I have two ideas on this.  To start I wil say that I had sinus surgery a few years ago and havn't had a sinus infection since,  but I still have all the fun stuff that goes with CH runny nose and can't breath through my nosrals when the beast hits.
  1. The sinus infections could be cuased by the constant swelling of the sinus cavity when in a CH cycle.

  2.  Sinus infections, colds, ear infections, allergies and almost any thing that goes with the changes in weather can trigger a episodic cluster cylce.

This is just my thinking,  and this is the run around that doctors did to me for years,  if I got a sinus infection and started a CH cycle it was the trigger and if I started a cycle and got a sinus infection it was because of the swelling of my sinuses.

Okay Whipsmart what did your doctor say?  Good luck and hope you are pf soon.          Phil

Quote:

My doc said he wanted to get me out of pain and break the cycle, but he doesn't know what he's dealing with in my sinuses.  He doubled my depakote to help with the "mingrainey" type headaches during the day.  He put me on a three day treatment of Migranal nasal to keep away the headaches.

I take a dose of 4mg Migranal three times a day for three days in each nostril.    He said no Maxalt while taking Migranal and for 24 hours after the treatment.  No indocin either.  He said that he could put me on a round of steroids, but since he didn't know what was going on in the sinuses he couldn't be certain of the results.  He scheduled me for a CT scan of my sinuses.  Then I go back to check out the results.

So far it's working.  My sinuses are stilled stuffed up, but I don't have the headaches to go along with it.  That works for me.  Thank God for good insurance paying for all this stuff.