Botox for sinus h/a?

I have always had M, since I was a child and over the  last few years I have managed to get them finally under some control. However, recently I have had a bout, which has turned to be incredibly persistent, of sinus trouble.
I know it is a sinus trouble, rather the M, because not only the pain is different (it is less intense, but more or less constant). I also have lots of discharge from "behind" my nose cavity. Antibiotics do not seem to help. I am fed up with it.

MY question is would Botox help for sinus headache, or not?
I wonder if anyone has any suggestions in this respect.

I'm not sure the Botox would work for sinus troubles, since the nerves are different and deeper in the skull.

BTW, my neuro told me that once you've been diagnosed with migraine, every h/a is a migraine unless you have a brain tumor.

Hope this helps,
mt

This is what I  also thought Michelle.
Funny, my neurologist told me the same thing about every pain being M, but in this case, if I have M it must be very mild (and secondary) and I am quite sure that in this case it is definitely sinus problem.
I have a deep congestion above the nose cavity, not really a cold just stuffiness but deep inside,  whilst my noses remains quite dry.
Thank you for your feedback, I hope you are having a good day today.

I haven't heard of Botox being used for those types of headaches. I get the occasional "sinus headache" on top of my constant NDPH headache. I've found Sudafed (the real stuff behind the pharmacy counter) to be very helpful for the facial pain associated with it. Facial pain is my sign that it is sinus-related.

Sudafed is something to use on a limited basis though, similar to analgesics. I'd avoid Afrin and similar nasal sprays as they can cause rebound congestion, which is even tougher to identify and deal with than rebound headache.

Have you seen a good EN&T doc for diagnosis/treatment? If you saw one and hit a dead end, maybe try another.

I disagree with the after being diagnosed with migraines every headache is a migraine thing, as some are clearly not migraines, and are instead a symptom of something else going on. I hope you find something helpful soon. Best wishes.

Thank you for the Sudafed suggestion Tortoisegirl. I will definitely try it.
You are quite right about face pain. My cheekbones, are quite tender.

About various kind of head pain. Over the years I have experienced so many different kinds that one gets a feel for it.

I think that neuros can be right that most kind of head pain are M, since I know it from my own experience.

In the past I had tried to convince some doctors, that for example the pain at the back of my head was definitely caused by M whilst they kept insisting that it is not M, because M is one sided and at the front of the head.
So, I think the way that the doctors now see all h/a as a M is actually a step forward. The most important think is for doctors is to listen and to trust their patients, and not just follow the latest most fashionable theory when assessing M.

I do think most of our h/a Is definitely caused by M, but there are some that have other causes, and this need to be assessed and diagnosed too.

Mini, if sinus trouble does not go away you may need to see a doctor to get antibiotics.

I get sinus infections fairly often which causes a lot of pain and headaches, but is definitely not migraine. Generally I need antibiotics to knock it out.

Migrainegirl wrote:Mini, if sinus trouble does not go away you may need to see a doctor to get antibiotics.

I get sinus infections fairly often which causes a lot of pain and headaches, but is definitely not migraine. Generally I need antibiotics to knock it out.

I do the same. If your mucus has changed color, gotten really thick, and/or just won't settle back to normal after a week to ten days, see your doc. Sooner if you start running a temp.

Remember to push a lot of fluids with the Sudafed, it can dry you out, plus extra fluids will help thin the mucus and make it easier to get out of your sinuses.

For sinus/allergy headaches I use Aleve D. It dries me up and takes away the pressure. Those headaches can be quite painful, but nothing compares to my migraines, which I get starting from my neck and spreads throughout the top of my head. Hope you find relief from your pain.

Thank you for all your suggestions Mgirl, Sara and Heidi.
I did get a course of antibiotics and it has done the job.
MY sinus feel much, much better, unfortunately I have problem with dry eyes and this is a chronic condition and makes reading, writing quite difficult. Unfortunately no matter what drops I use it only acts for a very short time.

I hope you are all having a pain free day and that weather conditions in your part of US are not too bad.
I live in UK, and here we had very little snow this year (some up in the North of the country and Scotland today but it never lasts, anyway)

Mini