Sinus Infection Treatment. Your Home Remedy For Sinus Infection.

Have you ever laid in bed feeling like someone stuck an ice pick over or under your eye and you just couldn’t get rid of the pain for days?” Or maybe you’re “sniffing” every minute? That is sinus. Is there anything much worse than your sinus pain?
Sinus infections affect millions of Americans every year. Stop the pain and suffering from sinusitis with Silver Sinus!
In 1999, The Mayo Clinic released its findings that fungus is likely the cause of nearly all cases of chronic sinusitis or chronic sinus infection. Sinusitis is inflammation of the sinuses. Most cases of sinusitis are caused by viruses. Other causes include:Allergies, exposure to smoke, dust or other irritants in the home, school or workplace and-bacterial infection
How can you treat sinus?
1) Antibiotics: These only help sinusitis when it is caused by a bacterial infection. Because sinusitis is usually caused by a virus, antibiotics won’t help most cases of sinusitis. Taking antibiotics won’t prevent a stuffy nose from turning into a bacterial sinus infection. In fact, taking unnecessary antibiotics puts your family at risk for developing resistant infections later.
So what can you do?
Cough and runny nose by themselves are unlikely to be caused by a bacterial sinus infection unless those symptoms have been present for more than 10 days. Antibiotics are rarely required unless the following symptoms are present:
1) Pain or pressure on one side of the face
2) Swelling around the eye area
3) Postnasal drip (may cause dry cough)
4) Toothache in the upper jaw in the absence of dental problems
If symptoms are mild or have lasted less than 10 days:
i) Get lots of rest
ii) Avoid cigarette smoke
iii)Help your sinuses drain by:
a) Drinking plenty of fluids (try to avoid caffeine and alcohol)
b) Breathing steam from a shower or bath
c) Using non-medicated saline nose drops or spray several times a day d) Elevating the head of your bed
e) Using warm facial packs for three to four times a day for 5 -10 minutes

Tarsal Tunnel Syndrome: Carpal Tunnel Syndrome of the Foot?

Tarsal tunnel syndrome is condition where the posterior tibial nerve in the ankle is compressed. In many ways, this condition is analogous to carpal tunnel syndrome in the hand where the median nerve is compressed.
With tarsal tunnel syndrome, compression of the tibial nerve occurs within a tunnel created by a floor consisting of the calcaneus (heel bone) and bounded by the medial malleolus- the bump on the inside part of the ankle- and the far corner of the heel bone. The roof of the tarsal tunnel is formed by a retinaculum- a tough piece of fibrous tissue.
Within the tarsal tunnel run a number of tendons (posterior tibial tendon flexor digitorum tendon, and flexor hallucis tendon) as well as the posterior tibial nerve, and the posterior tibial artery. Many people with tarsal tunnel syndrome may have compression of nerves elsewhere. An example would be a patient who has a pinched nerve in the low back along with tarsal tunnel syndrome. This condition, where there is compression at least two locations, is termed “double-crush” syndrome.
Another problem is that many people who have tarsal tunnel syndrome may have peripheral neuropathy. This is a condition where there is damage to the small nerves in the feet. Numbness and tingling are common symptoms. Among the diseases associated with peripheral neuropathy are diabetes and hypothyroidism. Medications can also cause a peripheral neuropathy. These include colchicine given for gout, nitrous oxide (an anesthetic), metronidazole (Flagyl- an antibiotic), phenytoin (Dilantin- an anti-seizure medicine), lithium (given for manic depression), disulfiram (Antabuse- given for alcohol addiction), cimetidine (Tagamet- given for peptic ulcer disease), hydroxychloroquine (Plaquenil- given for autoimmune disorders), amitriptyline (Elavil- an antidepressant), and various chemotherapy agents given for cancer. Excessive alcohol and tobacco use as well as nutritional deficiencies can cause peripheral neuropathy as can exposure to heavy metals.
Infectious diseases such as Lyme disease, leprosy, and HIV infection can also lead to peripheral neuropathy. The most common symptom of tarsal tunnel syndrome is foot pain, which can also be accompanied by numbness and tingling. Tapping on the tibial nerve at the tarsal tunnel may cause pain and tingling to occur. This is called a positive Tinel’s sign and is clinical evidence of tarsal tunnel syndrome. The clinical impression can be confirmed with electrical testing (electromyography and nerve conduction). Electrical testing is important to evaluate the patient for other nerve entrapment problems such as a pinched nerve in the back. Peripheral neuropathy can also be diagnosed. The posterior tibial nerve divides into three branches that include the calcaneal, medial plantar, and lateral plantar nerve branches, all of which innervate different parts of the foot and ankle. Magnetic resonance imaging (MRI) and ultrasonography may be useful in evaluating a patient for underlying reasons for tarsal tunnel syndrome. Medical therapy for tarsal tunnel syndrome may start with local injection of steroids into the tarsal tunnel.
Physical therapy may be of some value in reducing soft-tissue edema which can ease pressure on the compartment. Splints and braces may be helpful for patients who have anatomic abnormalities in the hindfoot and ankle. When conservative therapy fails to help the patient’s symptoms, surgical intervention may be warranted. More recently, the use of a percutaneous ultrasound guided needle release technique has been found to be effective. With this procedure, which is done using local anesthetic, the retinaculum is pierced several times with a small needle while injecting small amounts of fluid at the same time. In essence, the retinaculum is shredded to relieve pressure in the tarsal tunnel.
Recovery time is limited to about one day compared with the weeks to months that can accompany open surgery. When a patient doesn’t improve and has persistent pain, associated plantar fasciitis may be a cause of persistent pain in the medial heel region after surgery or percutaneous needle release. Complete relief of symptoms may not be possible because tarsal tunnel syndrome has many causes and because the likelihood of irreversible nerve damage exists. An increase in pain after decompression either by needle release or by open surgery is extremely rare.

Sinus: Be Aware Of Sinus Infections

Sinus is the dilated channel in the skull bone connecting to the nostril containing venous blood chiefly and air. The term sinus is derived from a Latin word meaning curve or hollow space in the body. In human being the sinus is the mucus lined hollow spaces in the facial bones, connected to the nose through passageways that assist in moistening and warming the inhaled air.
In plants sinus is the indentation or notch between the lobes in the corolla of the flower or leaves. Whereas in non-chordates it is the hole between viscera and muscles through which blood flows back to the heart. The term sinus is used to signify different structure in different organisms including dilated portion of the blood vein in braincase, alternate name of the hemocoel, nostril etc. whereas sinus is different from fistula that is the connecting link between two epithelial facades.
The pathological troubles arise in the sinus when its passageways are blocked due to certain factors like allergy or cold, and the condition is termed as sinusitis. There mucus got accumulated due to the blockage of its passage leading to the general discomforts like headache, pain, pressure etc. and this accumulated mucus becomes the breeding ground of bacteria.
Sinusitis is the constant devastating sinus infection for which proper care must be taken. Nostril is an important organ for respiration and breathing in the body which get trouble due to sinus infections including the inflammation of adjoining facial cavities of the nose especially frontal, sphenoid, ethmoid, maxillary etc. The signs and symptoms of sinus infection accompanies with facial pain, headache, fever, nasal congestion, yellow or green nasal discharges, heavy feeling on the face etc. and this may also be due to certain structural problems like diverged nasal polyps, septum.
There are different ways of treating sinus infection including preventive measures, treatment on diagnosis. Nasal irrigation, steam inhalation, drinking hot fluids like hot tea, water, coffee, chicken soup are common treating ways that can be done along with daily activities. Medication like paracetamol, aspirin like decongestants are also generally recommended for treating sinus infections. But when the symptoms are serious and last for longer than 48 hours then consulting ENT specialist is must and generally doctors prescribed for nasal steroids or antibiotics.
People must get the sinus infections treated immediately as untreated sinusitis may lead to pneumonia, bronchitis like respiratory problems in near future. Preventive measures are the best ways of treating sinus infections than curing and must restrict smoking as it is main stimulant for sinusitis. Test for allergy must be done for preventing sinus infections from different allergic agents and maintenance of immunological consistency is a must. Surgery is another effective and common treatment of sinus infections that mainly preferred for chronic infections. Thus sinus is such a health trouble comprising of irritating and agonizing persistence and immediate diagnosis and treatment is of much importance.

Treatment of Sinus Tarsi Syndrome

Treatment of Sinus Tarsi Syndrome

Where and what is the sinus tarsi:

The word “sinus” refers to a cavity, most often in bone. The cavity known as the sinus tarsi is located on the outside of the foot in front of and below the outside anklebone. The cavity is formed at the junction between the heel bone and the bone that sits over the heel bone called the Talus. The heel bone forms the floor of the cavity and the talus creates the roof.

Within the cavity there are blood vessels, nerves and ligaments. The ligaments function to hold the two bones together.

Symptoms:

“Sinus Tarsi Syndrome” refers to a painful condition located in this cavity in the rear portion of the foot. The pain is made worse with weight bearing. The pain can become much more intense when walking, running or hiking on uneven surfaces.

Causes of Sinus Tarsi Syndrome:

The most common cause of sinus tarsi syndrome is an inversion injury to the foot. This occurs when the foot rolls inward and stretches the soft tissue in the cavity. When the foot is stressed by this inward motion a tear or strain occurs to the ligaments. The injury to these ligaments results in inflammation, swelling and thickening.

The other causes of this condition are structural as apposed to the injury noted above. One of these structural abnormalities that can occur is growths or masses of soft tissue. Over growth of nerve or fat tissues in the cavity can cause increased pressure and result in pain. The pain in this area can also be caused by deviations in the bone structure. For example, bone spurs; arthritis and bone bridges can be responsible for the development of sinus tarsi syndrome.

Diagnosing Sinus Tarsi Syndrome:

To make the diagnosis of this condition the podiatrist will listen to the history of how the symptoms began and then examine the area. Most of the time, that is all that is needed to confirm sinus tarsi syndrome. In addition to the history and physical exam an x-ray should be taken to rule out bone cyst, fractures, bone bridging and arthritis. In some cases if the condition does not resolve with conservative treatment an MRI or diagnostic ultrasound may be ordered to evaluate the soft tissues in the cavity.

Another helpful procedure to determine the exact location of the pain is to inject the sinus tarsi with a small amount of local anesthesia. If upon examination after the injection the pain is gone the diagnosis is confirmed. If however, the pain is still present following the injection the injury may be in another location in the foot.

Non-Surgical Treatment:

Research has shown that a majority of the people with sinus tarsi syndrome will respond favorably to conservative management. Rest, ice and compression are suggested to reduce the inflammation. Oral anti-inflammatory medications can be prescribed to further decrease the pain and swelling.

Another treatment option is to tape the foot to attempt to limit the motion at the subtalar joint. If the taping successfully reduces the pain long term treatment with a custom orthotic can be used to control the motion of the rear foot. In most cases foot orthotics are sufficient to treat this condition, however in some cases an ankle foot orthotic may be necessary to fully control the motion.

Finally, a steroid injection into the sinus tarsi may be effective at relieving the pain.

Surgery:

In conservative measures have not helped to relieve the pain surgery may be needed. A common surgical procedure to threat this condition is decompression or removing the abnormal tissues from the cavity. If the MRI scans shows a soft tissue mass present in the sinus tarsi surgical removal of the mass will be needed.

After the surgery, protected weight bearing in a post-operative shoe or walking boot will be required for a period of approximately 2-4 weeks.

If this surgery fails or the patient has severe arthritis the bone in the rear foot may need to be fused.

Sinus Tarsi Syndrome

What is Sinus Tarsi? – 3 Points to Know About Sinus Tarsi

Learning on what is Sinus Tarsi. It is a small osseous canal which goes up to the ankle below the talus bone. It is the space surrounded between the talus and calcaneum. It is continuous medially with a thin tarsal canal. It comprises of a cervical tendon and the three roots of the inferior extensor retinaculum.

What is Sinus Tarsi and what does it constitute of? The sinusitis and the canal are full of blood vessels, which provide the necessary nutrition to the talus.

The pain is more sever in the hind foot and an injection in the sinus tarsi would give a relief from pain. The pain is due to vascular engorgement or it may be termed a nerve aggravation because of fibrosis. An ankle pain is inevitable; the ankle becomes inflamed because of the synovial fluid which is present in the sinus tarsi getting swollen.

What is sinuses tarsi syndrome

  • You can feel the pain in the front and lateral part of the ankle.
  • The opening to the sinusitis tarsi becomes soft.
  • Unbearable pain is noticed on the ankle which is affected and usage of that ankle for any exercise causes ache.

One could come back to normal, if an injection is given to relieve pain. The case could be confirmed by a MRI scan which shows too much of fluid in sinus tarsi.

Dealing with what is sinus tarsi

Patients are requested to take adequate rest from painful work. Immediate relief could be sought by applying a cold pack of ice on the affected area. NSAID or a non steroidal anti inflammatory drugs could be used for prompt relief. Patients are requested to avoid discourse if they are taking treatment for asthma. Electrotherapy also reduces redness. Subtalar joint movements are essential for quick recovery from the pain. Biomechanical problems should be corrected like rotary motion. Exercises are necessary to bring back the required strength to the affected region. Wobble board is one such exercise.