include loss of healthy intestinal flora, possible allergic reactions to the medication itself, as well as building potential resistance to the antibiotic. Side effects of corticosteroids include elevated blood sugar, blood pressure, mood changes, weight gain and loss of healthy bone (osteopenia and osteoporosis), to name a few.

Therefore, many patients who suffer from this chronic condition end up in a catch-22 with 3 or more week treatments of antibiotics +/- steroids for each episode. The toll on the body from this combination of medications can be quite detrimental, particularly as chronic sinusitis patients report having sinus inflammation very frequently (some monthly, and others year-round).

TRIGGER POINT INJECTIONS (TPI) combine techniques of acupuncture, local anesthesia, and the body’s natural pathways to boost the immune system.

Injections of lidocaine are given into trigger points that form in and around the neck muscles in order to relieve the tension from the overworked muscle and fascia (tissue lining the muscles). It is the muscles and the surrounding fascia that overwork and over exhaust themselves leading to headaches. These myofascial headaches can easily mimic migraines, neck pain, temporomandibular joint (TMJ) pain, and even sinus headaches.

After receiving Trigger Point Injections, the majority of patients (over 85%) report tremendous relief of the sinus headaches and chronic sinusitis symptoms. Many patients inadvertently realize that even their migraine headaches have subsided or even disappeared. Realizing this potent effect, they often get TPI done prophylactically (to prevent recurrence of headaches), or on demand, by getting injections once they feel the headache coming on. One added benefit is that TPI are usually covered by insurance.

Simply put, TPI can alleviate the pain and inflammation from chronic sinusitis and sinus headaches.

* Citation: Alvarez DJ and Rockwell PG. Trigger Points: diagnosis and management. Am Fam Physician 2002 Feb 15;65(4):653-60.

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