[QUOTE=mrsD;1053839]Just a reminder... Nortriptyline is not
A "pain" medication like aspirin and or opiates.

It works over time in the brain in pain loop
Perception area. So taking it for an acute
situation will only sedate you (it's main side effect).

People with sinus tendencies do better
With Mucinex or Robitussin products and
decongestants like phenylephrine.

There is a new therapeutic movement in
Medicine to not use antibiotics so quickly
for sinus problems. So some doctors may
be following this protocol now.


Part of the problem is at times I'm not diagnosed as having a sinus infection, only the pain around the sinus area and eyes - so I get antibiotics.

My migraine doctor is convinced that these sinus headaches (and 99% of all "sinus" headaches) are actually migraine headaches.
Meanwhile - the migraine aspect doesn't get treated because she is convinced that the only drug that will work is nortriptyline - and I can't take it.

I have an appointment with yet another Neurologist in May - I can't accept that this is a un-diagnosable problem. My doctor friend in England thinks it's a neuralgia of some sort, brought on by the bicycle accident in 2008 .
Can't someone determine what type of neuralgia and what treatment?
The doctors i have seen seem to fall into one of two categories : 1. this really isn't that critical a situation
2. it's migraine and/or migraine-esque and HAS to be treated in that manner.

This next neurologist is going to be asked by me - is this a neuralgia and what can be done about it?