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Frequently Asked Questions




Q: What is Sinusitis?
A: Sinusitis refers to inflammation of the nasal passage, any location, from the front of the nose to the throat at the back of the nose. It can be acute (less than 3 weeks) or chronic.

Q: How does it present itself?
A: Stuffy plugged nose, runny nose, sneezing, sore throat, phlegm at the back of the nose or throat, cough.

Q: What is the cause?
A: Acute sinusitis is caused by bacteria , viruses , the presence of a foreign body ,or seasonal allergy. In chronic sinusitis the cause is undefined and likely multiple. This  diagnosis is thus syndromal, as it refers to the collection of symptoms and signs, and not the cause. The symptoms have lasted  more than 3 weeks (more often years) and the nasal discharge is clear. One associated important cause that  has been neglected is Post traumatic sensitivity (PTS). PTS is present in all injuries as to a limb or to the bowels, so why not the nasal passage.

Q: What are other terms for sinusitis?
A: Sinusitis in the chronic form is often labeled chronic form is often labelled perennial allergic sinusitis, perennial allergic rhinnitis, vasomotor sinusitis, vasomotor rhinnitis, perennial allergic turbinitis, vasomotor turbinitis depending on what/when or where the doctor feels is the main cause of inflammation.

Q: What are the available treatments?
A: You can find the standard treatment on any web page together with their drawbacks-antihistamines, decongestants, allergy shots, surgery. New drugs are usually stronger formulations. Do they work? You decide. Currently there are 31 million sufferers of chronic sinusitis in USA alone and the numbers are increasing every year. This is a multi billion dollar problem. It is the problem that most patients visit their doctor for. It is the single greatest factor for lost work time. Why do current treatments not work? Because all treatments focus on symptoms or perceived causes but neglects the most important cause of all-PTS.      

Q: What is post traumatic sensitivity (PTS)?
A: PTS refers to the hypersensitive state of all tissues after injury.  
When a limb is injured, a minor brush, part of every day activity, causes extreme pain and dysfunction. In the bowels after a bout of food poisoning, eating normal food brings on diarrhea and abdominal cramps. After bacterial/viral infection of the sinuses, exposure to normal temperature/humidity changes brings on sinus symptoms. In all of these situations the original  cause of the  injury is no longer a factor but PTS is present and can prolong the problem for years. Most health care workers have not acknowledged the presence of PTS in the sinuses, explaining their jumping on the bandwagon of non existing causes such as fungal and yeast infection.

Q: What is relationship between SINUCLEARTM and PTS?
A:  PTS in the sinuses refers to a state of heightened sensitivity after injury, usually by infection or allergy. Only rest can restore normal sensitivity. It is easy to rest the limbs and the bowel. How does one rest the nasal passage? By presenting filtered air, 100% humidified at close to body temperature. This air as it passes through the nasal passage does not need to be altered before it enters the lungs. The SINUCLEARTM does just that .It presents filtered 100% humidified air at 30-34 C. which when breathed 8-10 hours every 24 hours for 1-2-3 weeks, rests the sinuses enough to restore it  to  normal sensitivity. A room humidifier can not do the job. It barely raises the humidity, yet it is enough to promote the growth of house mites, a major allergen.

Q: What is the relationship between PTS, influenza, asthma, allergy, recurrent cold  symptoms, bronchitis and sinusitis?
A: The presence of PTS will aggravate asthma because the nasal passages and the bronchial tubes have the same surface lining. Too often, folks have a diagnosis of  recurrent colds, sinusitis, allergies, influenza, bronchitis, lowered immunity, when the underlying diagnosis is PTS. Improvement  does not  take place despite drugs and antibiotics but do improve dramatically after a vacation to the tropics (warm temperature, high humidity, change of allergens, removal from emotional stress.) The
SINUCLEARTM  would effectively  replace a tropical visit.

Q: Can steam inhalation replace the SINUCLEARTM?
A: Folks have advocated and used this treatment
for hundreds of years with good effect. The SINUCLEARTM is really a modification of the steam inhaler to use  in a controlled unobtrusive manner. With the steam inhaler the temperature is uncontrolled, liable  to produce burn injury and water needs to be replaced at frequent intervals. It is difficult to use for more than 30 minutes as one is bent over the appliance in a sitting position unable to do anything except inhale  water vapour. Steam emission  is enough to wet everything in sight. The rhinothermtm machine made in Israel is also a modification of this principle With a 18 inch hose it delivers 100% humidified air at 52 C. which one inhales for 30 minutes twice weekly. It also is used in the upright position and because of the delicate controls, retails at approximately USD$600. Its purpose is not to rest the sinuses but is an adaptation of the treatment with steam.


Q: How safe is the machine?
A: The machine is designed to be used when sleeping as this is the time that most  folks have uninterrupted  8-10 hours. It also allows uninterrupted use by sedentary workers. In sleep ,sleepers turn. The long corrugated hose allows this flexibility with comfort and without crimping airflow. The hose detaches readily from the machine preventing tipping.

Q: What about bacterial/viral contamination?
A: The machine is self  sterilizing. The water in the container is maintained above 80 C. Air exits from the machine at 50 C 28% relative humidity. These conditions do not allow bacteria or viruses to survive. During the transmission in the hose, the humidity graduates to 100% as the temperature falls to 30-34 C. at the mask. One machine can thus serve all members of the family, but each member must have their own connections, hose , mask and filters. Bacterial/viral filters should be changed weekly.

Q: Has their been any complaints?
A: Some folks have said the machine fan is too noisy. Others have complimented the machine on inducing sleep. Without exception, using the machine will interrupt sleep. After several hours use the body temperature rises, causing the user to throw off the bedclothes. The ideal  temperature at the mask should be 37 C.The 30-34 C that the machine delivers was a compromise. When one does wake up it is important to remove liquid condensate in the hose. The water in the container will  last 11-12 hours The mask is light and fits loosely, so it  is never a source of complaint.

Q: Can the machine overheat?
A: The heater plate heated by a plastic thermal ring on its underside is light, clean, similar to heaters used in aerospace. There is an  overriding  shutoff preventing the plate from rising above 108 C. This low operating temperature contributes to its safe use..


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