Q. How to treat the pain in the temple region for patients with CRSsNP?

Answered by
Dr. Bhadragiri Vageesh Padiyar
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Aug 26, 2022 and last reviewed on: Mar 27, 2023

Hi doctor,

I have been struggling with this for almost three years. However, I am encouraged that the vast majority of symptoms are gone. I no longer have pain, pressure, congestion, post nasal drip, and cough. I am still struggling with my sense of smell. However, it has been improving intermittently over the past few days to maybe 80 %. Then, it weakens again. I have attached a picture to help. I have a question, though. Sometimes when I wake up, I experience pain in the temples but no pain in the face. Could this be sinuses? Another ENT told me it is likely a tension headache from teeth grinding. It disappears after I get up. Also, after a nasal rinse last night, I experienced mild pressure at the top of the head, which lasted 15 minutes. Could this be sinus related? Except for the smell and that, I feel perfect.



Welcome to

I understand your concern.

Symptoms around the temples are doubtful to be related to the sinuses.

Yes, there could be a tension headache or migraine if there has been teeth grinding or bruxism in sleep as it causes some temporary spasm of the temporalis muscle around the temples. as I said, it is doubtful to be sinus related.

As far as the pressure at the top of the head or somewhere near the medial portion of the frontal sinus is concerned, the frontal sinus might be involved in creating such symptoms and should not be something significant.

Rinses will go a long way to control most of your symptoms. 80 % recovery in smell and no other symptoms is a good comeback, and anything more than this is something I would not usually expect to see in your case, keeping in mind some chronic obstructive symptoms not allowing the rinses to reach the target areas near the olfactory cleft and frontal recess.

However, in some cases, patients have shown improvement up to 90 %. However, this is more of a subjective assessment, so I take that large amount of progress with a pinch of salt.

On the whole, I am happy with your improvement.

Keep the rinses on.

Do let me know if the case any queries.

Kind regards.

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