Allergy Liberation

Understanding the Causes of Sinus Pain, Sinus Infections, & Sinusitis. And How to Return to Health Naturally.

Source: Ear, Nose, and Throat Dr. Grossan, M.D. at Cedars-Sinai and Author of the Best-Seller "The Sinus Cure" and the Mayo Clinic.
Additional Reading:      Doctor Recommended & Researched Natural Sinus Cures           Additional Medical Research About Sinus Relief, Sinus Infections, and Sinusitis

What Causes Sinusitis, Sinus Infections, & Sinus Pain?

When you have sinusitis, the mucous membranes of your nose, sinuses and throat (upper respiratory tract) become swollen. This swelling blocks the sinus openings and prevents mucus from draining normally. Blocked sinuses create a moist environment that makes it easier for infection to take hold. Sinuses that become infected and can't drain become pus-filled, leading to symptoms such as catarrh, post nasal drip, and congestion with thick, yellowish or greenish discharge and other symptoms of infection.


Sinusitis can be quite painful and cause headaches, pressure in the face, eyes, and head, fatigue, and problems with breathing.

Sinusitis and Sinus Infections

Thirty-five million people in Europe have sinusitis, but few people understand sinus diseases, its causes, and the range of treatments available.
Sinusitis refers to any kind of inflammation or irritation of the sinuses.
This is typically caused by bacterial infections. Since the sinuses connect directly with the nose, usually the main signs of a sinus infection are a stuffy nose and drainage from the nose. The reason that sinusitis can be so debilitating, and why it can become serious when complications occur, is that sinus infections weaken the body's mechanism for keeping away more infection - the cilia. The worse your sinuses get, the worse your sinuses get, until treated. Your very breathing is dependent on clear sinuses, making sinusitis particularly unpleasant.

The Key To Resolving Sinusitis Are Healthy Sinus Cilia


Sinusitis is usually caused by bacteria, especially S.pneumoniae, H. influenzae and M. catarrhalis. Your doctor may take a culture to determine which bacteria is present, so he or she can figure out how to fight your infection. When the sinuses are blocked, the result is a good environment for infectious bacteria to live. Healthy sinuses have cilia that move bacteria out of the sinus fast enough that bacterial growth cannot occur. However, if the cilia don't beat fast enough due to a bad cold or flu, or if the sinus drainage is blocked, infection will result.

Electron micrograph of a human nasal cilia. Click on the image for a full-size picture.

The cilia wave back and forth, moving the mucous, and the pollen, germs, and irritants caught in it, around the sinuses until they are flushed out to the stomach via the back of the throat. This is the way your body prevents bacteria from entering the body while you are breathing through your nose; proper cilia action is essential for your health. In conclusion, the most important component of stopping sinusitis and returning to health is to restore the nasal cilia's natural movement to keep you from sinus infection. Pulsatile nasal rinsing is the best method available for repairing the health of the nasal cilia.

Sinusitis Symptoms

Chronic sinusitis symptoms include:

  • Drainage of a thick, yellow or greenish discharge from the nose or down the back of the throat
  • Nasal obstruction or congestion, causing difficulty breathing through your nose
  • Pain, tenderness and swelling around your eyes, cheeks, nose or forehead
  • Aching in your upper jaw and teeth
  • Reduced sense of smell and taste
  • Cough, which may be worse at night

Other signs and symptoms can include:

  • Ear pain
  • Sore throat
  • Bad breath (halitosis)
  • Fatigue or irritability
  • Nausea

The signs and symptoms of chronic sinusitis are similar to acute sinusitis, except they last longer and often cause more significant fatigue. Chronic sinusitis is sinusitis that lasts more than eight weeks or keeps coming back. Unlike with acute sinusitis, fever isn't a common sign of chronic sinusitis.

Common causes of chronic sinusitis include:

  • Nasal polyps or tumors. These tissue growths may block the nasal passages or sinuses.
  • Allergic reactions. Allergic triggers include fungal infection of the sinuses.
  • Deviated nasal septum. A crooked septum the wall between the nostrils may restrict or block sinus passages.
  • Trauma to the face. A fractured or broken facial bone may cause obstruction of the sinus passages.
  • Other medical conditions. The complications of cystic fibrosis, gastroesophageal reflux, or HIV and other immune system diseases may result in nasal blockage.
  • Respiratory tract infections. Infections in your respiratory tract most commonly, colds can inflame and thicken your sinus membranes, blocking mucus drainage and creating conditions ripe for growth of bacteria. These infections can be viral, bacterial or fungal in nature.
  • Allergies such as hay fever. Inflammation that occurs with allergies may block your sinuses.
  • Immune system cells. With certain health conditions, immune cells called eosinophils can cause sinus inflammation.

How To Resolve Sinusitis Naturally.

The goal of treating chronic sinusitis is to:

  • Reduce sinus inflammation
  • Keep your nasal passages clear
  • Eliminate the underlying cause such as allergy, poor sinus health, or nasal cilia dysfunction
  • Reduce the number of sinusitis flare-ups you have
  • Stop the sinus pressure and congestion that causes sinus pain, sinus headaches, eye pain, catarrh, and post nasal drip
  • Return the nasal cilia back to health, the bodies natural defense against sinus infections

What Are The Most Effective & Proven Natural Treatments To Resolve Sinus Pain, Sinus Infections, & Sinusitis?

Medical research has found that the most effective approach is to use 3 natural methods together that include nasal rinsing, natural nasal sprays, and enzymes created for restoring sinus health.

When taken together you will feel fast relief of sinus pain, sinus headaches, congestion, sinus infections, allergy, and sinusitis itself.

Regular use will not just provide relief from your sinus pain but also healing of the underlying sinusitis in most cases as well. In many cases sinus surgery can also be avoided. And best of all these natural sinus solutions do not have the long term side effects and consequences of prescribed and over the counter coricosteroids or the overuse of antibiotics.

1. Saline Nasal Rinsing.
Rinse your nose 1 or more times a day to cleanse your nasal and sinus passages.
A neti pot or nasal rinsing bottle can be helpful, however, pulsatile lavage or irrigation is proven to be much more effective at returning your sinuses to health. Regular nasal rinsing is the single most effective natural approach to reducing inflammation, congestion (catarrh and post nasal drip), allergy, and eliminating bacteria and infection. With regular irrigation your sinuses will be a lot healthier and better able to dispose of bacteria on their own naturally.

2. Natural Nasal Sprays.
Natural nasal sprays such as Sinol or Sinus Buster can relieve inflammation, reduce congestions, and ease breathing with out the addictive and harmful side effects of the coricosteroids. It is all about opening up the nasal passages and allowing them to breathe and reducing the congestion that allows infection to continue.

3. Natural Sinus Enzymes.
Natural sinus enzymes such as Clear Ease and Sinuguard help create healthy sinus conditions that will also relieve inflammation, reduce congestion, and ease breathing with out the addictive and harmful side effects of the coricosteroids.

Our experience and that of many sinus and allergy sufferers is that these 3 methods taken together have a dramatic positive impact and high success rate at restoring normal sinus health and resolving many tough to conquer and chronic - even severe - nasal and sinus challenges. Any treatment plan chosen for your medical condition is best taken with the advice of your local doctor and we always recommend that you discuss these or other choices with your doctor.

Why should I consider pulsatile lavage versus a standard neti pot for regular sinus rinsing?

Clinical studies demonstrate that pulsatile irrigation is up to 100X more effective [1], [2], [3] at cleansing and removing bacteria than steady stream irrigation used by neti pots. Neti pots may be adequate for nasal washing but can not break down biofilm. Unlike the manual methods that include neti pots and nasal wash bottles the Dr. Grossan Hydro Sinus Pulse and its pulsatile technology is effective at breaking down biofilm a breeding ground for bacteria and sinus disease. It has recently been shown that biofilms are present on the removed tissue of 80% of patients undergoing surgery for chronic sinusitis. The patients with biofilms were shown to have limited or no cilia activity. Pulsatile irrigation is the best alternative for long term sinus health and sinus and allergy symptoms including chronic sinusitis, nasal congestion, sinus headaches, post nasal drip, and sinus infection. The intermittent lavage or pulsatile action of the Hydro Sinus Pulse helps to massage nasal and sinus tissues, promote blood flow, restore ciliary function, and remove bacteria.


1 Brown, LL; Shelton HT, Bornside GH, Cohn I Jr (1978 Feb). "Evaluation of wound irrigation by pulsatile jet and conventional methods" (abstract). Ann Surg. 187 ((2)): 17073. PMID 343735. 


2 Anglen, J; Apostoles S, Christensen G, Gainor B. R (1994 Oct). "The efficacy of various irrigation solutions and methods in removing slime-producing staphylococcus" (abstract). J Orthop Trauma 8 ((2)): 3906. doi:10.1097/00005131-199410000-00004. PMID 7996321. 

3 Svoboda, SJ; Bice TG, Gooden HA, Brooks DE, Thomas DB, Wenke JC (2006 Oct). "Comparison of bulb syringe and pulsed lavage irrigation." (abstract). J Bone Joint Surg Am 88 ((10)): 216774. doi:10.2106/JBJS.E.00248. PMID 17015593.

The Hydro Pulse System is an extremely effective system for cleansing the throat, nose, and sinus, an effective tool for the maintenance of healthy nasal & sinus cilia. It's simple & easy to use, in the privacy of your home. Never messy (like other methods), gentle and pleasant.

Leading Ear, Nose, and Throat Doctors Recommend Pulsatile Sinus Rinsing with the Hydro Pulse:


"A particularly helpful strategy in the treatment and prevention of chronic sinusitis is saline washing using the Grossan Sinus Irrigator."

Patient Care Magazine/February 1997
Gary Rachelefsky, M.D.
Associate Director Allergy-Immunology U.C.L.A School of Medicine Los Angeles, CA
Raymond G. Slavin M.D.
Professor of Internal Medicine St. Louis University School of Medicine, St. Louis, Mo.
Ellen R. Wald, M.D.
Professor of Pediatrics-Otolaryngology, Children's Hospital of Pittsburgh, Pittsburgh



"Nasal Irrigation can potentially be the most therapeutic measure in completely eliminating a sinus infection. It can help quickly and dramatically. I've heard from people who have had an infection for months that within two days of beginning irrigation, the infection was gone, and did not return, even if irrigation was not continued beyond a few days."

Dr. Robert S. Ivker

President, American Holistic Medical Association
Fellow, American Academy of Family Physicians
Clinical Instructor, Dept. of Family Medicine and Otolaryngology
University of Colorado, School of Medicine.


"Nasal irrigator will flush away the remaining mucus and allergens. Two to three irrigations a day are efficacious for relief of the symptoms of allergic rhinitis for most people."

Dr. Davidson (Handbook of Nasal Disease)

"Using pulsatile nasal irrigation twice a day is effective to improve the symptoms of allergic rhinitis, chronic sinusitis, post-nasal drip, nasal obstruction, and benefits over 70% of patients after 6 weeks."

Dr. Davidson (Larynogscope 2000 July)


"Nasal irrigation treatment was ``effective'' in reducing overall incidence of colds."

Dr. Ravizza (Academy of American Family Physician, Sept. 1998)


"Using NASAL IRRIGATION before sinusitis surgery can reduce the inflammation of sinusitis. It can help to restore the muco-ciliary movement, reduce the incidence of wound infection, and improve the wound healing with regular use. "

Dr. Rice (Endoscoppic Paranasal Sinus Surgery 1993)


"Sinus irrigation can help more than 50% of sinusitis patients avoid sinus surgery. Nasal irrigation is efficacious providing improvement in the symptoms of chronic sinusitis in 58% of subjects after one year."

Dr. Hordijk (1997 Ann Otol Rhino Laryngol)

Traditional treatments to relieve sinusitis symptoms

  • Nasal corticosteroids. These nasal sprays help prevent and treat inflammation. Examples include fluticasone (Flonase), budesonide (Rhinocort Aqua), triamcinolone (Nasacort AQ), mometasone (Nasonex) and beclomethasone (Beconase). Becareful with long-term use as it can lead to side effects and addition.
  • Oral or injected corticosteroids. These medications are used to relieve inflammation from severe sinusitis, especially if you also have nasal polyps. Examples include prednisone and methylprednisolone. Oral corticosteroids can cause serious side effects when used long term, so they're only used to treat severe asthma symptoms.
  • Decongestants. These medications are available in over-the-counter (OTC) and prescription liquids, tablets and nasal sprays. Examples of OTC oral decongestants include Sudafed and Actifed. Nasal sprays include phenylephrine (Neo-Synephrine) and oxymetazoline (Afrin). These medications are generally only taken for a few days at most; otherwise they can cause the return of more severe congestion (rebound congestion).


Antibiotics are sometimes necessary for sinusitis if you have a bacterial infection. However, chronic sinusitis is usually caused by something other than bacteria and antibiotics won't help.

Antibiotics used to treat chronic sinusitis caused by a bacterial infection include amoxicillin (Amoxil, Trimox, others), doxycycline (Doryx, Monodox, others) or the combination drug trimethoprim-sulfamethoxazole (Bactrim, Septra, others). If the infection doesn't subside or if the sinusitis comes back, your doctor may try a different antibiotic.

If your doctor does prescribe antibiotics, it's critical to take the entire course of medication. Generally, this means you'll need to take them for 10 to 14 days or even longer even after your symptoms get better. If you stop taking them early, your symptoms may come back.


If allergies are contributing to your sinusitis, allergy shots (immunotherapy) that help reduce the body's reaction to specific allergens may help treat the condition.


In cases that continue to resist treatment or medication, endoscopic sinus surgery may be an option. For this procedure, the doctor uses an endoscope, a thin, flexible tube with an attached light, to explore your sinus passages. Then, depending on the source of obstruction, the doctor may use various tools to remove tissue or shave away a polyp that's causing nasal blockage. Enlarging a narrow sinus opening also may be an option to promote drainage.

Lifestyle and Remedies


These self-help steps can help relieve sinusitis symptoms:

  • Get plenty of rest. This will help your body fight infection and speed recovery.
  • Drink plenty of fluids, such as water or juice. This will help dilute mucous secretions and promote drainage. Avoid beverages that contain caffeine or alcohol, as they can be dehydrating. Drinking alcohol can also worsen the swelling of the lining of the sinuses and nose.
  • Steam your sinus cavities. Drape a towel over your head as you breathe in the steam from a bowl of hot water. Keep the steam directed toward your face. Or take a hot shower, breathing in the warm, moist air. This will help ease pain and help mucus drain.
  • Apply warm compresses to your face. Place warm, damp towels around your nose, cheeks and eyes to ease facial pain.
  • Rinse out your nasal passages. Use a specially designed squeeze bottle (Hydro Pulse Irrigation, Sinus Rinse, others), bulb syringe or neti pot to rinse your nasal passages. This home remedy, called nasal lavage, can help clear your sinuses.
  • Sleep with your head elevated. This will help your sinuses drain, reducing congestion.



Take these steps to reduce your risk of getting chronic sinusitis:

  • Avoid upper respiratory infections. Minimize contact with people who have colds. Wash your hands frequently with soap and water, especially before your meals.
  • Carefully manage your allergies. Work with your doctor to keep symptoms under control.
  • Avoid cigarette smoke and polluted air. Tobacco smoke and air contaminants can irritate and inflame your lungs and nasal passages.
  • Use a humidifier. If the air in your home is dry, such as it is if you have forced hot air heat, adding moisture to the air may help prevent sinusitis. Be sure the humidifier stays clean and free of mold with regular, thorough cleaning.


Additional Reading:      Proven Natural Sinus Cures           Additional Articles About Sinus Relief, Sinus Infections, and Sinusitis

No part of the content of this web site is intended as medical advice. If you have any medical condition of any kind seek qualified medical attention. Always follow your doctor's advice.