Tuesday, April 11, 2006

Balloon sinuplasty

Checking out the news online today, I couldn't help noticing a little anatomy in the headlines: A balloon instead of a knife: Sinuplasty for ailing sinuses. Here are the first few paragraphs:
It's like an angioplasty to clear out clogged sinuses. A new procedure lets doctors snake a balloon up the noses of chronic sinusitis sufferers, stretching their sinus passages to help them breathe easier with less pain than the standard sinus surgery that 350,000 Americans undergo each year.

No one yet knows if balloon sinuplasty works as well as a surgical fix. Only about 100 doctors around the country are trained to offer it, and research is just beginning to track its effectiveness and determine who is a good candidate.

But if sinuplasty proves itself, it promises a long-awaited middle ground between medications and surgery for thousands of patients seeking relief from the misery of repeated sinus infections.

The accompanying graphic (see below) shows the slender balloon entering a frontal sinus, which is located just above each eye. We also possess a more voluminous maxillary sinus just below each eye, a series of small ethmoidal sinuses between the eyes (not shown here), and a sphenoidal sinus just behind the ethmoidal sinuses (also not shown).

All of these paranasal sinuses are basically air-filled holes in the skull, each one connected via a tiny passageway to the nasal cavity. Each sinus is lined with a wall-to-wall carpet of two major cell types: one cell type that makes mucus that traps bacteria and other unwanted particles, and another cell type with little hair-like projections called cilia that dutifully whisk the mucus towards the nasal cavity.

Unfortunately, those tiny passageways that allow fluid from the sinuses to drain into the nasal cavities really are tiny. Tiny enough that they're very hard to find in cadavers in the gross anatomy lab. Tiny enough that they can easily become blocked when their their walls swell in response to infection or allergens (i.e., inflammation). Add excess mucus production and you have a recipe for sinusitis.

At first glance, performing a "balloon sinuplasty" makes sense: if the drain keeps getting clogged, make the drain a little bigger. But does the drain remain bigger for long? We'll see. Data from a clinical trial involving more than 100 patients should be out later this year. If the results are disappointing, maybe someone should look into developing the next logical step: a sinu-stent. In the meantime, if you have sinusitis and you're thinking about balloon sinuplasty, you might also want to consider another "middle ground between medications and surgery" that the article doesn't mention: nasal irrigation.


At 4/17/2006 10:17 AM, Blogger Julia said...

you and your "secret weapon"! :-)

At 8/19/2006 5:29 PM, Anonymous Anonymous said...

Good blog for those of us with chronic sinusitus. Will be contacting my ENT for more info..Thanks

At 9/06/2006 6:00 PM, Anonymous Anonymous said...

This is a truly wonderful procedure. First description was published by Houser Janse in Chicago in 1947. So this has been "known" for nearly 60 years.
I have been perfoming this since learning the origional procedure utilizing a sphygmomanometer and finger cots. The procedure is taught in Western States Chiropractic College. Of course now it has been touted as some grand new "medical" discovery. (No soap box, just a comment.) It spared my wife from having to undergo the "rotorooter" procedure used in the operating room.

At 11/20/2006 6:59 PM, Anonymous thrice said...

I'm having the surgery next week, amongst other and sinus and nasal procedures. I'm crossing my fingers that it works. The best surprise was that I won't need paking for the deviated septum.

At 4/26/2007 12:18 PM, Anonymous Anonymous said...

This all sounds great but the actual system may be FDA approved but some insurance companies are denying this as experimental as the efficacy has yet to be proven.

At 7/21/2007 6:31 PM, Anonymous Anonymous said...

The American Rhinologic Society position statement on this is:

American Rhinologic Society (ARS) Revised Position Statement on Endoscopic Balloon Catheter Sinus Dilation Technology May, 2007

Balloon catheter dilation is a recently introduced Food & Drug Administration (FDA) approved instrumentation that has been shown to have a role in the surgical management of sinus disease. The purpose of this revised position statement is to set forth for our members and other interested persons, the current opinion of the American Rhinologic Society (ARS) regarding balloon dilation technology and its place among the armamentaria available to otolaryngologists and their patients in dealing with sinus disease based on up-to-date scientific evidence.

Two studies describe safety and effectiveness of balloon catheter sinus dilation technology1, 2 and have appeared in peer reviewed otolaryngology literature. A third study specifically targeted at safety and outcomes of balloon catheter sinus dilation3, presented at the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) (Toronto, Canada, September 2006) was closely reviewed and accepted for publication. This prospective level 2 study indicates that the balloon catheter sinus dilation instrumentation and techniques required for dilation of sinus ostia are safe and do provide patent ostial openings over a 6 month period in the maxillary, sphenoid, and frontal sinuses.3

At this time, the American Rhinologic Society would like to clarify the present knowledge regarding this technology for its members and interested persons.
Based on currently available scientific medical evidence, endoscopic balloon dilation technology is acceptable and safe for use in the management of sinus disease.
Endoscopic balloon dilation technology is a tool, not a procedure, available to the operating surgeon at his/her discretion for the surgical management of sinus disease.
Patients who are treated with this technology may require concurrent conventional endoscopic sinus surgery especially in the ethmoid sinuses much like any surgical instrument that may be used in some parts of the sinus and not others or in combination with other technologies.
In a group of selected patients, the use of balloon catheter dilation technology alone may eliminate the need for other surgical techniques.
Endoscopic balloon catheter dilation as a tool for dilating the opening of the maxillary sphenoid, and frontal sinuses is not investigational or experimental and should not be viewed as such.

As with all surgical interventions, continuing outcome and safety data is monitored to appropriately evaluate the long-term success of balloon catheter sinus dilation technology.

With the above statement in mind, the American Rhinologic Society also endorses the AAO-HNS position statements regarding endoscopic balloon catheter dilation.

At 7/28/2007 1:49 AM, Anonymous Anonymous said...

People, I just had the procedure performed on me, here at Tripler Hospital (Oahu, Hawaii). I feel immediate results, aside from the soreness associated to the anasthesia, I do not have the severe headaches, that have literally plagued me for the past 10 years. So far so good. This is by far the greatest procedure for all who suffer from Chronic Sinusitis or Sinus Disease! Consider this a testimonial!

At 9/25/2007 4:59 PM, Anonymous Anonymous said...

I have suffered fromsinus disease for over 10 yrs. Have had 3 sinus surgeries, and now I'm worse than ever. I must irrigate mysinuses with saline solution 5 to 7 times a day - actually that includes getting up at night- cannot sleep more than 4 hrs. at a time. My sinuses willnot drain by themselves unless Iam on prednisone. Even while taking prednisone, I still must irrigate to remove the pus, mucus etc..
Needless to say, I am willing to try anything at this point. If anyone has had a good result with the balloon sinuplasty,please let me know. I live in North Carolina, but I will travel anywhere to find the best doctor to perform this procedure. Please email me with any advice you may have.

At 10/03/2007 10:03 AM, Anonymous Anonymous said...

Look up the Mayo Clinic in Jacksonville, Fl. The surgeon there does the pocedure. I am going to check it out for my wife. She has had two surgeries in the past and now the head aches are back with no relief from irrigation, steroids and antibiotics.

At 12/31/2007 10:38 AM, Anonymous Anonymous said...


i would like to know if the Balloon sinuplasty technology is good for the Maxillary Sinus and where can I read articals regarding this procedure?

At 12/31/2007 10:59 AM, Blogger Brad said...

Hi Anonymous,

I don't know - I'd recommend doing a Google search, and if nothing satisfactory comes up, talk to your primary care doc, who will probably refer you to an ENT (ear-nose-throat doc) if your sinus condition seems serious enough.


At 1/11/2008 7:52 PM, Anonymous Anonymous said...

I know the balloon sinuplasty is done at Lexington Medical Center in West Columbia, South Carolina. Does anyone know of a young child having this done? My son is 3 years old and suffers with terrible sinus infections on a very regular basis. Our ENT has suggested this.

At 1/21/2008 12:28 PM, Anonymous Anonymous said...


My family MD has indicated that I may need sinus surgery.

I have been told that Balloon sinuplasty is a minimally invasive procedure which has had great outcomes. Patients have felt great the day after surgery and have had no complications with excelent results.

Has anyone had this procedure?

my understandingthis procedure is great for Maxillary, sphenoid and Frontal Sinus surgery

At 2/12/2008 5:24 PM, Anonymous Keith said...

I'm having the Balloon Sinuplasty next week in Jacksonville. I will let everyone know the results after.

What got me there??? I've had massive headaches for the past 7 years. I've seen all types of doctors and each one of them says something different. Then I went to the beach for 3 weeks and after the first week I felt great!! I could actually relax without a headache or any type congestion. I'm sure you guys know the feeling that something is trying to come out, but it feels stuck. So then I started concentrating on my sinuses and noticed when High pressure comes in that is my worst pain. I have used a Grossman Nasal irrigator for temporary relief, but even that doesn't help much. I'll let everyone know what happens!!!

At 2/14/2008 6:50 PM, Anonymous Anonymous said...

Never posted here before, but thought I'd let you know that I had Balloon Sinuplasty one week ago.

I feel better now then I have in the last 5 years. When I came out of surgery, I couldn't believe that I could breath through both nostrils with ease (even with all the crusty blood in my nose. No packing was used). Here it is a week latter and I feel even better.

Gone is the facial pain (forehead and around the eyes, and occasional ear weirdness). Gone is the dark colored mucus (I do irrigate twice a day since the surgery. Most of the bleeding has stopped. The mucus is thick, but clear, and seems to drain easy with my homemade saline solution).
The biggest thing that is gone is the fatigue. I'm actually looking forward to start my day without feeling tired, and I'm still recovering from this surgery. Can only imagine that my health will further improve in the following weeks/months.

Not sure about the long term results of this newer procedure, but the immediate results are fantastic. The only reason I'm not kicking myself for doing this sooner is that it wasn't available until recently.


At 2/22/2008 11:07 AM, Anonymous Anonymous said...

HI all- I had this surgery on Tuesday 2/19. I can'tsay that I feel any immediate results. I am still completely blocked and have a constant headache. Though I am draining it is a very slow process. I have been taking sudafed every 6 hours to relieve the pressure.
I can't say I was back to normal activity within 24 hours like others. Wish I was... Hoping this gets better soon and I can breathe or I wouldn't recommend this to anyone.

At 2/23/2008 10:33 PM, Anonymous Anonymous said...

I had the procedure about 30 hours ago. No pain, but I am clogged up as before. No improvement as of yet. I am hoping that in a week or so after the trauma of the procedure things will be better. I am also seeping small amounts of blood, but that is normal with this procedure and should stop soon.

At 2/24/2008 9:42 PM, Blogger Sherry said...

Hi all,
I just had this proceedure four days ago. My op took 4 hours as their were complications. My left frontal they could not get into so they are recomending a second op after I heal from this one. It is to early to tell if I am better or worse.

I like many have suffered from headaches for the past 11 years. I have been treated for everything from migrains to constant sinus infections, without a fever but lots of face pain.

Post op I had a fever of 102 for 24 hours, it has now broke. I am very tired and weak. I still have face pain, much like a sinus infection but that is getting less with each recovery day.

My hope is that this will help. I have tried everything else. Saline rinses, netti pots, humidifiers, allergy injections for 3 years. this is my last resort and hopefully the most succesful. Time will tell.

At 3/05/2008 10:36 PM, Anonymous Anonymous said...

I am scheduled to have this surgery on the 20th of March. I have a "mucus cyst" or "mucosal thickening" blocking my right frontal sinus. I've had chronic sinusitis issues for about 5 years and had to go on Prednisone which made me gain a lot of weight. Anyway, I'm excited to get this done, but I would like to know from people who've had the surgery what the recovery is like?

I had nasal surgery before (turbinate reduction) and I had a lot of nasal crusting that lasted a few weeks and also a sort of bloody post nasal drip type thing for about 6 weeks. (Not to gross anyone out.) I have guests coming a week after the procedure and I want to make sure I'll be ok.

Thanks for any input from people who have had this procedure.

At 3/08/2008 3:23 PM, Blogger snooker said...

I am an ENT surgical tech, just now beginning to do these new Sinuplasty cases. They are very fascinating to perform. I hope everyone has great success. I can certainly see how this is going to be an awesome solution to frontal sinus disease. I hope its long term. Would like to hear long term result updates from time to time!!

At 3/17/2008 7:33 PM, Anonymous Anonymous said...

I had the balloon sinuplasty surgery and I had orbital complications on my
right frontal sinuses. I had to have emerg. eye surgery plus sinus surgery at Thomas Jefferson Phili. I would seriously think it over before considering this type of surgery. It is not recommended for everyone. I severe blockage in all 4 of my sinuses.

At 3/17/2008 8:14 PM, Anonymous Anonymous said...

I had the balloon sinuplasty surgery in New Jersey and had orbital complications thereafter. I ended up having emerg. eye surgery to correct it at Thomas Jefferson in Philadelphia. I had sinus surgery again at Thomas Jefferson 8 months later on the same side my eye was injured. By the way, this hospital it absolutely wonderful, they really took good care of me. I highly recommend this hospital to anyone out there. It's worth the trip. I had three surgeries last year, two were unexpected. I do not recommend this at all, I suffered for many years with horrible headaches and sinus infections. Think this over seriously and reconsider this before you make the final decision. This procedure is not for everyone, especially those with chronic headaches and sinus infections like I did...

At 9/27/2008 1:05 AM, Anonymous Anonymous said...

Can I be a candidate for balloon sinuplasty if I've had a turbinate reduction before?

I had a turbinate reduction procedure done on me last year but I still feel that constant sense of stuffiness and overall miserable.

At 9/28/2008 11:15 AM, Blogger Brad said...

Hi Anonymous, my guess is yes, you could still undergo balloon sinuplasty, but I don't know for sure. I'd recommend talking to the doctor who did your turbinate reduction.

At 9/29/2008 8:05 PM, Anonymous Anonymous said...

Brad, thanks for leaving this page up. Today I saw an ENT who suggested the balloon sinuplasty for my frequent sinus infections. I also have headaches that "morph" into migraines. Fifth year of allergy shots. His face lit up with the enthusiasm of a resident with a chance to do his first "cut". He admitted that he has only performed this on cadavers. Uh, I don't think I can go through with this. Your blog is the first where I feel may contain actual testimonials, and not those hand selected by Acclarent, or whatever the company name is that markets and produces the apparati. Emergency orbital surgery! Yikes!

At 10/02/2008 11:32 AM, Anonymous Anonymous said...

I am a scrub tech... we do many of these procedures and the device is safe.

In the case of the orbit issues, it looks as if the Surgeon may have been at fault. Could've also used the wrong end of the guidewire to access the sinus.


At 10/02/2008 11:41 AM, Anonymous Anonymous said...

Con’t on last post

I think there have been 50,000 of these procedures done. The FDA webpage only indicates 2 complications that were fixed and equipment issues were ruled out.

That is a great AE average, I am not certain there are many other procedures with this kind of safety profile.

The other choice in regards to sinus surgery is use a shaver and a slip with device. Lookout

At 10/08/2008 5:25 PM, OpenID figmentliz12 said...

I am scheduled to have this surgery on October 16th, I have been suffering with sinus pain, congestion, infections every 6 to 8 weeks. I have tried every possible thing to relieve this and nothing has worked.

I am really looking forward to the procedure, I was told that I would be in good shape and be ableto work in 24 since I work from home, I have played it safe and I am take a 4 day weekend.

I would like to know how everyone else who has had this procedure is doing and any advice that you may be able to give me would be greatly appreaciated.

At 11/20/2008 6:16 AM, Anonymous Anonymous said...

As I look at the chronology of the postings, the negative comments are the more recent contributions. As with all new technologies, there will initially be a core of physicians who carefully study this technique and are very careful in their patient selection for the procedure. This is usually followed by a massive marketing effort by the manufacturer to increase sales.

I wonder if the complications posted here are from procedures performed by physicians who just recently acquired the technology and/or have not been adequately trained?

At 11/22/2008 10:13 PM, Anonymous Leeza said...


I am looking to get this procedure done, but i am not sure how to go about finding the right doctor to do it. I live in Boston, so i am sure there is someone around with experience...Any insight?

Also, anyone who can tell me whether the passage stays open long term? I assume the bone crunches back, then heals, so yes. But it would be nice to hear from a live person.


At 12/22/2008 12:56 PM, Anonymous Anonymous said...

I'm 24 years old. I've been battling allergies since I was little and sinus infections for 2 years, nasal sprays, rinses, anitbiotics wouldn't help. I was diagnosed with sinus disease and very narrow sinus passageways. I had balloon sinuplasty and a deviated septum done at the same time 2 weeks and 3 days ago. The pain has been horrible, "back to work in one day" they must be joking? I feel like I have the worst sinus infection ever, saw the doctor 2 days ago and I am free from infection. The pain I feel must be my sore sinuses. I can't sleep at night, my voice has changed, pain pills and decongestants do nothing for the pressure and pain. My doctor says it's not uncoomon to still feel this way after surgery and that I should feel better in a week. Right now I wish I had never gotten surgery, the sinus infections I had prior to this were horrible but at least I could dull the pain and get through life. I just want to sleep and cry all day. I have no choice but hope that i'm a slow healer and soon i wil lfeel better.

At 12/24/2008 8:31 AM, Anonymous Anonymous said...

I had this procedure done on Decemcer 4, 2008. I expected to be up and about the next day but that wasn't the case. I will say the day after the procedure I woke up for the first time and was able to breathe which is miraculous in itself. My doc told me to expect discomfort and he was correct. It took me about a week to get back on me feet. I am healing slowly and expect in the long run the procedure will be well worth the pain.

At 12/26/2008 1:20 PM, Anonymous Anonymous said...

Folks...my wife completed this surgery December 19, 2008. Looking at the other posts, I would suggest one find a Doctor who knows what they are doing. Our Doctor was qualified and did not promote a 24-hour recovery. He suggested 2 to 3 days of very limited activity followed by 2 weeks of light activity. My wife had her stints removed on the 4th day and was amazed at the instant relief. Expect minor bleeding and drainage the first few days. My wife was able to continue normal activities on the third day, but plans on limited her lifting and bending for a couple of weeks. As of today, my wife feels better than she has in years. Gone are the headaches and constant pressure in her forehead, below her eyes, around her checks, and around her neck. The main reason we opted for the surgery was her cronic migrain headaches. We chose the Balloon Sinuplasty because my wife had very narrow passages, we did not want evasive surgery, and did not want to end up doing it again because of the buildup of scar tissue. Our doctor was Michael Vidas out of Peoria, IL.

At 1/04/2009 3:28 PM, Anonymous Anonymous said...

i posted on 12/24/08 as annoynmous 24 year old.. it is now about the 5th week after surgery.. I was given more antibiotics b/c of an infection and Tramadol for the pain. I highly recommend Tramadol it was the only drug to end the excruciating headaches. Within a week I was feeling much better, my headaches are about the same as pre surgery, I can smell more things, my voice is returning to normal, I do still have a slight congested feeling, and very slight pressure in my ears. And by the way my doctor is very qualified too, and said that in 2-3 days after balloon sinuplasty most people can go back to work, and within 1-2 weeks I should see much improvement. I was merely commenting on the lucky ones who do feel better in one day according to the acclearent website... It has taken me over 4 weeks to finally feel better. I'm only posting again so people who felt like me 2 weeks ago can still have hope; everyone recovers differently and for some it just takes some time.

At 1/04/2009 4:59 PM, Blogger Brad said...

Thanks for the update! This is useful information.

At 1/18/2009 9:39 PM, Anonymous John B said...

Wow! I have suffered with sinus problems for 20+ years. The idea of invasive surgery cutting and removing bone did not appeal to me nor hearing from other friends that their surgeries made things worse. This is the first glimmer of hope for me and getting rid of my sinus headaches that often morph into migraines like others here often. My wife saw this procedure on the Doctors, it is still on their site. If you had this some time ago please post here again, I would like to hear how some of you are doing long term please! I am 46 yr old male in eastern NC and will be looking at some docs in the Cary and Raleigh area. THANKS in advance! I have this set for follow-up comments to come to my e-mail. JB

At 2/26/2009 6:34 PM, Anonymous Anonymous said...

My 5 year old just had this procedure done yesterday. He was in surgery for about 4 hours and was ready to leave the hospital within an hour of waking up. His Dr gave him a prescription pain medicine but he has only taken 1 dose, when we got home from the hospital. He has not needed any additional pain medicine and is already back up running around. The only problems we have encountered are slight nasal bleeding and some nasal congestion. He was able to sleep through the night for the first time in months without waking up, choking on all of the mucus running down the back of his throat. So far so good but if anything changes I will submit another post.

At 2/27/2009 4:31 PM, Blogger jb777 said...

John B once again nice to see the positives hope I can add mine next week having both sinuplasty and septoplasty and praying it goes as well as many have had it go. Other suffers where I work are also curious because they are facing the surgery with a two week recovery.

At 3/11/2009 6:13 PM, Blogger nicole said...

Check out www.entellusmedical.com-new less invasive way to treat sinusitis with balloon technology. Access is thru mouth not nose and can be done under local. Animation on website is a bit misleading, the hole is actually inside the moith above the canine tooth-a small hole is made which leads directly to the sinus, then a small endoscope is used for visualization and a balloon is used to dilate the blocked sinus.
Simple, bloodless and you can go home right away with an ice pack and advil.
Great advance!!

At 3/23/2009 11:39 AM, Anonymous Anonymous said...

Hello all,
Thanks for the info. I was diagnosed with Sphenoid sinus disease this morning after my dr reviewed my ct scan. Is this procedure appropriate for that? He said surgery did not need to happen right away, but eventually. I didn't know about this procedure, so i didn't ask him if he performed it, but his name did come up on the dr search at balloonsinuplasty.com. Thanks for your help.

At 5/10/2009 10:13 PM, Anonymous Anonymous said...

Hi. Someone on a message board recommend I check out this blog for balloon sinuplasty info. Really glad they did.
Here's a video link to add to the mix:

Be well

At 6/10/2009 9:05 AM, Anonymous Anonymous said...

Just had Maxillary Balloon Sinuplasty a week ago (years of recurring sinus infections for me)... still too early to tell as am having alot of congestion due to being off allergy nose sprays for recovery but as far as the procedure goes I had to have General Anethesia due to insurance requirements but the bleeding stopped in two days and I was up and around the next day no problem (1st day was shot due to anesthesia recovery). I never had traditional FESS so this is my only experience...I guess time will tell whether sinus infections subside. Good luck to all considering this option.

At 9/16/2009 7:13 AM, Anonymous Anonymous said...

hi i got sinus long time one of the things that may reduce the pain is to take take 3 spoons of good quality honey every day in addition to stop drinking TEA COFFEE because it remove most vitames needed to fight inflamation in sinus


At 10/01/2009 8:14 PM, Anonymous Anonymous said...

Hello. I am an ENT doctor.

Chronic sinusitis is a difficult disease to treat because there are so many causes of the disease: allergy, immune dysfunction, bacteria, fungus, biofilms, superantigens, etc. Infection is only one cause of sinusitis. It is a challenge to any ENT doctor to determine the exact cause of sinusitis in any patient, and that is why treatment often fails and why it takes so long to make a recovery.

There are FOUR reasons why sinus surgery fails(since I see the patients that have been messed up by other ENT doctors or "failed" surgery). 1. Wrong diagnosis. There are many conditions that masquerade as sinusitis. Migraines. Allergies. Sleep apnea. Neuralgias. Anyone who presents with solely (or mostly) "sinus headache" has an 80-90% chance of having NO SINUS DISEASE WHATSOEVER. I see a lot of patients who were misdiagnosed and had surgery only to get no relief (which is "good") or get actual sinus disease (which is bad). 2. Bad surgery/Bad doctor. I am sad to say that there are a lot of poorly trained ENT doctors who make bad decisions and cut the wrong things. Sinus surgery gets a bad rap because of #1 and #2. There are also many doctors who do adequate surgery but don't do any postoperative management. This is absolutely necessary. Chronic sinusitis is a medical disease that sometimes requires surgery to boost recovery. 3. Bad patient. Yes, there are MANY of you out there who don't complete your medications or your irrigations. 4. Bad disease. Some of you just have bad disease that's difficult to treat.

Balloon sinuplasty is interesting as a device. The problem with Sinuplasty is that the company directly marketed the device to the public and the initial research on the device was published by physicians who held stock in the company. That in my opinion is unethical. If you look closely at the patients, most of those patients I would have treated without surgery.

Conventional sinus surgery, at least in my hands, produces good results in the appropriately selected patient.

But, I always make sure I am taking a patient with actual sinus disease (not just a little here and there) to the operating room who has failed several rounds of antibiotics and steroids, has been tested for allergies, has seen a neurologist, etc.

At 10/01/2009 9:08 PM, Anonymous Anonymous said...

Yes! This technique works! I have had it a few times. Completely stopped chronic migraine headaches. Able to breath freely. Released all pressure and painful spots over eyes and at back of skull. Kept things feeling exceptionally wonderful for years. Also have had 3 nasal surgeries which did not help breathing. Wonderful immediate relief. Scarey to do but over in a jiff and then the results are so worth it! Yes it works! Siegfried,DC in McMinnville, Oregon is wonderful in doing it!

At 10/02/2009 9:40 AM, Anonymous Anonymous said...

I'm responding to the ENT doctor on 10/1. It was interesting to read because I had the balloon sinuplasty procedure done TWICE in the last 6 weeks (my last one was done on 9/22) and I STILL feel worse than ever. He's leaving these steroid balloons/stents in place for another 2 weeks, but what about the severe pain and pressure I'm having now? I'm just wracking my brain as to why these procedures aren't working and he said he's never had a patient yet with a bad outcome except me. Well thanks, but now what? I just feel lost and not really listened to. Any suggestions on my next steps? I also have severe allergies, could these alone cause so much discomfort despite the balloon sinuplasty procedure?

At 10/06/2009 8:31 PM, Anonymous Anonymous said...

To anonymous, I think you need a second opinion.

(As a side note, I'll say that I have tried those steroid-releasing stents before on three patients; in two they didn't work and in one the stent wings broke when trying to pull it out.)

Sinuplasty has a very limited set of indications. If it didn't work for you the first time, it was either done incorrectly or your disease is too advanced for such a limited procedure.

At 10/14/2009 4:21 PM, Anonymous Anonymous said...

i was one of those fortunate sinusitis sufferers who significantly benefited from the balloon procedure. My surgeon reminded me this balloon is a tool and should be used in conjunction with other surgical tools. These blogs go back to 2006 when there was alot of skepticism and lack of clinical data. To date, the balloon is used over 200x a day in the US, has treated over 80,000 patients and over 250,000 sinuses- according to recent data. I had a mucocele in my frontal sinus so my surgery was limited to the frontal sinus and recovery was immediate. To the ENT physician who has posted comments here who says those ballooned patients he would have treated without surgery.... my surgeon was part of the initial clinical data collection who confirmed to me that all these patients were surgical candidates who failed 2 rounds of medical therapy and were candidates for surgery. THat means these surgeons werent ballooning patients whom didnt require surgery. The last thing he told me was if the balloon didnt work, there was no removal of tissue or bone, so no harm done. Ironically, his patients are 99% satisfied with balloon sinuplasty.

At 10/18/2009 9:29 PM, Anonymous Anonymous said...

I had the procedure done about 6 months ago.

I did have sinus surgery prior to my Frontal Sinus 3 years ago. Which had failed. I continued to have 5-7 infrctions a year.

So far after the balloon procedue, I am doing great. I guess the opening had scared down and the doctor placed the balloon in the area and made the opening bigger.

At 10/18/2009 9:38 PM, Anonymous Anonymous said...


"This is one of the most comprehensive studies ever conducted in sinus surgery. We feel very confident in the data since 90 percent of the patients enrolled returned for their six month follow up and showed significant benefit and improvement," said Fred Kuhn, M.D., founder of the Georgia Nasal & Sinus Institute in Savannah and past president of the American Rhinologic Society. "I consider balloon sinuplasty a major innovation in sinus surgery since it provides patients and ENT surgeons with an effective, minimally-invasive treatment option."

At 10/27/2009 4:42 PM, Anonymous GDC said...

WOW, what a thread.
Sinus infections are an all-too-frequent topic as most of my extend family suffers from one extent or another. There have been many things tried and discussed, including acupuncture, changes in diet, neti pot, balloon sinuplasty, you name it!

So yeah, I know quite well how these conversations can play out.
My sister just scheduled a balloon sinuplasty procedure for her 5-year-old and has been very encouraged by what she has heard in regards to effectiveness & low impact on kids.
Ok, there it is, my two cents.
Take care everybody and Be Well!

At 10/29/2009 8:26 PM, Anonymous Anonymous said...

I am scheduled for sinuplasty in 2 weeks. I don't really suffer from many headaches or sinus infections. I just can't breathe out of my nose well. It is in part due to my external structure of my nose. I have a very narrow nasal bridge and very narrow nostrils. I gave allergy shots a try for 5 years, I have tried many sprays and allergy pills and nothing helped. I used to have very frequent sinus infections and then had a tonsillectomy and anoidectomy and sense then there hasn't been more than one sinus infection in almost 7 years. So based upon my CT scan my ENT believes that I will be a good candidate due to the large amount of scarring the frequent sinus infections left. He will also be doing a reduction of turbinates and he will be removing some cartilage from my septum to apply to either side of my bridge to widen my nostrils. After all is said and done I hope to be able to breathe normally as I have never been able to as far back as I can remember. I will let you all know how it goes after several weeks.

At 10/31/2009 12:29 PM, Anonymous Anonymous said...

Sounds like you have more nasal than sinus problems. The Sinuplasty is probably padding the bill. Sinuplasty will not help you breathe better, will not treat your allergies, will not treat your adenoid/tonsil problems and in fact won't get rid of your "scar" tissue. Furthermore, if you have a "large amount" of scar tissue, Sinuplasty might not even work. But, if your main problem is breathing, the turbinate and septal surgery is probably what you need. I hope your doctor informed you that if you have allergies, you'd need ongoing allergy medication (antihistamines, topical sprays) or your nasal obstruction may return over time.

At 11/23/2009 9:48 PM, Anonymous Anonymous said...

WOW, it is amazing to see this thread!
I don't want to be negative, but I incurred an orbital injury.
I am following up to a post that I made on 3/17/08. I am the person who wrote that I had orbital complications, my medial rectus muscle was violated during the balloon sinuplasty surgery. I now suffer from severe neuralgia, from morning till night everyday for 2 1/2 years now.
This procedure is not for everyone depending on how severe your sinuses are, I am glad for those that had great success,that's good news...
The ENT doctor in New Jersey was not trained properly.
Don't be afraid to ask questions, write them down please do your homework, make sure that your doctor listens to all of your concerns, unsure talk to other ENT doctors, go to Jefferson University Dept.of Otolaryngology in Phili., Pa. & see Dr. Pribitkin wonderful doctor, hospital and care. I should know I had 2 surgeries there, it is worth the trip.
My recovery has been a long process and my right eye will never be the same again, permanent damage, but thankful that I can see. I have double vision and constant pain.
I had 4 procedures since the balloon, emergency exploratory eye, right frontal sinus surgery again, Supra orbital nerve block, and finally nerve incision, tried acupuncture didn't help...
This doctor knew that my muscle was violated and could not continue to do the right frontal sinus, but continued to do the left maxillary sinus,putting me at a greater risk, CRAZY RIGHT!
Please think twice if you decide to do this technique.
Talk to people, and do your homework!!

At 11/24/2009 2:46 AM, Anonymous Anonymous said...

I have had chronic sinusitus as far back as I can remember (four years old?) Infections were often caused by tonsillitus until I finally had them removed at the age of 18.
I was tested for allergies, and was found to be allergic to so many common airborne things that I would have to live on Mars to avoid them. So, I gave up on that. House dust is the worst irritant for me, and we keep it clean, but I have to live in a house.
I was able to get some relief with over-the-counter decongestants, but the side-effects were a real problem - fatigue and drowsiness. Over the years I went through the "Latest" in decongestants and antibiotics, including Entex, until I discovered Claritin D. This still has a drowsiness problem because it contains a stimulant to counter the antihistimine that wears off before the drowsiness effect. The result is a "Crash" after about four hours. However, the effect is so dramatic a relief that I swear by Claritin D.
I also keep handy two antibiotics, and dose myself immediately when I start feeling "Odd" - always the precurser to a bout with sinusitus. I use Bactrim, or Augmentin. Two days of treatment with one of those, plus Claritin D, and I am good for weeks.
HERE IS MY SECRET TREATMENT FOR A PARTICULARLY SEVERE CASE: HYDROGEN PEROXIDE. I have used this treatment for three years now when I have a bad case. It gets quick results (one hour), especially when combined with the Claritin and antibiotic. Here is how I do it: I keep a NeilMed Sinus Rinse bottle filled in my bathroom and grab it on those severe occasions. The bottle can be purchased on-line WITHOUT THE SINUS RINSE PACKETS for about $6. The usual kit is about $12, but I throw away the packets. Then, I put a small amount of regular 3% Hydrogen Peroxide from the pharmacy NOT THE 20% USED TO DYE HAIR in the bottle. I then add five to eight times that amount of water. I put the top on the bottle and squeeze one wash into each nostril. That's it. The hydrogen peroxide will get anything that's in there... bacteria, virus, mold, fungus, pollen, etc. It zaps it. I take care not to repeat the wash with peroxide more than twice a day, and I take care to make sure the ratio of peroxide to water is no more than 1:5 (One part peroxide with five parts water). For severe sinus attacks, there is nothing else that works for me.
Regarding the surgical approach, I had it told to me by an ENT in 1985 from looking at x-rays and up my nose that I have sinus canals that are too small. When they get inflamed, they close off and pressure builds. It was very clear in the x-rays. My Sinus would look Spherical...meaning lots of pressure. I declined the surgery. Recently I had the same diagnosis, along with "Deviated Septum", and the same recommendation, but today, the surgery is done without cutting your nose open. Again, I declined when the MD described all the cutting and scraping and removal of parts of me he planned. Now, I see for the first time today this procedure, but with the potential for the surgeon pushing the wire through the sinus into my eye. No thanks. The new procedure that goes in through the tissues over the canine tooth looks like the only one I would consider. Still, I wonder if it would be long-term effective. I will wait to see.
Meanwhile, one of the best treatments for me is to take vitamins and supplements from Costco and Life Extension Foundation, and go to the gymn twice a week, or ride my bycicle instead. The vigorous exercize and vitamins/minerals has cut down my infections to about one third. by itself. If I do have an attack, It is EXTREMELY IMPORTANT to treat it at the first sign...sometimes just not feeling "right". There may be no sinus drainage at all...just the sign that it's plugged. One test I use sometimes for this is a spray of Afrin twice, an hour apart. If I get pain with the drainage, then I go for the antibiotic and Claritin D twice to stop it cold.

At 11/24/2009 7:42 AM, Blogger Brad said...

Thanks for the info. I think a mild hydrogen peroxide rinse is a good idea. Regarding antibiotics, I would not recommend administering them without a prescription. FYI, *if* a doctor gave you a prescription for Bactrim or Augmentin, he/she would probably ask you to take it for 10-14 days, not just 2. Short courses of antibiotics can select for resistant strains of bacteria.

At 1/02/2010 2:09 AM, Anonymous Anonymous said...

Thought I would leave my experience here as it seems to be the best resource at the moment for personal experiences with the surgery.

I had the balloon sinuplasty procedure performed on December 8th. I had been suffering from severe sinus pressure and headaches that were getting worse as the years passed by and also had a problem with a deviated septum. The surgery went without any problems, though it took me about a week before I could get back on my feet and go to work again. During that week of initial recovery, I generally felt sick to my stomach, didn't eat much but soup, and spent most of my time in bed.

After the first week I felt somewhat normal - the painkillers kept me from feeling bothered for the most part, so it was more like having a bad cold and a really stuffy, stopped-up nose. About two weeks after surgery, my ENT cleaned out my sinus cavities of any remaining gauze (dissolvable kind was used) and dried blood that was stuck in them. This was probably the worst part out of it all together as I was too out of it to remember anything right after the surgery occurred. Getting the cavities sucked out was pretty painful and ended up causing some flareups in the nerve endings for my mouth and teeth.

Currently it's about a month after surgery and while I am still kind of stuffy here and there, I have suffered from absolutely no more sinus headaches since the procedure and can breathe SO MUCH BETTER. Correcting my septum and opening up the cavities was like the difference between night and day for me. The stuffiness is still dissipating, but for the most part I can breathe somewhat normally. The only thing that really still ales me and will probably take a little longer to heal up are the nerve endings for my teeth - those still are hurting. Overall, though, I am very very glad I made the decision to have the procedure done.

At 1/31/2010 8:29 PM, Anonymous Anonymous said...

I am an ENT surgeon that specializes in sinus surgery. I agree fully with the doctor posting above. Most patients will get better with proper medical treatment. The balloon is being sold to many doctors as a way to keep patients in their practice that they would otherwise send to a sinus specialist (rhinologist). Sinus disease is complex problem that is best treated by having a close working relationship with a caring doctor. There are no quick fixes. I may be wrong, but I suspect this "operation" will fall out of favor. A very select group of patients may benefit from this, but I think it is being overdone. Sometimes it is hard for us doctors to admitt that there is no good solution to a chronic medical condition like sinusitis.

At 3/23/2010 6:39 PM, Anonymous mike said...

Something new for u all to try, guaranteed! I also suffer from chronic sinusitis. I've had sinus surgery twice. I've been taking so many medications over the years and they seem to be getting less effective. I'm an anethetist and am lucky to have a close relationship with my surgeon. I go in to see him when I'm unble to irrigate my sinuses and start feeling bad. It usually helps, but it sometime just gets worse. He wanted me to bring in waterpic attachment. He showed me how to insert it into my sinuses. I didn't think I could do it. I was feeling so bad and running fever the other day so I tried it and WOW! Not very hard. You should have seen the effects of directly irrigating the openings. Felt so much better the next day. I enlarged the hole on the pic and use saline rinse. I'm ordering a home suction set up and incorporating that too. This could be my miracle cure. I wanted to share this with you all. Talk to your ent about this, not hard to do with a little help. It's just a little uncomforable passing the turbinates, and fine at the sinus opening. Don't be intimidated.

At 6/02/2010 7:07 PM, Anonymous Anonymous said...

I had the balloon sinuplasty surgery done on May 14, 2010. I have had chronic sinusitis and migraines since I was in my teens (I'm now 37). I was told that I would be back to work in a few days and it has now been three weeks. The pain is much less, but I still cannot sleep lying down. I have constant drainage from my left nostril accompanied by a smell of rotted meat. I cannot sleep for more than a couple of hours at a time due to the constant drainage coming out of my nose or down the back of my throat. I cannot bend over without the meat smelling snot coming out of my nose or out of my mouth. My doctor told me that he believes I have an infection but I have been on antibiotics since the surgery. I am now being switched to a stronger antibiotic and am very hopeful that this will finally clear up. The doctor has been wonderful and I have no complaints about him at all. The surgery however has left me feeling completely regretful. If I could go back in time, I would never have had this surgery. My father was supposed to have it the week after me and he cancelled. I would like to tell everyone considering this surgery that the "back to work in a few days" theory is obviously not true for everyone and to really weigh your options before going through with this. I would gladly take the chronic sinus infections over what I have been through these past three weeks.

At 7/10/2010 11:19 PM, Anonymous Anonymous said...

I had balloon sinuplasty 3 days back, I had a bad headache and face pain. I think this is due to inflame. I'm under antibiotic medication. Hopefully everything alright soon

At 7/28/2010 8:48 AM, Anonymous Anonymous said...

My situation is similar to several who have posted here. I have chronic infections dating back 2 years or more. This is most probably due to small sinuses and small sinus passages. I am scheduled for this surgery the morning of 7/12/10. I will report back with the results.


At 8/02/2010 6:14 PM, Anonymous Anonymous said...

for the anonymous respondant who posted on 6/2/2010 who was distraught over rotted-meat smelling discharge coming from their nose -- give it a little more time. sometimes the first round of antibiotics aren't the correct ones, sometimes it's a really stubborn infection (mine took almost 5 months to kick -- nasty staph). you'll improve. just give it time, check into doing sinus rinses, and thank your lucky stars you ARE draining, and that you had the option to do a balloon vs. bone removal.

At 8/02/2010 6:24 PM, Anonymous Anonymous said...

heartless me (8/2/2020)... i neglected to also say to 6/2/2010 that i totally empathize with 6/2/2010's frustration and post-surgery let down. although the drainage is a good sign (your sinuses are no longer blocked!), it's still GROSS. i, too, couldn't sleep lying down due to drainage running down the back of my throat, making me cough and hack. i spent the better part of my post-op recovery days bummed out that i still felt icky, that there was green grossness coming out of my head, and that i still had to take hard-core antibiotics.
HOWEVER, i did get better, and take heart, so will you, 6/2/2010.

At 8/17/2010 12:29 PM, Anonymous Anonymous said...

Navybill here to report back on my surgery.

I mistyped the date of my surgery and will correct that error from 7/12/10 to 8/12/10.

It is ambulatory surgery under general anesthetic. Not a serious concern for me since I have had other more difficult surgeries.

Surgery was last Thursday and today is Tuesday. There was little pain, no nausea and some bleeding. The surgeon performed balloon sinuplasty on the passages for my maxillary and sphenoidal sinuses.

The right sphenoidal sinus was the most inflamed and therefore probably the one that has been bleeding the most. A debridement the day following surgery helped convince me that irrigation was an imperative. I have another follow-up today.

I irrigate with a saline/baking soda solution as often as needed. Doing it at work is not something I would consider so I carry saline solution in a spray bottle to keep the juices flowing, so to speak.

My doctor did caution that some drainage would continue until the infection abates. This is my seventh round of antibiotics since October ’09 so I will offer to those of you still on antibiotics, do not give up hope.

For anyone who laments having the surgery, my take is that your outlook will improve when the infection is gone. As a note of encouragement, it took time for the infection to become chronic and it will take a bit more time to cure it.

In a few weeks I will post again telling of my recovery. Yes, if one or more of the passages again closes, I will not hesitate to have surgery again.

At 9/28/2010 6:00 AM, Anonymous Anonymous said...

Navybill here...

It has been seven weeks since surgery and there is no way to really describe the difference. My wife sleeps better since I no longer snore. Reclining is now a pleasure since I do not feel as though I am drowning in my own snot. Breathing with my mouth closed is once more possible.

At my recent follow-up last week, my doctor commented that I could be the recovery poster boy stating I was 80% better than before surgery. He did say a bit of inflammation remained, but was quite optimistic that it would clear. He gave me Veramyst spray to see if it would help me "over the hump".

I go back in two months for another check-up and really believe this surgery was the best thing I have done for myself in years. It broke the cycle of infection, inflammation and congestion.

At 10/06/2010 10:57 AM, Anonymous Anonymous said...

Had the balloon sinuplasty yesterday evening, currently about 18 hours, did it under a local. Before the surgery, I had consistent sinus infections for which I was taking anti-biotics, usually twice a year. It seemed I was particularly sensitive to air conditioning. I was getting "summer colds" more often. Also was sensitive to change in weather (warmer to colder).

Regarding the surgery, there was some pain, about 3-4 out of 10.

At this point (18 hours out), I am congested, I have some pressure, and still a little bit of blood. The surgeon also discovered polips in both cheek cavities, which she removed. This probably caused increased bleeding.

I am back at work, a touch groggy but O.K. No real pain from the surgery. I am more congested now than before the surgery, but I am hoping that will go away soon.

Will report back.

Rob L.

At 10/06/2010 10:58 AM, Anonymous Anonymous said...

Had the balloon sinuplasty yesterday evening, currently about 18 hours, did it under a local. Before the surgery, I had consistent sinus infections for which I was taking anti-biotics, usually twice a year. It seemed I was particularly sensitive to air conditioning. I was getting "summer colds" more often. Also was sensitive to change in weather (warmer to colder).

Regarding the surgery, there was some pain, about 3-4 out of 10.

At this point (18 hours out), I am congested, I have some pressure, and still a little bit of blood. The surgeon also discovered polips in both cheek cavities, which she removed. This probably caused increased bleeding.

I am back at work, a touch groggy but O.K. No real pain from the surgery. I am more congested now than before the surgery, but I am hoping that will go away soon.

Will report back.

Rob L.

At 10/07/2010 7:34 AM, Anonymous Anonymous said...

Rob L. here again, day 2 after the procedure. I was quite congested yesterday (day 1 after the procedure) so the Dr. prescribed some steriods and today I feel better.

Time will tell if this procedure really opened up my sinus cavities or if I am the same as before.

Rob L.

At 10/19/2010 3:56 PM, Anonymous Anonymous said...

Rob L. here again two weeks after the procedure. I feel better, still some congestion but better than before the procedure. Still taking Veramyst and sinus rinse.

At 12/15/2010 9:00 AM, Anonymous kate said...

I had the balloon sinuplasty done yesterday morning.I am a 20 year old female. I have suffered from allergies and chronic sinus infections for several years. The procedure went great, I have had some bleeding, and my nose has been stuffy, but other than that I feel fine. I only had to take pain pills the first day. I am a runner and they suggested I not exercise for one week, sitting here doing nothing is the hardest part of the whole thing. As of right now I would recommend the balloon sinuplasty, if anything changes I will post again.

At 1/06/2011 2:21 PM, Blogger mercuriv said...


Does anyone know if this surgery cannot be accomplished if you have a deviated septum?

I have had problems for years with the headaches, infection and pressure and I am considering this for relief. My ENT recommended the cutting surgery which I have heard does not always work either.

Suggestions as I am open. Anybody know of a good ENT in Chicago?

Thanks so much!

At 2/27/2011 10:29 PM, Anonymous Anonymous said...

Just had balloon sinuplasty on sphenoid, frontal and maxillary sinuses on Friday morning. Had very minimal bleeding and since starting nasal rinses after 48 hours, have felt great. Suffered from muscle pain in the back and throat starting about 12 hours post op. This was a side effect of the anesthesia. Suffered very little pain in my head and have not needed a pain killer since getting up this morning.

This has been a very easy recovery compared to the septoplasty I had five years ago.

At 4/10/2011 3:02 PM, Anonymous Anonymous said...

Has anyone out there ever heard of a sinus condition that results in these symptoms? About 30 minutes after I lie down, any time of night or day, i will suddenly feel my chest and face getting hot, within a few seconds I will feel my heart starting to beat harder, I will feel sort of like I'm smothering and I get a feeling of doom that is unbearable. I have to stand up to relieve it. The tissue around my eyes will be swolen so that my eyes look like slits, my eyes will be very blood shot, my left face will be swollen. My sinuses on the left will feel completely blocked. The need is stand up is urgent. The feeling of doom is the worst part of it. All of that goes away within 10 minutes of standing up, including the feeling of impending doom, the swelling, the blood shot eyes, and the feeling of the sinuses on the left being obstructed. I had balloon sinuplasty on the opening to the maxillary sinuses after having a severe sinus infection that would noy respond to antibiotics. I had tha smae symptoms with lying down prior to the surgery and all of those symptoms went away for about 4 months. One doctor thought I had superior vena cava syndrome and I have had a venacavagram which was negative. It was not done while I was symptomatic, though( no opportunity to lie down for a long enough period to be come symptomatic while the test was done0. Now my family doctor has put me on Amoxicillin 875 mg twice a day for a month. He believes I have an occult infection somewhere. The last CT of my sinuses was over 6 months ago and showed thickening of the left maxillary sinus but the ENT dr.said it was minor, although he originally called after seeing that and wanted to repeat the procedure to enlarge the opening to the maxillary sinus again. When I decided to do that and went back to see him he had changed his mind and doesn't seem to think it is a sinus problem, although I do. Has anyone ever had anything like this and if so, did you ever find out what it was and did someone know how to help you?

At 4/12/2011 4:50 PM, Blogger Brad said...

Interesting - I wish I could tell you what is going on. My first thought was also SVC syndrome. As you implied, it might be useful to repeat the venacavagram when you are actually symptomatic. It sounds like the trick is being able to reproduce the symptoms reliably when needed. An occult infection is a good idea. I also wonder about a malignancy. I hope you'll check in again if there are any new developments.


At 5/18/2011 4:31 PM, Anonymous Anonymous said...

Dose anyone knows great dr. who can perform the balloon sinuplasty surgery in new york city? I am tired of getting infection after infection. Not just that I have pnd,bad breath and oder from my nose.
I am curious if these conditions go away after the surgery. I think pnd,bad breath n oder from nose is worse than pain from sinus. .........

At 6/14/2011 6:45 PM, Anonymous Anonymous said...

I am scheduled for the balloon sinuplasty surgery on 6/23. I too been dealing with constant sinus infections. To the post that mentions about getting really hot. I too have had this but not just when lying down. I been dealing with the chills & hot flashes 24/7 for months now. Keeps me up at night. The ENT says its from the infection in my sinuses. Antibiotics no longer help. See a Dr. you have an infection or a malignancy somewhere.

At 7/11/2011 3:30 PM, Anonymous Shelly said...

I had the Balloon Sinuplasty on July 6, 2011. I felt relief the first day (nothinglike the "wind tunnel" effect one testimonial on BalloonSinuplasty.com reported) but not completely due to the foam stuff they place in the nose (instead of old fashioned packing). NO pain afterwards either. But by Friday eve, I was feeling very nauseaous...Saturday morning. I felt the headache coming back so started taking my Excedrin migraine medicine every few hours. By Sunday morning I was taking the SINUS MEDS again, along with Excedrine AND Norco 10/325!! This morning I woke up, planning to return to work, but ended up back at the doctor's office 3 days before my post op visit was scheduled. My ENT numbed the sinus cavity, suctioned it out and gave me another script because appearantly the Levaquin he gave the day of surgery didn't do much and I had ANOTHER sinus infection...!!!! Not to mention B/P of 152/104 and I NEVER have high BP! ANyway, cultured the sinuses and sent me on my way!

At 8/19/2011 5:49 PM, Anonymous Cathy said...

I am so happy I found this blog. I have had 6 sinus surgeries over the last 5 yrs, the last one was March of this year. I had FESS on the lft frontal sinus which has given me the worst problems. I had the Modified Lothrop Draf III in Jan. 2010, big surgery and the left frontal is still not working. I am sick most of the time, laid off my job 2 yrs. ago because of multiple surgeries, and can't work now because I am so fatigued and am bedridden when I get the headaches and the pain & pressure is brutal. This happens 2-3 times a wk and I have to cancel soo many things because of being sick. I basically have no quality of life anymore. My ENT left in stents for 6 wks after the last surgery and I still got a blockage and infection while the stent was in there. This is my 3rd ENT, 1st one wouldn't touch me because sinus disease was so widespread and frontal sinuses were so bad. Second guy did 3 FESS surgeries and then referred me to my present ENT as he couldn't help me anymore. I live in Toronto and he is a newer guy and known for being the best when operating in the frontal area. So now I have to have surgery to reopen the lft frontal sinus, problem being it never stays open, so he wants to do balloon sinuplasty and add in a frontal sinus trephination, which entails drilling into my frontal sinus externally and inserting a drainage tube which will stay in for 2 mos, allowing them to drop steroid drops directly into the frontal sinus and flush out so infection doesn't get stuck in there. It will be sticking out of my forehead by my eye. Lovely, but if this doesn't work, he says I need the 'big' operation, Frontal Sinus Obliteration which I am terrified of. Sorry for the long blog but it's been quite the journey and can be a lonely one. I'm 53 now and this isn't getting any easier. Has anybody known of someone who has had to have the Frontal Sinus Trephination as I wonder if this is worth it or will it just create more problems for me. I don't know anymore and have been losing faith!!! Tired of being sick and tired!!!!! Thank you for reading this!

At 1/12/2012 6:53 PM, Anonymous Cornel B. said...

April 2011 had ballon sinoplasty procedure because ENT Dr.said it would help me with chronic sinus problems, I take a chance and now 9 months later, I have had extreme pain in area where this was done,deep inside eye and nose center areas.Been back to ENT Dr.A few times, said there is no way that what he did caused this terrible ongoing pain.Do not do it .Went to eye dr., neurologist,no help, prednisone and migraine med. helps very little.Constant pain wipes me out. ENT does not want to take responsiblty for my pain. Can anyone help, another Mich. Dr.?? Cornel B.

At 1/15/2012 10:11 AM, Anonymous Kat said...

I had the balloon sinuplasty and septoplasty. I was up and a'um immediately. First night I woke up every hour because I could neither breathe in nor out, and had 'dribble pad' to catch blood. I did not take narcotics. Post nasal drip is nasty, but gets better. Just walked to the mailbox day 1, but went out and did my usual activities on days 2 & 3. No trouble sleeping. Getting splints out is a piece of cake. No pain or bleeding. Still congested and swollen after two weeks. Surgery is not very painful; recovering to full breathing may take some time. Nobody should be freaked out about this surgery. Just have a great ENT, follow instructions, and have a positive attitude.

At 1/19/2012 11:54 AM, Anonymous Anonymous said...

I would like to know if there can be any side effects from this procedure. For instance, is it possible to have some kind of nerve damage occur during the procedure when the balloon is being dilated to move the bone over. I know someone that had this procedure and states 2 wks later his skin began to have itching and burning sensation. He first thought was, it may be a medication reaction, but now 4 months later he continues to have those symptoms on a daily basis and states some days it is very painful and severe. He use to work out daily, but had to stop due to sweat and water causes the skin burning and itching to be worse. He has been to a Neurologist, Dermatologist, chiropractor, primary care and even had to go to the emergency department and was admitted into the hospital due to the severe symptoms. Blood work and tests appear to be normal and no doctor has been able to give him an answer. He really thinks that something occured during the surgery and possibly had a nerve damage when the balloon dilation was perfromed. He has never heard of anyone complain of this type of issue after this procedure, but is very concerned and would like to know if that is one of the possible risks of this procedure. Can anyone please post a comment and give there thoughts on this.


At 1/30/2012 7:15 AM, Anonymous Anonymous said...

This procedure has caused internal tissue and optic injury for me, nine months later severe chronic pain, eye trouble,burning red eyes and somekind of oozing infection coming out now. MRI and eye dr. next. The disgusting thing is that now, no one has the knowledge to correct th damage that has been done,esp; the ENT Dr. who is in complete denial that he could have done anything to damage anything,WRONG...do not choose a Dr. who is prideful,who thinks he can not make mistakes..I suggest for anyone not to have this done, seek alternatives.Please pray for me, to find someone to help correct this. CornelB-Mich.

At 2/11/2012 9:28 AM, Blogger clyde.500 said...

I've had sinus/migraine problems for about 15 years. I've been dealing with the allergies and doing the irrigating and the sprays for years. I've had 3 surgeries starting in 2000 with the most recent one performed in 2009. After the 2009 I felt fantastic for about 6 months, then my sinuses started to close up again and the headaches and all the pain associated with sinis problems came back. Then I had this procedure done 11/3/2011 and felt OK for about 3 weeks, not great but OK, then started to notice slight sinus pain around right eye. Around 1/10/2012 I started having constant pain around my right eye that would flare up into a migraine. Before this procedure I had migraines that where mainly brought on from the constant sinus pressure. These migraines were debilitating and were a 7 on the pain scale of 1-10 and would last about and 2 to 4 hours. The migraines I'm getting now can best be described as feeling like someone is trying to gouge out my right eye with screwdriver. The pain is exetremely severe and will last about 20 minutes. I am also noticing my skin is feeling more sensitive, very itchy, burning.
I've had an MRI to make sure of no strokes or tumors as my reactions during these "migraines" is so violent it's simular to seizures. I had catscan done as a follow up with my ENT. All these have come back as "normal, there's nothing wrong with you." So now my Neurologist has me taking Ketoprofen and Topomax and I'm just trying to function with whats going on. I feel all this is doing is hiding the pain and not going to fix the problem. I don't know if this procedure caused these problems, but the timing and type of issues is too simular for me not to look into it further. Needless to say I'm not happy with my quality of life after having this procedure done.

At 4/11/2012 12:44 PM, Anonymous Anonymous said...

I am currently looking into the surgery, have had a problem with allergies and breathing for some time. The swelling in my nose (especially one side) is pretty bad. I have pnd, red eyes/pressure, ear infections and pressure around my teeth--all from the inflammation. Have an apt tomorrow to see if this surgery will help. Have never had surgery
b4 just tried decongestants, nasal sprays and rinsing my nose--nothing helps. Even tried allergy shots but now I am hopeful this will help me. Fingers crossed. Crystal

At 4/30/2012 7:55 PM, Anonymous Anonymous said...

I have had many of the same problems as others here. Chrionic sinus infections and taking allergy medicine 2, 3, 4 times a day. Daily problems with headaches, dizzyness, and nausea. After having many people telling me to try a chiropractor/acupuncturist I finally went to one. I had immediate improvements. I have not gotten down to taking zero meds but now only take it once a day. It does not make any sense to me whey it works I just know it does. Try it! It might just work wonders for you too.

At 5/12/2012 5:48 PM, Anonymous Anonymous said...

I just had this procedure done yesterday on 6 of my sinuses in the doctor's office with local anesthesia. I had extreme, almost unbearable pain during the procedure which lasted about 1 1/2 hours. I think it was due to my sinuses being sensitive from an ongoing infection. I almost quit half way through but was really wanting it to be complete so I endured it till it was done. After he was done, I had to take Percocet for the pain. After the initial few hours, I did a sinus rinse and got rid of a lot of clotted blood and mucus. I felt much better. I am headachy today,especially the back of my neck, and a little congested, without much drainage anymore, although I will continue the sinus rinses. I can breathe through my nose already. I am hoping it will be a fast recovery and that it is all behind me. I do think I have a wonderful ENT here in NJ. Will keep you all posted.

At 5/15/2012 7:33 AM, Anonymous rjdp said...

Even after reading the adverse effects described here, I'm having in-office balloon sinuplasty today. I'm disappointed most did not give a full post-op history. I plan to post followup periodically until I'm satisfied it's all done.

At 5/15/2012 12:19 PM, Anonymous rjdp said...

Just finished lunch after the procedure. The frontal and maxillary sinuses were done. I was numbed then injected with pain killer for 50 minutes before going into the chair.

During the procedure I felt pressure but no pain for the most part. While the wire was being positioned there was pain in the frontal and maxillary sinus at 2 on scale of 1-10 except for the right frontal which was a 4. The doctor found a secondary opening for the right maxillary which could cause recirculation. He pulled a small piece of bone out of that to open it up more and help drainage.

When the balloon was being put in place I could hear and feel a squeaky noise as the wire was moved into place. When the balloon was inflated I could hear the bones cracking...a crackling noise.

So far no pain, just a slight discomfort. It's 1.5 hours since leaving the office. There has been a little bleeding from the right side where the bone was removed.

He found the right maxillary was inflamed and prescribed a Z-Pack just in case I have a mild infection right now. I would not be surprised since I've been feeling a little lethargic for the last month. My chronic sinus infections have always been characterized by lethargy. More lethargic with a worse infection. But no other symptoms unless I caught a cold.

For what it's worth, for the last 8 years I had a chronic infection which exploded into a miserable flu/cold set of symptoms every time I got a common cold. It would knock me out for 10 days at a time 3 to 5 times a year. 3.5 years ago this ENT successfully cured the infection with antibiotics and I was completely free from illness for 3 years until last fall when it came back. Since then I've had two sessions of sinus sickness that wasted me for 6 to 8 weeks...hence my willingness to try this.

More later.

At 5/15/2012 1:07 PM, Anonymous Anonymous said...

I had an FESS surgery done 5 monhts ago and developed sharp debilatating pain on the top of my head and on the back of the head. It is totally horrible. It really affected my quality of life. I cry all the time.. I went to another ENT, not the one who did my surgery, she said pain is coming from the sphenoid sinus. However, I never had this pain before. Does anyone has the same pain? Did anyone every had infection in the sphenoid sinus, can be that bad? CT scan did not show infection in that sinus. Thank you.

At 5/16/2012 8:15 AM, Anonymous rjdp said...

BTW, I'm a 67 year old male who had septoplasty and turbinectomy done about 1997. I had 2 years of no sinus problems of any kind after that, then the colds and sinus infections started up again leading to a chronic infection in 2005 which was finally cleared in fall of 2008. The chronic infection returned last fall.

Since my last report, the bleeding got worse and was on both sides. The blood appeared to be collecting in the maxillary sinuses on both sides so when I would bend over, the blood would stream out of the sinuses until they were empty again. Each episode of draining produced from 0.5 to 5 cc of blood. I found it necessary to lean over and drain the sinuses by gravity every 20 to 40 minutes. However, there was no pain at all. The extra strength tylenol was working or unneeded.

I put in a call to the doctor about 4:20 pm and he called back at 5:30 pm. The amount of blood is within normal expectations. Also, since he had taken out a little bone so the 2nd open to the right maxillary merged with the natural one, there should be some extra bleeding from that. BTW, he thinks the extra opening was due to a past infection. Use Afrin every 8 hours, he said, to cause the blood vessels to contract, and also follow that with my nasal steroid spray to help keep membrane swelling in check.

The bleeding gradually diminished so that by the time I tried to go to sleep at 11 pm blood was no longer collecting in the maxillary sinuses.

I did not sleep well at all. Could not drift off until about 3 am. But it was not due to pain or any discomfort. I guess it was the Afrin which I seldom use.

More later.

At 5/17/2012 10:11 AM, Anonymous rjdp said...

48 hours after procedure:
In spite of 5 hours sleep yesterday I made it through the day with enough energy to make it to 11:30 pm last night. There was mild discomfort but not pain as long as I was taking the tylenol. When it wore off late last night there was some strange pain in the frontal sinuses above the eye orbits like being stuck with a very fine needle which came and went until I got home and could take more tylenol.

Slept well last night. No bleeding. My sinus area feels different but it's hard to say how. Could be the residual effects of the local anesthetic or the procedure or the Afrin or all of the above. The bleeding is stopped. No pain with the tylenol. Very slight "runny nose". I've been cautious about blowing my nose...in fact I have not. Nor have I resumed my twice daily nasal rinse. That's because I don't want to risk restarting the bleeding.

More later.

At 5/18/2012 1:16 PM, Anonymous rjdp said...

74 hours post procedure:
Last doses of tylenol and Afrin were 11 pm last night. The ZPak is supposedly going to do it's thing for another 6 days. Doing twice a day nasal steroid spray. Slept well the last two nights.

I dared nasal rinse this morning. There was a little ugly mucus and a bit of clotted blood. I even gently blew my nose with no ill effects.

No pain or bleeding. There seems to be some mucus draining from the frontal sinuses. Normally stopping Afrin produces a rebound swelling of the membranes. The air flow with Afrin a day after the procedure was 10 out of 10. My normal airflow has been 5-7 out of 10. With rebound today, airflow is 6 out of 10. This is rebound? Feels a little better than "normal" for me.

More later.

At 5/20/2012 8:54 AM, Anonymous rjdp said...

5 days post procedure:
Since the last post, things have been improving slow but sure. I was off the tylenol and Afrin, doing the nasal steroid spray.

HOWEVER, had a big surprise last night while just sitting in a chair reading. Suddenly I felt something drain on the right side (the side where the bone was removed for the maxillary sinus). It was blood. A small amount (maybe 1 cc), but blood nonetheless. I had been more active yesterday (did some very low exertion activity on the house) and I had taken one does of ibuprofen. So, I took a dose of Afrin and stuffed that side with gauze. After replacing the gauze twice in an hour and seeing the blood flow virtually stop, I went to bed but did not sleep well due to apprehension over the possibility of waking up in a pool of blood on my pillow. That did not happen, and when I woke up the gauze showed almost no blood loss. But for now I'm back on tylenol and Afrin.

More later.

At 5/22/2012 8:30 AM, Anonymous rjdp said...

The eighth day:
The last two days were a regression of sorts. The night after the return of bleeding and not sleeping I took a sleeping pill (Ambien) to make sure I would be comatose all night. But still it was two days of stupor and discomfort. But no bleeding. This morning, however, I am back to how I felt before the bleeding came back...more energetic. This time I plan to keep on the Afrin and lay off any physical activity.

Can I breath better? I think so, but is it the placebo effect?

At 5/30/2012 2:35 PM, Anonymous rjdp said...

2 weeks and two days:
Since the last post I gradually have improved while continuing Afrin twice daily and occasional tylenol due to some sinus headaches.

Last week was a little light exercise...mowing grass. Monday (two days ago) I spent 8 hours working on the garage door. Light exercise but continuous for 8 hours. Tired me out. I had some drainage from the left side during the day that was chicken soup color with what looked like dried blood mixed in. By night it was gone and I was breathing clearly. Then yesterday I walked and ran for 50 min to start to get back into my daily exercise. I felt much better after that.

I started back with nasal rinses a few days ago...gentle low volume ones compared to what I had been doing before this procedure. No complications.

This pm was my follow up with the ENT. It all looks good from his viewpoint. Only one nasal rinse today...no other treatment. I'm breathing well and this is the best day yet.

This is my final comment for a while. The reason for doing this was to mitigate/stop the sinus infections that had been plaguing me the last 12 months. If I make it for 12 months without one, then this was worth it.

At 7/25/2012 10:13 PM, Anonymous Anonymous said...

I had the procedure done yesterday in No VA. After the sinuplasty I opted out of the narcotics...boy, did I regret that an hour later! The pain gradually decreased that evening, but I still decided to take Benadryl to help me sleep. This morning woke up with a headache & feeling like I had another infection. Doing Afrin twice daily through tomorrow & nasal rinses at least twice daily for the next few weeks. I had a small amount of blood in the mucous today & some mucous was thick & yellow. This could be a reaction to the procedure or a flare up of infection. Doctor has me on a Z pack now, hopefully that will help.

At 8/04/2012 9:18 PM, Blogger Sam Kanter said...

I had balloon sinuplasty four days ago. The procedure was uneventful, no real pain, but lots of pain right afterwards.

I'm still having similar symptoms from before the procedure (teeth hurt, mild headache) but this could be because the sinuous are still swollen, and have been somewhat traumatized.. I do many sinus rinses per day, some small bloody clots come out.

I'm hoping the procedure has worked, I guess I won't know for sure until a week or two pass. Hoping for the best...hil

At 8/10/2012 7:25 AM, Blogger Simonesez said...

Sam, how are you feeling? Is there bruising? I am scheduled to have the procedure next week on the 20th and am freaking out. I need to be good to go by the 1st of the month as I travel a lot for work. Do you recommend the procedure? Reading some of the above posts ( orbital issues) I am not sure I want to do it...

8/10/2012 7:23 AM

At 8/13/2012 10:32 PM, Anonymous Anonymous said...

Just came across this thread and thought I would share. I had a severe deviated septum and a balloon septoplasty 6 days ago. He also had to do one of my sinuses the old way by removing the walls I guess(the on between the eyes, to far back or something to do the balloon). Overall I struggled with the general anesthesia a bit but was not in much pain really. I am only 29 never really had headaches before, just a sinus infection for basically 7 months straight. My went seems very good and convinced it was a good idea. On the first night I was really out of it but I remember thinking I could breathe ready well. I never really could breathe out my left side because of my septum. After that I felt really congested as I still do now. The pain had never been bad, I was very nauseated the first day, but that was due to blood and anesthesia. I was given Tylenol with codine for pain and never took two at once and only need one to two doses of one pill a day, but honestly I could live with the pain. I have lots of mucus but can't blue my noise per doctors order. I can suck it in and spit though, still very bloody. I can use a saline noise spray, but not a rinse to help with scabbing. In two days I go in for a cleaning, realistically I have no idea if there is packing or not. I do have stiches that need removed. My teeth hurt a bit and my noise is sensitive especially when I bend over, but even with the septum being fixed I have no visible swelling. I am glad I have a full 7 days off from work though, talking is a little uncomfortable.

At 8/18/2012 10:05 PM, Blogger Sam Kanter said...

It's been 18 days since my balloon sinuplasty. The procedure was no big deal, but at this point I have no relief from the symptoms I had before - teeth pain, headache, pressure in ears. ENT says it could take up to six weeks to feel relief, but I'm beginning to think the procedure did not solve the problem, and symptoms may not be coming from my sinuses. Of course, no one knows what else cold be causing them. I'll report back in a few weeks - hopefully with better news.

@simoneswz, as I said, procedure itself was no big deal, I went back to teaching the next day. I had it done in ENT office.

At 6/30/2013 2:31 PM, Anonymous Anonymous said...

I had balloon sinuplasty done 4 weeks ago and feel like I did before the surgery. My head and nose are stuffy and I'm light headed. This makes me tired and irritable. Has anyone else experienced this?

At 7/12/2013 6:35 PM, Anonymous Anonymous said...

I just had the balloon sinoplasty about 5 hours ago in the doctor's office. It was extremely painful. The pressure was go great that I felt like my teeth were going to fall out, my eyes were popping out, and the top of my head was coming off. I do not understand why anyone would say this procedure should be done without general anesthesia. I also had turbinate reduction at the same time which required two doses of numbing medication. I could still feel most of it.

Now I am home and have experience nose bleeds three or four times.

This is not what I expected and my nose still feels stuffy. I had almost complete blockage before so I only hope I will get good results when this is all over. I am assured that I will, but at the moment, I am quite miserable and wondering if all the pain was worth it.

At 7/12/2013 6:47 PM, Blogger Simonesez said...

I am looking for results of someone who had this done a while ago? Is it all wort it?

At 8/13/2013 11:38 AM, Anonymous Anonymous said...

I had sinuplasty under general and I would have it again. Surgery date August eight and have been headache free for the first time in thirty years.

At 12/19/2013 3:10 PM, Anonymous Anonymous said...

I just had the procedure two days ago, it was not pleasant, but not unbearable. I had it done in the office under general anesthia. Can't say whether it has helped yet but I do notice I can breath easier. I can't blow my nose until two more days!! That's driving me crazy, but I've had NO post-op pain, NONE! Amazing!

At 1/16/2014 7:56 PM, Anonymous Anonymous said...

Hello. I just had balloon sinuplasty done 1/13/2014 on my right and left maxillary as well as frontal sinus in office with local anesthesia. Currently I have pain on right side, above right eye, way back in there as well as on forehead and hurts more when I lean forward. I am hoping it's just still sore and inflamed and will go away soon. I was given clindamycin for 2 weeks after. Been doing nasal rinses, still stuffed on one side at all times. Hoping things improve soon...

At 1/17/2014 8:52 AM, Anonymous Anonymous said...

Those who have had the surgery within the last few months... How are things now?

At 2/04/2014 4:56 AM, Anonymous Anonymous said...

Hello,I had it done 1/30/14 ..My exp was and has been horrible.My anxiety and tmj was issues before and after surgery.They deceived me into thinking local in office would help and nothing like general was warranted . Well 5 days later , PAIN on right side ,constantly spitting up fresh blood , balloon done on left and right clipping of some sort (He would not tell me what he clip out) .The deceiving part, He did not tell me about the clippings and shippings before balloon procedure .I am going this am to get it suck out and I AM ASKIGN FOR CONSENT FORM I SIGNED...I am worried due to Fresh bleeding and stuffed nosey and tmj ,ear pain -side of my head in pain.I was given 50 shots it seem of novacaine during procedure to numb thing -Least 30 if not 50-Not exaggerating . NEVER AGAIN.. My consent form stated heart attack possibility ..Well my heart almost jump out of me with Novocain jolting me ..It was HORRIBLE..I had many surgeries as I AM A MEDICAL MESS -Including lung surgery. This is not 24 hour recovery nor should you be deceived . The procedure need hospital setting with general anesthesia not 50 needles up someones nose.Just Horrified and do not think I was gullible to believe local was a walk in the park .This procedure needs to be evaluated for general anesthesia only and if more is done .i am told all bleeding will stop eventually..Grrrrr

At 2/27/2014 6:19 PM, Blogger Necta Nelson said...

I had this procedure done 2/21/14 and it was not a walk in the park they stuffed some numbing med like on a cotton like material up my nostrils and that numbed my throat as well couldnt feel my self swallow finally go in sit on the chair and he proceeded to do my left nostril which i felt like he was breaking my bones in my nose i remember telling him how it felt and he said its suppose to feel like that than he proceeded to do my right side and i felt even more pain like the numbing was gone so he stopped and i was gagging. So the assistant gave me some water which made me choke because i couldnt feel my throat he put some more numbing med up that nostril walked out came back and tried again the pain was unbearable i told him to forget that side i remember screaming again and he said we're almost done so he put more numbing medicine and tried again it was excruciating i saw the stars the moons u name it. i have had 5 c-sections and retina surgery on my eye and this was the worst. I was in so much pain and my left ear and side we're killing me not to mention bleeding thru my nose till likr 7Pm that night , anyway had to wait till i could feel my throat so i could swallow the pain meds. Well tomorrow will make a week and i have no relief alot of pain in my left ear and fullness in my right headaches nose is still stuffed black under my eyes and the veins under my right eye bulging vision a lil blurry at times have an appt for my eyes they said they have to give me a hearing test to make sure i dont have motr hearing loss because of this procedure i would never would have done this if i would have know what i know now im happy it worked for some as for me im hoping i have a better outlook soon because for now acetaminophen codine is my new best friend

At 3/03/2014 10:04 PM, Blogger sandi.james said...

I would not really recommend this procedure. For me the pain during and immediately after the procedure was not worth the benefits. Although I can feel that I can breathe better, breathing was not an issue for me. I had and continue to have a concentrated pain in the area to the left side of my nose. On my initial consultation I was told that I was a great candidate for the in office procedure partly because I had a "beautiful straight septum". Today at my one month followup was the first mention that my septum on the left disease has a deviation which is causing my pain and was asked "what do you want to do next?". I can't help feeling deceived by this doctor who came highly recommended. I am pretty disappointed. Adding insult to injury is still having to pay the balance of 500 dollars on top of the 500 I had to pay up front.

At 3/08/2014 9:41 AM, Blogger Necta Nelson said...

Week 2 after ballon sinuplasty update fullness in ears pain dizziness alot of anxiety given meds for anxiety i feel luke my hearing will never be the same and very agitated no relief ringing in ears and bad sinus migraine headaches srill waiting for tbe relief others have had

At 4/16/2014 12:09 AM, Anonymous Anonymous said...

Are u feeling any better Necta Nelson. Have u started to feel any kind of relief. Please update and let us know how your doing.


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