Hi John, I have had very similar symptoms to you and have been diagnosed with mid segment facial pain. I was diagnosed years ago with non allergic rhinitis and also have a deviated septum. I have managed this quite well myself with occasional guaifenesin to thin the post nasal mucous and Beconase spray for the nasal passages. In addition I have been prone to Eustachian tube dysfunction but not to sinus infections. In October of last year my most started to feel "strange". as if it was swollen and a little tingly. I also had uncomfortable pressure over the bridge of my nose. This varied in intensity. After having seen three general practitioners and told I had sinusitis, I recently saw an ENT specialist who told me I have mid segment facial pain, a poorly understood syndrome believed to be caused by neuropathic pain. The pain receptors go on overdrive. So your wife is perhaps somewhat correct. This is "tricky" to treat apparently but responds well to low dose amitriptilline. This is one of the older drugs that in higher doses was used as an antidepressant before SSRIs became available. The specialist told me to manage the problem with over the counter pain killers unless my quality of life was being affected, in which case to try amitriptilline. He also prescribed Dymista nasal spray. He ordered a Cat Scan, to rule out sinusitis, but expects it to be normal. It has really helped me to have an idea of what is going on. The symptoms have improved somewhat. My nose starts out feeling "inflamed" but tends to improve during the day. I am keeping the amitriptilline as a next step if needed. Since it is a pain (more like ache) syndrome, I am also using meditation type "stuff" and I believe it helps Hope this helps you in your quest for answers. I know there are worse problems than these ENT issues but they can certainly make life miserable for us and the people around us!