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9 in 10 Sinus Headaches Really Migraines

Untreated Migraine Cause of Most 'Sinus Headaches'

Getting the Right Help

If you are missing work or your child is absent from school because of a sinus headache, you need professional help. But which professional you see makes a difference.

The 100 patients in the Eross study went to an average of four doctors each -- and still went on suffering. Relatively few got to a headache specialist: 64% saw their family doctor, 59% saw an ear-nose-throat (ENT) specialist, 25% saw an allergist, and only 19% saw a neurologist.

"Among folks who saw neurologists, 83% got a [correct] migraine diagnosis," Eross says. "Among those who saw ENTs, only 8.1% got a migraine diagnosis. Only 6.3% got a migraine diagnosis from an allergist."

Most health plans require patients to see a general practitioner first. Eross says it's important to ask for a referral to a headache specialist if you get frequent or disabling headaches.

Eross ended up treating about half of the "sinus headache" patients in his study.

"Most of them have dramatically improved with migraine management," he says.

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