Move Beyond Chronic Sinus Symptoms

Find targeted care for ongoing sinus inflammation, pressure, and congestion.

Sick woman with allergies

A Closer Look At Chronic Sinusitis

Chronic sinusitis, also called chronic rhinosinusitis, occurs when sinus inflammation continues for 12 weeks or longer despite attempts at treatment. This long-lasting condition can interfere with daily life and may cause ongoing congestion, facial pressure, drainage, reduced smell, and fatigue.

Two Common Forms of Chronic Sinusitis

Chronic sinusitis without nasal polyps is the more common form. It may be related to recurring infections, allergic rhinitis, or structural factors that interfere with normal sinus drainage.

Chronic sinusitis with nasal polyps involves soft tissue growths that can obstruct the nasal passages and sinus drainage. This form may be more difficult to control, and polyps can return after treatment.

Common Symptoms

  • Blocked or congested nose

  • Thick nasal or postnasal drainage

  • Pressure or fullness in the face

  • Decreased or absent sense of smell

  • Ongoing fatigue

  • Cough related to postnasal drainage

Finding the Cause of Your Symptoms

I evaluate chronic sinusitis with nasal endoscopy and CT imaging of the sinuses. A CT scan shows the sinus anatomy and areas affected by disease, helping guide treatment planning. Allergy testing may also be recommended when appropriate.

Treatment for Chronic Sinusitis

Initial treatment may include saline nasal irrigation, nasal steroid sprays, and management of contributing conditions such as allergic rhinitis. If symptoms continue despite medical treatment, options such as balloon sinus dilation or functional endoscopic sinus surgery, also called FESS, may improve sinus drainage and symptoms.