Sinusitis patients have pain similar to the elderly and people with arthritis


Sinusitis patients have pain similar to the elderly and people with
arthritis
Medicine & Health / Diseases
September 22, 2008

A new analysis led by researchers at Georgetown University Medical
Center suggests many patients with sinusitis have aches and pains
similar in severity to people in their 80s and those with arthritis or
depression. The study also finds that endoscopic sinus surgery to
clear clogged sinuses can bring significant pain relief.

About 14 percent of Americans suffer from sinusitis, an illness that
can be chronic and sometimes difficult to treat.

"Bodily pain is not listed as a symptom of chronic sinusitis in
general medical texts or journals and as a result, patients are
sometimes diagnosed with unrelated conditions such as arthritis,
depression, fibromyalgia or chronic fatigue syndrome," says the
study's author Alexander C. Chester, M.D., an internist and clinical
professor at Georgetown University Medical Center. "Unfortunately,
this leaves too many people unaware of treatments for sinusitis that
can improve their overall condition."

The purpose of the study, presented today at the 2008 annual meeting
of the American Academy of Otolaryngology--Head and Neck Surgery
Foundation in Chicago was to determine if elevated levels of bodily
pain were associated with sinusitis and to examine whether bodily pain
improved following endoscopic sinus surgery.

In the first known review of its kind, Chester and his colleagues
performed a meta-analysis of 11 studies which included a general,
health-related quality-of-life survey with a separate assessment of
bodily pain before and after endoscopic sinus surgery on a scale of 0
(most bodily pain) to 100 (least bodily pain).

"We found that the daily experience of bodily pain was much more
common in patients with sinusitis than in the overall population,"
explains Chester. "Confirmation that aches and pains occur with sinus
disease is a relief to many patients who thought they had two separate
illnesses."

In addition to their findings about the pervasiveness of pain, a
majority of the studies analyzed showed that following endoscopic
sinus surgery, postoperative bodily pain scores improved to values
similar to that in the general population.

"Having data showing that pain will improve after sinus surgery is
particularly helpful when considering the merits of undergoing surgery
when medications fail," explains Chester. He says more than 200,000
endoscopic sinus surgeries are done annually in the United States
using a technique considered less invasive and much safer than older
methods.

"This study highlights an important point: Chronic sinusitis should
not be considered as a minor localized disease condition rather, as
this study emphasizes, sinusitis can cause serious clinical levels of
discomfort in many patients," says Neil Bhattacharyya, MD,
otolaryngologist and sinus surgeon at Brigham and Women's Hospital and
Harvard Medical School, the study's senior author.

Source: Georgetown University
http://www.physorg.com/news141288681.html
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