Nose cartilage pain, no redness or swelling

Posted by John02445 @john02445, Jul 23, 2017

Hello. About five days ago, in the middle of the afternoon, I suddenly had pain on the lower right side of my nose. if I didn't touch this area, the pain was about a 2 out of 10, but when I would press the outside of my nose at all the pain would increase to around a 6 out of 10. I had no redness or swelling, no nasal drip, and no pain across the bridge of my nose. This pain decreased the next morning and was gone by the end of that night, without any medication.

Today, I woke up with sinus drip, though that is now gone by the evening as I type this. However, beginning a few hours ago, I now have similar pain to what I had five days go. The difference now is that it's only located on the lower left side of my nose. Again, there is no redness, no swelling and no pain around the bridge of my nose. The other difference is that today is more painful than five days ago (5 out of 10 when not touched, around an 8 when touched).

I am in good health otherwise and am not on any medications. I keep trying to search to see what I may have, but everyone I find who describes this type of pain also mentions having swelling and/or redness, which I do not have. My only change in behavior is recently I have started to use a shampoo with tea tree oil in it, which shouldn't trigger this type of response (so far as I can find).

My PCP is on vacation this week and the other doctor in his office is not someone I have had positive experiences with, to put it mildly. Any insights or recaps of similar incidents are appreciated.

Thanks!!

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@johnhudson922

so I went to another ENT yesterday who basically said "yes i dont think its related to Sinuses" and said its more likely facial pain associated with Nerves. He told me to buy something from Amazon (!) called ClearUP® Sinus Pain Relief for Allergies. Can't post the link but you can google it.

According to him people like it, it seems to work and its popular. So I said what the heck and I will give it a try. I will report back.

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@johnhudson922 I thought I would post the link for you so that other members will be able to view the information.
https://tivichealth.com/press-releases/tivic-health-introduces-clearup-sinus-pain-relief-device-ces-2019/

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@johnbishop

@johnhudson922 I thought I would post the link for you so that other members will be able to view the information.
https://tivichealth.com/press-releases/tivic-health-introduces-clearup-sinus-pain-relief-device-ces-2019/

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thanks for posting the link. Curious to see if this does anything. My brain is super powerfully negative, i tell people i am immune to any placebo effect. So i hope i can sort of turn that off and dare to hope that it might work lol.

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@johnhudson922

so I went to another ENT yesterday who basically said "yes i dont think its related to Sinuses" and said its more likely facial pain associated with Nerves. He told me to buy something from Amazon (!) called ClearUP® Sinus Pain Relief for Allergies. Can't post the link but you can google it.

According to him people like it, it seems to work and its popular. So I said what the heck and I will give it a try. I will report back.

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Thanks John! This seems to me to worth trying at the very least. On the same note, an ENT in New York suggested that I try an over the counter product call XLEAR. I did try it but never felt it made much difference to my rhinitis but like ClearUp many people seemed to find it helpful so I am posting it on that basis.

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I remain skeptical of basically everything, BUT i do think that this is facial nerve related. I can see how nerves in like forehead or between the eyes could impact the feeling at the bridge of my nose. I just dont know what to do about that, and i really dont wanna go down the whole "nortryptaline blah blah" route. I"ve done those before and the side effects weren't good.

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I saw another ENT at the Ohio State University, she suggested it could be my turbinates contacting my septum and referred me to a Rhinologist who will do a more advanced scope in a few weeks.

In reading more, i've discovered a few things which may or may not be the same thing, but very much sound like what i could have.

Middle turbinate squeeze syndrome (MTSS) refers to sino-nasal headache due to intense contact between the middle turbinate and the nasal septum and/or between middle turbinate and other structures in the lateral nasal wall

Rhinogenic contact point headache (RCPH) is a headache syndrome secondary to mucosal contact points in the sinonasal cavities, in the absence of inflammatory signs, hyperplastic mucosa, purulent discharge, sinonasal polyps, or masses. It may result from pressure on the nasal mucosa due to anatomic variations among which the septal deviation, septal spur, and concha bullosa, are the most commonly observed.

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I’ve had the same issue as the original poster as well now for about 2 days. No redness but there is swelling, hurts to move my nose or when I touch the area. Any help?

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Hello @caroline163, welcome to Mayo Clinic Connect. I'm sorry to hear that you're experiencing this nose pain. Have you done anything to help with the pain?
@johnhudson922, you've mentioned that you'd try the product Sinus pain relief for allergies. Has it helped to alleviate the pain?

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@julinguyen

Hello @caroline163, welcome to Mayo Clinic Connect. I'm sorry to hear that you're experiencing this nose pain. Have you done anything to help with the pain?
@johnhudson922, you've mentioned that you'd try the product Sinus pain relief for allergies. Has it helped to alleviate the pain?

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The sinus pain relief device doesn't appear to do anything. Maybe if I try really hard i can feel some kind of electrical pulse, but it doesn't take any pain away. I probably don't believe in it enough.

After that, I saw a Rhinologist at Ohio State - Dr. Otto. He did a scope and i wanted him to rule out something like turbinate squeeze syndrome or contact pain. He more or less said that he didn't see anything wrong with my sinuses or nose either. He wasn't able to view my previous CT scan though which was dissappointing. He suggested that my issues are headache related and said I should see a Neurologist.

I had a video consultation with a Neurologist a few weeks ago. To save myself the time of typing it out, it was unremarkable and predictable. She prescribed me some kind of anti seizure medicine which i havn't started yet because the side effects are in my experience also pretty rough.

At this point we are pursuing some dietary changes. I have a lot of digestion and stomach issues lately and there could be some possibility that gluten or caffeine plays some role.

I am also pursuing a lead about wisdom teeth creating sinus pain.

So that's where i'm at. Still in pain. Still looking for answers. Still mostly being given the runaround by Doctors.

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@johnhudson922

The sinus pain relief device doesn't appear to do anything. Maybe if I try really hard i can feel some kind of electrical pulse, but it doesn't take any pain away. I probably don't believe in it enough.

After that, I saw a Rhinologist at Ohio State - Dr. Otto. He did a scope and i wanted him to rule out something like turbinate squeeze syndrome or contact pain. He more or less said that he didn't see anything wrong with my sinuses or nose either. He wasn't able to view my previous CT scan though which was dissappointing. He suggested that my issues are headache related and said I should see a Neurologist.

I had a video consultation with a Neurologist a few weeks ago. To save myself the time of typing it out, it was unremarkable and predictable. She prescribed me some kind of anti seizure medicine which i havn't started yet because the side effects are in my experience also pretty rough.

At this point we are pursuing some dietary changes. I have a lot of digestion and stomach issues lately and there could be some possibility that gluten or caffeine plays some role.

I am also pursuing a lead about wisdom teeth creating sinus pain.

So that's where i'm at. Still in pain. Still looking for answers. Still mostly being given the runaround by Doctors.

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@johnhudson922 -the pain journey, especially cranial pain, can be incredibly frustrating and so can be the different off label medications prescribed. I am very familiar with the cranial nerves and how the inner are the nasal mucosa. I know you say you are skeptical of everything, which if you could try something that you, yourself, believe in that can be the first step. The trigeminal nerve that innervates the nasal mucosa starts at the jaw area. Sometimes where you feel the pain, isn’t where it is originating. But the nasal cavity is richly innervated with blood and nerves and can be affected for so many reasons. Reasons that ENTs will not take the time to explain to you. Stress and high emotion aftect the nerves of the nose. Inflammatory diet/gut affects every area of the body. All inflammation starts in the gut. So if your gut is not healthy it can show up in different ways. Also- vital vitamins and minerals can affect nerve conduction. Being low in certain essential vitamins/minerals can cause more nerve sensitivity. If you are the skeptical type, which I don’t blame you with that in Western Medicine, try educating yourself on cranial nerve pain/specifically trigeminal nerve pain (that runs through the nose) You can make small changes in diet, exercise and stress reduction to see if that helps.
You have to believe in the power you have first, to help yourself, as not many doctors know how to help with pain, except for pain meds. Hope that helps if just a little bit.

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@nrd1

@johnhudson922 -the pain journey, especially cranial pain, can be incredibly frustrating and so can be the different off label medications prescribed. I am very familiar with the cranial nerves and how the inner are the nasal mucosa. I know you say you are skeptical of everything, which if you could try something that you, yourself, believe in that can be the first step. The trigeminal nerve that innervates the nasal mucosa starts at the jaw area. Sometimes where you feel the pain, isn’t where it is originating. But the nasal cavity is richly innervated with blood and nerves and can be affected for so many reasons. Reasons that ENTs will not take the time to explain to you. Stress and high emotion aftect the nerves of the nose. Inflammatory diet/gut affects every area of the body. All inflammation starts in the gut. So if your gut is not healthy it can show up in different ways. Also- vital vitamins and minerals can affect nerve conduction. Being low in certain essential vitamins/minerals can cause more nerve sensitivity. If you are the skeptical type, which I don’t blame you with that in Western Medicine, try educating yourself on cranial nerve pain/specifically trigeminal nerve pain (that runs through the nose) You can make small changes in diet, exercise and stress reduction to see if that helps.
You have to believe in the power you have first, to help yourself, as not many doctors know how to help with pain, except for pain meds. Hope that helps if just a little bit.

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thanks @nrd1, I appreciate the comments!

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