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Headache, Migraine and Facial Surgery

July 28, 2009 by dean · Leave a Comment 

In survey of 75 patients who had undergone surgery for facial pain all had ongoing symptoms. The researchers concluded that the causes of symptoms were migraine, cluster headache, paroxysmal hemicrania and tension headache, and that sinus surgery in the large majority of patients presenting with facial pain should avoid surgery; that all surgeons when assessing facial pain should be aware of non-sinuonasal diagnoses.

An enlightened ENT Specialist refers patients to me to determine if facial pain is referred from disorders of the upper neck – and more often it is! Temporary reproduction and easing of familiar facial pain when upper neck structures are gently stressed confirms this in the large majority of patients with facial pain.

Cheers

Dean

(Jones NS, Cooney TR. Facial pain and sinonasal surgery. Rhinology 2003 Dec;41(4):193-200)

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About dean
Consultant Headache & Migraine Physiotherapist; International Teacher; Director, The Headache Clinic & Watson Headache Institute; PhD Candidate Murdoch University, Western Australia; Adjunct Lecturer, Masters Program, Physiotherapy School, University of South Australia; MAppSc(Res) GradDipAdvManipTher Experienced health practitioners trained in the Watson Headache Approach perform the examination and treatment techniques developed by Dean Watson. These techniques are based on his extensive experience of 7000 headache patients (21,000 hours) over 21 years and are now taught internationally. For your nearest practitioner who has completed training in the ‘Watson Headache Approach’ please refer to the ‘Practitioner Directory’.

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