Chronic Sinusitis: Symptoms, Causes and At Home Natural Remedies 

Living with chronic sinusitis can feel like a constant battle against discomfort. The relentless congestion, sinus pressure, and fatigue make daily life harder. Simple joys like breathing freely or enjoying a good night’s sleep seem like distant memories.

Chronic sinusitis is a long-term condition where your sinuses are inflamed for months. It disrupts your life with symptoms like:

• Persistent nasal congestion
• Facial pain or pressure
• Thick nasal discharge
• Headaches
• Reduced sense of smell or taste
• Fatigue or low-energy

These symptoms can stem from allergies, infections, or environmental triggers, leaving you stuck in a cycle of discomfort. 

In a study on chronic sinusitis, Dr. Phillip Hong from the New York Methodist Hospital, Brooklyn, NY, USA, states “Chronic sinusitis affects approximately 14.6 percent of the US population.” This means that chronic sinusitis is one of the most common complaints among Americans.

The good news is you don’t have to live like this. In this article, we explore natural, effective ways to tackle chronic sinusitis. You can heal your body from the inside out with holistic methods from dietary changes and supplements to chiropractic care and herbal remedies!

It’s time to stop managing symptoms and start finding real relief by fixing the root cause of your sinus issues. 

Let’s explore how natural remedies help reclaim your health and breathe freely again. Your fresh start begins now!

What Is Chronic Sinusitis?

Chronic sinusitis is long-term inflammation and swelling of the sinuses. Sinuses are hollow, moist air spaces in your facial bones. They help produce mucus which keeps your nose moist and filters germs.

When your sinuses are healthy, air flows freely, and mucus drains easily. Chronic sinusitis happens when this drainage gets blocked and the sinuses become inflamed. The inflammation of the sinuses turns chronic if it lasts 12 weeks or longer. It can cause discomfort, trouble breathing, and pressure around your face.

Acute Sinusitis vs. Chronic Sinusitis

Acute sinusitis lasts a short time, usually less than four weeks. It often starts after a cold or flu. You may feel nasal congestion, pressure, or pain around your eyes and cheeks. In a study on acute sinusitis, Dr. Graham Worrall from Memorial University of Newfoundland in St John’s, Canada, states “Acute sinusitis is a classic primary care diagnosis, usually made based on history and examination alone.”

Chronic sinusitis lasts longer and may not go away on its own. It can last for months or even years. Symptoms like nasal stuffiness, facial pressure, or a reduced sense of smell can linger.

Acute sinusitis is usually caused by infections. Chronic sinusitis often involves other factors like allergies, nasal polyps (small growths in the nose), or long-term irritants. 

While acute sinusitis can clear up with rest or simple treatments, chronic sinusitis might need more attention or ongoing care.

At the Bay Clinic of Chiropractic, you get guidance and help every step of your health journey. Dr. Tony Salamay’s is experienced in personalized care and holistic solutions for chronic sinusitis in Panama City, FL. 

What Are The Symptoms Of Chronic Sinusitis?

Chronic sinusitis symptoms last 12 weeks or longer and can make daily life uncomfortable. Here’s what you might experience:

• Nasal Congestion: You feel like your nose is blocked. Breathing through your nose becomes harder.
• Thick Nasal Mucus: You may notice a thick, discolored mucus, often purulent. The mucus can drip from your nose or down your throat and cause irritation.
• Facial Pain or Pressure: Your face may feel tender or achy, especially around your nose, cheeks, and forehead.
• Reduced or Lost Sense of Smell and Taste: Food may taste bland, or you may notice smells aren’t as strong as usual.
• Headaches: Pain can spread from your sinuses to your head. It may worsen when you bend forward.
• Postnasal Drip: Mucus from the sinuses drips down the back of your throat. 
• Fatigue: You may feel exhausted because your body fights inflammation (swelling and irritation).

What Causes Chronic Sinusitis?

Chronic sinusitis happens when your sinuses stay inflamed for a long time and the causes range from allergies to infections.

Here are the common causes of chronic sinusitis:

• Allergies: Allergies, like hay fever, can irritate your sinuses and lead to chronic inflammation. In a study on allergies and chronic sinusitis, Dr. Song Li from the Renmin Hospital of Wuhan University, China, concludes “These findings provide support for the hypothesis of an association between allergy and sinusitis.”
• Infections: A lingering bacterial, viral, or fungal infection can keep your sinuses inflamed.
• Deviated Septum: The septum divides your nostrils. If it’s crooked, it can block your sinuses and cause problems.
• Environmental Irritants: Pollution, smoke, and strong odors can irritate your sinuses and trigger chronic inflammation.
• Nasal Polyps: These are small, non-cancerous growths in your nose. They block airflow and trap mucus. In a study on nasal polyps and chronic sinusitis, Dr. Whitney W.  Stevens from the Northwestern University Feinberg School of Medicine, Chicago, IL USA, states “They [nasal polyps] are more frequently associated with a subset of chronic rhinosinusitis aptly named chronic rhinosinusitis with nasal polyps.”
• Immune System Issues: Conditions like asthma or autoimmune disorders can make you more prone to sinus problems.

Natural Remedies for Chronic Sinusitis

Natural remedies for chronic sinusitis help reduce inflammation and support healing. They focus on treating the root causes of your sinus issues. Most holistic remedies also strengthen your immune system, making it easier to fight infections. 

These treatments don’t rely on medications, making them a great option for those seeking holistic care. From improving your diet to practicing better sinus care, natural remedies are gentle and effective.

Functional Medicine

Functional medicine focuses on understanding the root causes of chronic health issues. It looks at your whole body and how everything is connected. 

For chronic sinusitis, functional medicine examines factors like diet, environment, and immune function. A functional medicine practitioner may recommend changes in lifestyle, nutrition, and supplements to reduce sinus inflammation. 

At the Bay Clinic of Chiropractic, you get guidance and help every step of your health journey. Dr. Tony Salamay’s expertise is in personalized care and holistic solutions for chronic sinusitis. 

Functional medicine addresses triggers like allergies, food sensitivities, and environmental irritants. Balancing the body’s systems helps relieve symptoms, address root causes, and prevent recurring sinus problems.

Dietary Changes

What you eat can affect your sinus health. Certain foods reduce inflammation and boost your immune system. Others make inflammation worse and should be avoided. You can support your sinuses and feel better naturally with the right foods.

Here are our recommendations for what foods to eat and avoid for chronic sinusitis.

Foods to Eat for Chronic Sinusitis

• Lean Proteins: Chicken, turkey, tofu, and legumes. These provide essential amino acids that support immune function and tissue repair, helping your body recover from sinus infections.
• Fatty Fish: Salmon, mackerel, and sardines. These provide omega-3 fatty acids that reduce inflammation in your sinuses and regulate immune cells.
• Nuts and Seeds: Almonds, walnuts, flaxseeds, and chia seeds. These provide healthy fats, antioxidants, and anti-inflammatory properties that support overall sinus health.
• Whole Grains (if tolerated): Oats, quinoa, brown rice, and barley. They are high in fiber and provide steady energy while reducing inflammation, supporting overall immune health.
• Fruits: Oranges, strawberries, pineapple, and kiwi. These are packed with antioxidants and vitamins to strengthen your immune system.
• Vegetables: Bell peppers, broccoli, spinach, and kale. They are anti-inflammatory and full of nutrients that support healing.
• Hydrating Foods: Cucumbers, watermelon, celery, and soups. These help keep mucus thin for better drainage. 
• Fermented Foods: Yogurt, kefir, sauerkraut, and kimchi. They contain probiotics that improve gut health and immune function.

Foods to Avoid for Chronic Sinusitis

• Dairy Products: Milk, cheese, and ice cream. These can thicken mucus and make drainage harder.
• Sugary Foods: Candy, soda, and baked goods. Sugar increases inflammation and weakens your immune system.
• Processed Foods: Chips, fast food, and frozen meals. These often contain additives that trigger inflammation.
• Alcohol: Beer, wine, and liquor. Alcohol can dehydrate you and worsen sinus congestion.
• Caffeinated Beverages: Coffee, energy drinks, and certain sodas. Caffeine can dehydrate the body, leading to thicker mucus and worsened sinus congestion.
• Fried Foods: Fried chicken, french fries, and other deep-fried snacks. These foods contain unhealthy fats that can increase inflammation and worsen sinus symptoms.

Supplements

Supplements are a great way to support your body when dealing with chronic sinusitis. They can reduce inflammation, boost your immune system, and help your sinuses drain properly. Unlike medications, supplements work with your body to promote healing naturally. 

Some supplements also provide nutrients your body needs to fight infections and reduce mucus buildup. Choosing the right supplements can make a big difference in your sinus health. Always check with a healthcare provider or a functional medicine practitioner before starting any new supplement to ensure it’s safe. 

Here are some of the most effective supplements for chronic sinusitis relief.

Bromelain

Bromelain is a natural enzyme found in pineapples. It works by reducing sinus inflammation and swelling. This helps improve mucus drainage and relieve nasal congestion. Bromelain is particularly effective for sinusitis caused by allergies or infections. 

You can take bromelain as a supplement or eat fresh pineapple for a milder effect. The recommended daily dose is 40-400 milligrams, divided into smaller daily doses. Take bromelain on an empty stomach for better absorption. People with blood-thinning conditions or allergies to pineapple should consult a doctor first.

Vitamin C

Vitamin C strengthens your immune system and helps fight sinus infections. It also reduces sinus inflammation and speeds up recovery. Vitamin C is found naturally in citrus fruits, bell peppers, strawberries, and broccoli.

For chronic sinusitis, taking a supplement provides higher doses for faster relief. The recommended doses are 500-2000 mg daily. Split the dose into smaller amounts throughout the day for better absorption. Vitamin C is generally safe, but high doses may cause mild stomach upset. It’s a simple and effective way to support sinus health naturally.

N-acetylcysteine (NAC)

N-acetylcysteine (NAC) is a supplement derived from the amino acid cysteine. It thins mucus, making it easier to drain and reducing sinus congestion. NAC also has antioxidant properties that reduce inflammation and support overall respiratory health. 

Although not found in foods, NAC is available as capsules or powders. The recommended dose is 600-1200 milligrams daily, split into two or three doses. Drink plenty of water when taking NAC to enhance its effects. This supplement is beneficial if your chronic sinusitis is linked to allergies or asthma. Consult a healthcare practitioner before use if you have kidney or liver issues.

Herbal Remedies

Herbal remedies are a natural and effective way to relieve chronic sinusitis symptoms. They help reduce inflammation, clear mucus, and fight sinus infections. Unlike medications, herbs are gentle and promote overall well-being. 

Herbal remedies can complement other holistic treatments and offer long-term benefits.

Elderflower

Elderflower comes from the elderberry plant and is known for reducing sinus swelling. It soothes nasal passages and improves mucus drainage. Elderflower also has mild antiviral properties, making it helpful for sinusitis caused by viral infections. 

The most common way to use elderflower is as a tea. You can also find elderflower in tinctures or syrups at health stores. Avoid elderflower if you’re pregnant or allergic to elderberry plants.

Wild Indigo

Wild indigo is a flowering herb with strong anti-inflammatory and antibacterial properties. It helps reduce swelling, clears mucus, and supports your immune system in fighting bacterial sinus infections. 

You can use wild indigo as a tea or tincture. Tinctures are more concentrated, so follow the dosing instructions on the label. Wild indigo works well with other herbs like elderflower or echinacea for added benefits.

Ginger

Ginger is a powerful root known for its anti-inflammatory and immune-boosting properties. Its active compounds, gingerols, reduce sinus swelling and help clear congestion. Ginger also improves circulation, speeding up recovery. 

Ginger is commonly made into a soothing ginger tea, but you can add fresh ginger to meals like stir-fries, soups, or smoothies. Ginger supplements are also available for a more concentrated dose.

While ginger is safe for most people, too much can sometimes cause mild stomach upset. It’s always best to use it in moderation and check with a healthcare provider if you have concerns, especially if you’re on other medications or have health issues.

Chiropractic Care

Chiropractic care can be an effective way to manage chronic sinusitis. It focuses on aligning the body to improve overall health and function. Misalignments in your spine or neck can disrupt nerve signals and blood flow, affecting your sinuses. 

Chiropractors use gentle adjustments to correct these issues, helping to reduce sinus pressure and improve drainage. Our expert chiropractor at Bay Clinic of Chiropractic in Panama City, FL,  Dr. Salamay brings experience, expertise, and compassion to each patients’ care  to help with issues like chronic sinusitis.  

Chiropractic care also relieves head, neck, and shoulder tension which often accompanies chronic sinusitis. It promotes long-term sinus health and reduces the frequency of flare-ups by addressing these underlying issues. 

Here are two chiropractic techniques used for sinus relief.

Chiropractic Sinus Adjustments

Chiropractic sinus adjustments involve gentle manipulation of the bones around your face and sinuses. These adjustments help improve airflow, relieve sinus pressure, and reduce congestion. They also stimulate better circulation in the sinus area, which can help your body heal faster. Many people notice relief from headaches and facial pain after a session.

An experienced chiropractor will assess your specific needs and adjust the treatment accordingly. These non-invasive and safe adjustments make them a great option for chronic sinus sufferers.

Neck Adjustments

Neck adjustments focus on correcting misalignments in the cervical spine. When your neck is out of alignment, it can disrupt nerve signals and blood flow to your sinuses. This can lead to chronic inflammation and poor drainage. Chiropractors improve sinus function and reduce congestion by gently realigning the neck. 

These adjustments also relieve muscle tension around your neck and shoulders, which can help with sinus-related headaches. Regular neck adjustments can help prevent sinus issues from recurring.

Nasal Irrigation

Nasal irrigation is a simple and effective way to manage chronic sinusitis. It involves flushing your nasal passages with a saline (saltwater) solution to remove mucus, allergens, and irritants. This process helps reduce inflammation, improve mucus drainage, and clear your sinuses. 

Nasal irrigation is safe for most people and can be done at home with minimal equipment. It’s beneficial during allergy seasons or when you feel congested. Consistent nasal irrigation can reduce sinus symptoms and improve overall nasal health. 

Here are two popular nasal irrigation methods and how to use them.

Neti Pot

A neti pot is a small device that flushes out your nasal passages with a saline solution. It helps remove mucus, allergens, and irritants that cause congestion. To use a neti pot, mix a saline solution with distilled or boiled water (cooled to room temperature). Tilt your head to one side, insert the spout into your nostril, and let the solution flow through your sinuses and out the lower nostril. Repeat on the other side. 

Use a neti pot once daily or as needed for relief. Always clean the pot thoroughly to avoid contamination.

Saline Spray

Saline spray is a saltwater solution you spray directly into your nose. It works great for frequent use throughout the day. It moisturizes your nasal passages, reduces dryness, and helps loosen mucus for easier drainage. 

Saline spray is easy to use and available at most drugstores. Tilt your head slightly forward, insert the nozzle into one nostril, and spray gently. Repeat on the other side. You can use saline spray 2-3 times daily or as needed to keep your sinuses clear. Unlike nasal corticosteroid sprays, saline spray is safe for long-term use and won’t cause dependency.

Steam Inhalation

Steam inhalation is an easy and natural way to relieve sinus congestion. It works by loosening mucus, clearing nasal passages, and soothing irritated sinuses. Steam also helps moisturize your nasal passages, reducing dryness and inflammation. 

To use steam inhalation, boil water and pour it into a bowl. Place your face over the bowl, cover your head with a towel, and inhale deeply for 10-15 minutes. Adding essential oils like eucalyptus or peppermint can enhance the effect.

Steam inhalation is safe for most people and relieves sinus pressure immediately.

Acupressure

Acupressure is a traditional Chinese medicine technique that involves applying pressure to specific points on the body. For sinus relief, acupressure focuses on points that improve mucus drainage and reduce congestion. 

You can do acupressure at home with your fingers or go to a professional. To do it yourself, press gently on the area between your eyebrows or the sides of your nose for 1-2 minutes. Breathe deeply while applying pressure to help relax and open your sinuses. Repeat this 2-3 times a day for the best results. 

Acupressure is safe, non-invasive, and provides quick relief for sinus symptoms. It’s an excellent addition to your sinus care routine.

Frequently Asked Questions

Does Chronic Sinusitis Cause Dizziness?

Yes, chronic sinusitis can cause dizziness, as inflammation and sinus pressure may affect the inner ear, disrupting balance. This leads to lightheadedness, a spinning sensation, or unsteadiness, especially during sinus flare-ups. Treating the underlying sinus issue usually helps reduce dizziness.

Does Chronic Sinusitis Cause Fatigue?

Yes, chronic sinusitis can cause fatigue because the immune system uses energy to fight ongoing inflammation or infection, leaving you feeling drained. Congestion and sinus pain often disrupt sleep, worsening tiredness. Managing sinus symptoms can help restore energy and improve overall well-being.

Can Chronic Sinusitis Cause Migraines?

Yes, chronic sinusitis can trigger migraines as sinus pressure and inflammation may irritate nearby nerves, causing severe headaches. These migraines often worsen with sudden head movements or lying down. Treating the sinus inflammation can help reduce the frequency and intensity of migraines.

Can Mold Cause Chronic Sinusitis?

Yes, mold can cause chronic sinusitis because mold spores irritate nasal passages, triggering inflammation and prolonged sinus symptoms. People with mold allergies are especially vulnerable. Identifying and removing mold from your environment can significantly improve sinus health and reduce recurring symptoms. Consider mold detox programs guided by a professional to make healing faster and easier. 

Conclusion

Chronic sinusitis can feel like a constant uphill battle, but lasting relief is possible. You can take the first step toward better sinus health by understanding the causes, symptoms, and natural remedies. Small changes, like adjusting your diet, trying supplements, or exploring chiropractic care, can naturally bring real, lasting improvements. 

Your journey to relief starts with the right guidance and a personalized approach.

At the Bay Clinic of Chiropractic, Dr. Tony Salamay is here to help you regain your health. As a leader in chiropractic care and functional medicine, Dr. Salamay is an expert in addressing the root causes of chronic sinusitis. Whether through targeted chiropractic adjustments, dietary strategies, or holistic treatments, his personalized care can help you feel better, breathe easier, and enjoy life again.

Don’t let chronic sinusitis control your days any longer! Call the Bay Clinic of Chiropractic today at (850) 785-9372 or email us at info@thebaydoctor.com to schedule your consultation with Dr. Tony Salamay.

Let’s work together to create a customized plan that works for you! Relief is closer than you think. Take the first step and breathe easy again!

References

1. Hong P, Pereyra CA, Guo U, Breslin A, Melville L. Evaluating complications of chronic sinusitis. Case Reports in Emergency Medicine [Internet]. 2017 Jan 1;2017:1–3. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC5253506/ 
2. Kwon E, O’Rourke MC. Chronic sinusitis [Internet]. StatPearls – NCBI Bookshelf. 2023. Available from: https://www.ncbi.nlm.nih.gov/books/NBK441934/ 
3. Worrall G. Acute sinusitis [Internet]. 2011. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC3093592/ 
4. Del Toro E, Hardin FML, Portela J. Nasal polyps [Internet]. StatPearls – NCBI Bookshelf. 2025. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560746/ 
5. McGann KA, Long SS. Respiratory tract symptom complexes. In: Elsevier eBooks [Internet]. 2017. p. 164-172.e2. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC7173486/ 
6. Straburzyński M, Gryglas-Dworak A, Nowaczewska M, Brożek-Mądry E, Martelletti P. Etiology of ‘Sinus Headache’—Moving the Focus from Rhinology to Neurology. A Systematic Review. Brain Sciences [Internet]. 2021 Jan 9;11(1):79. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC7827425/ 
7. Li S, Zhao CJ, Hua HL, Deng YQ, Tao ZZ. The association between allergy and sinusitis: a cross-sectional study based on NHANES 2005–2006. Allergy Asthma and Clinical Immunology [Internet]. 2021 Dec 1;17(1):135. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8710243/ 
8. Stevens WW, Schleimer RP, Kern RC. Chronic Rhinosinusitis with Nasal Polyps. The Journal of Allergy and Clinical Immunology in Practice [Internet]. 2016 Jul 1;4(4):565–72. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC4939220/#S1 
9. Bland JS. Functional Medicine past, present, and future [Internet]. 2022. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9173848/ 
10. Gutiérrez S, Svahn SL, Johansson ME. Effects of omega-3 fatty acids on immune cells. International Journal of Molecular Sciences [Internet]. 2019 Oct 11;20(20):5028. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC6834330/ 
11. Arulselvan P, Fard MT, Tan WS, Gothai S, Fakurazi S, Norhaizan ME, et al. Role of antioxidants and natural products in inflammation. Oxidative Medicine and Cellular Longevity [Internet]. 2016 Jan 1;2016(1):5276130. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC5075620/ 
12. Leeuwendaal NK, Stanton C, O’Toole PW, Beresford TP. Fermented foods, health and the gut microbiome. Nutrients [Internet]. 2022 Apr 6;14(7):1527. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9003261/ 
13. Ma X, Nan F, Liang H, Shu P, Fan X, Song X, et al. Excessive intake of sugar: An accomplice of inflammation. Frontiers in Immunology [Internet]. 2022 Aug 31;13:988481. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9471313/ 
14. Milanski M, Degasperi G, Coope A, Morari J, Denis R, Cintra DE, et al. Saturated Fatty Acids Produce an Inflammatory Response Predominantly through the Activation of TLR4 Signaling in Hypothalamus: Implications for the Pathogenesis of Obesity. Journal of Neuroscience [Internet]. 2009 Jan 14;29(2):359–70. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC6664935/ 
15.  Secor ER, Szczepanek SM, Castater CA, Adami AJ, Matson AP, Rafti ET, et al. Bromelain inhibits allergic sensitization and murine asthma via modulation of dendritic cells. Evidence-based Complementary and Alternative Medicine [Internet]. 2013 Jan 1;2013:1–9. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC3870104/ 
16. Carr A, Maggini S. Vitamin C and immune function. Nutrients [Internet]. 2017 Nov 3;9(11):1211. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC5707683/ 
17. Tenório MCDS, Graciliano NG, Moura FA, De Oliveira ACM, Goulart MOF. N-Acetylcysteine (NAC): Impacts on human health. Antioxidants [Internet]. 2021 Jun 16;10(6):967. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8234027/ 
18. Lee B, Kwon CY, Park MY. Herbal medicine for the treatment of chronic rhinosinusitis: A systematic review and meta-analysis. Frontiers in Pharmacology [Internet]. 2022 Jul 18;13:908941. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9341451/ 
19. Ho G, Wangensteen H, Barsett H. Elderberry and elderflower extracts, phenolic compounds, and metabolites and their effect on complement, RAW 264.7 macrophages and dendritic cells. International Journal of Molecular Sciences [Internet]. 2017 Mar 8;18(3):584. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC5372600/ 
20. Yang QY, Ma LL, Zhang C, Lin JZ, Han L, He YN, et al. Exploring the mechanism of indigo naturalis in the treatment of ulcerative colitis based on TLR4/MYD88/NF-ΚB signaling pathway and gut microbiota. Frontiers in Pharmacology [Internet]. 2021 Jul 22;12:674416. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8339204/ 
21. Anh NH, Kim SJ, Long NP, Min JE, Yoon YC, Lee EG, et al. Ginger on Human Health: A Comprehensive Systematic review of 109 randomized controlled trials. Nutrients [Internet]. 2020 Jan 6;12(1):157. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC7019938/ 
22. Effects of manual therapy on craniofacial pain in patients with chronic rhinosinusitis: a case series [Internet]. ResearchGate. Available from: https://www.researchgate.net/publication/51755887_Effects_of_Manual_Therapy_on_Craniofacial_Pain_in_Patients_With_Chronic_Rhinosinusitis_A_Case_Series#full-text 
23. Petersen SM, Jull GA, Learman KE. Self-reported sinus headaches are associated with neck pain and cervical musculoskeletal dysfunction: a preliminary observational case control study. Journal of Manual & Manipulative Therapy [Internet]. 2019 Feb 4;27(4):245–52. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC7025697/ 
24. Saline nasal irrigation for upper respiratory conditions [Internet]. 2009. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC2778074/ 
25. Egan M, Hickner J. Saline irrigation spells relief for sinusitis sufferers [Internet]. 2009. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC3183918/ 
26. Little P, Stuart B, Mullee M, Thomas T, Johnson S, Leydon G, et al. Effectiveness of steam inhalation and nasal irrigation for chronic or recurrent sinus symptoms in primary care: a pragmatic randomized controlled trial. Canadian Medical Association Journal [Internet]. 2016 Jul 18;188(13):940–9. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC5026511/ 
27. Israel L, Rotter G, Förster-Ruhrmann U, Hummelsberger J, Nögel R, Michalsen A, et al. Acupressure in patients with seasonal allergic rhinitis: a randomized controlled exploratory trial. pmc.ncbi.nlm.nih.gov [Internet]. 2021 Dec 18; Available from: https://doi.org/10.1186/s13020-021-00536-w