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Help for Sinus Pain and Pressure

Nasal Saline Irrigation and Neti Pots

WebMD Medical Reference

Reviewed By Brunilda Nazario, MD

If you're one of the millions of Americans dealing with sinus problems, you know how miserable the headaches, facial pain, and clogged nasal passages can be. In their search for relief, many sinus sufferers have turned to nasal saline irrigation, a therapy that uses a salt and water solution to flush out the nasal passages.

Although several methods of nasal irrigation exist, one of the most popular is the Neti pot -- a ceramic pot that looks like a cross between a small teapot and Aladdin's magic lamp. Although nasal irrigation using the Neti pot has been around for centuries, its use is on the rise in the U.S., thanks to an appearance on The Oprah Winfrey Show and a fair amount of news coverage. The Neti pot originally comes from the Ayurvedic/yoga medical tradition.
Does the Neti Pot Really Work?

Ear, nose, and throat surgeons recommend nasal irrigation with a Neti pot or other method for their patients who've undergone sinus surgery, to clear away crusting in the nasal passages. Many people with sinus symptoms from allergies and environmental irritants also have begun to regularly use the Neti pot or other nasal irrigation devices, claiming that these devices alleviate congestion, and facial pain and pressure. Research backs up these claims, finding that nasal irrigation can be an effective way to relieve sinus symptoms when used along with standard sinus treatments. For some people, nasal irrigation may bring relief of sinus symptoms without the use of medications.

The basic explanation of how the Neti pot works is that it thins mucus and helps flush it out of the nasal passages.

A more biological explanation for how the Neti pot works has to do with tiny, hair-like structures called cilia that line the inside of the nasal and sinus cavities. These cilia wave back and forth to push mucus either to the back of the throat where it can be swallowed, or to the nose to be blown out. Saline solution can help increase the speed and improve coordination of the cilia so that they may more effectively remove the allergens and other irritants that cause sinus problems.

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