Chronic sinusitis va

While on active duty, military service members may have been exposed to a variety of airborne hazards including: The smoke and fumes from open burn pits. Sand, dust, and particulate matter. General air pollution common in certain countries. Fuel, aircraft exhaust, and other mechanical fumes. Smoke from oil well fires.

Chronic sinusitis va. 2. Page 1 of 2. There are 24 doctors in Callao, VA that treat Chronic sinusitis. Find the best for you: Robert Davison, MD, Ashley Dearstine, Ashley Dearstine, Kevin McGrath, MD, Salvatore Bavuso, MD.

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Recurrent: Three or more Symptoms : Symptoms between lasting are typically episodes six weeks it be considered subacute. by bacterial infection. • to or sinusitis, but often, occur per of varying fatigue is present. Symptoms congestion, of sinusitis difficulty thick nasal breathing, drainage, bad-tasting sometimes headache, facial swelling ... If you’re looking to make a positive impact on your community and help those who have served our country, donating to veteran organizations near you is a great place to start. One ...Our analyses suggest that occupational exposure to jet fuel is related to the occurrence of chronic respiratory conditions in Air Force and Army Veterans. Conditions associated with occupational jet fuel exposure in this study are consistent with those presumed to be associated with service in Gulf War and the recent conflicts under the …For example: Dr. Jane Doe, MD 1234 Medical Lane Boston, MA 02101. In addition, the doctor should include the following information above the first paragraph of the letter: Date: January 1, 2021 Reference: …Chronic rhinosinusitis (CRS) is a complex disease that affects not only the nose and sinuses but also has broad effects throughout the body. Previous studies in CRS found that 9–25% of patients report a previous physician diagnosis of depression. 1,2 Studies that used validated screening instruments were able to identify an additional 8–15% of patients with …I do have a sleep apnea diagnosis from the VA, and I filed sleep apnea secondary to sinusitis. I was rejected. I did not proceed it any further because I received 100% P&T during that claim. Get a diagnosis from a private Doctor and get them to give you a CPAP. I provided a lay statement and i was given a combined claim of 50%.Chronic can be either an ongoing series of acute sinus problems or a sinus problem that never goes away. Looks like the VA ENT is considering the second case only. If you have ever seen a Non-VA provider for sinusitis/ sinus …A medical diagnosis of sleep apnea confirmed by a sleep study in VA medical records or private records (unless you did this already on active duty) Evidence of a service-connected primary disability (such as PTSD, depression, anxiety, sinusitis, rhinitis, weight gain), AND

Jan 18, 2019 ... Sinus congestion and inflammation due to allergic rhinitis can sometimes allow sinusitis to develop. The symptoms of allergic rhinitis can ...chronic depression, anxiety, labile mood swings, disillusionment, and social withdrawal. R. at 3201. He continued to experience pain and stiffness in his left ankle, knee, and shoulder, and expressed that the resulting limitations from these conditions impacted his mood: "I was once a lot ... In November 2017, a VA examiner opined that the veteran's OSA was less …Treating Chronic Sinusitis. Chronic sinusitis is also known as chronic rhinosinusitis. It's often diagnosed when you've had symptoms for more than 12 weeks, even with medical treatment. The sinuses are hollow areas formed by the bones of the face. Sinuses make and drain mucus. This keeps the nasal passages clean and moist. The process concluded that particulate matter pollution is associated with chronic asthma, rhinitis and sinusitis for Veterans who served in the Southwest Asia theater of operations beginning Aug. 2, 1990 to the present, or Afghanistan, Uzbekistan, Syria or Djibouti beginning Sept. 19, Other ways to diagnose chronic sinusitis and rule out other conditions include: Nasal endoscopy. A health care provider inserts a thin, flexible tube, known as an endoscope, …Chronic sinusitis causes the spaces inside the nose and head, called sinuses, to become inflamed and swollen. The condition lasts 12 weeks or longer, even with treatment. This … 2. Page 1 of 2. There are 24 doctors in Callao, VA that treat Chronic sinusitis. Find the best for you: Robert Davison, MD, Ashley Dearstine, Ashley Dearstine, Kevin McGrath, MD, Salvatore Bavuso, MD. VA diagnosed chronic sinusitis and chronic rhinitis, have had 7 sinus surgeries since 2010, VA put in 2 sets of sinus stents, not service connected. ... We are here to support one another, and help resolve any VA / Veterans related issues. If you are visiting r/veterans for the first time please read the rules. Veteran Crisis Hotline Dial 988 Press 1 Call or Text or …

The VA categorizes allergic rhinitis under 38 CFR section 4.97, offering ratings from 10% to 30%, based on the severity and presence of polyps. A 10% rating is assigned for partial greater than 50% obstruction of the nasal passages on both sides, or complete on one side, while a 30% rating is given for rhinitis with polyps. VA Disability Group, PLLC 2974 Business One Drive Kalamazoo, MI 49048 www.VADisabilitygroup.com Sinusitis/Rhinitis Symptom Log . Hello, In the Intake Questionnaire, you indicated experiencing Sinusitis and/or Rhinitis. With this packet, I have included the relevant log. This symptom log packet also includes a rating schedule, used by the VA, on the Nope it did not, I was at 90% before this and still 90%, but doing VA math it comes out to 93% ... i get headaches, post nasal, thick mucous, stuffy nose, green infected snot) And am diagnosed chronic sinusitis from ent, with a very detailed nexus letter and questionnaire. And am already service connected 30% rhinitis. The ratings can be ...A recent study indicates that sub-chronic low-dose TCDD exposure can show immunomodulatory effects in a mouse model of experimental autoimmune encephalitis (E. J. Yang et al., 2016). Recent work by L. Cheng et al. (2017) in a hospital-based study of Han Chinese patients suggests that a polymorphism in the AHR repressor gene may …Jan 18, 2019 ... Sinus congestion and inflammation due to allergic rhinitis can sometimes allow sinusitis to develop. The symptoms of allergic rhinitis can ...

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Side Effects. Basic Signs And Manifestations Of Chronic Sinusitis Include: Nasal irritation. Thick, stained release from the nose. Waste down the rear of the throat (postnasal seepage) Nasal hindrance or congestion, causing trouble breathing through your nose. Torment, delicacy and expanding around your eyes, cheeks, nose or temple.Mr. Veteran has along medical history dating back to September 14, 1977 being diagnosed with allergic rhinitis and chronic sinusitis. Mr. Veteran is currently being seen for his sinus issues. He was diagnosed with a deviated septum on his Veteran Affairs (VA) exam dated 12/17/97, 2 months and 17 days after discharge.The primary focus of the otolaryngologist is to exclude this possibility. The diagnosis of headache secondary to acute-sinusitis can be relatively straightforward. Diagnosing headache related to chronic sinus disease can be much more difficult depending on patients’ presentation . Endoscopic techniques are now well established.To avoid combined ratings over 100 percent, the VA uses a combined ratings table when you have two or more disabilities. For example, if you have an allergic rhinitis rating of 30 percent and a 60 percent asthma rating, your combined score is 72. The VA uses 10 percent increments in final disability ratings, so the 72 is rounded down to 70 ... Sleep apnea can increase the risk of cardiovascular disease, stroke, and diabetes. Sleep apnea patients also experience excessive daytime sleepiness, fatigue, and mood disorders, which can affect their work performance and quality of life. Moreover, chronic sinusitis can cause headaches, facial pain, and nasal discharge, leading to sleep ...

Understanding the Relationship: OSA and Sinusitis. Veterans grappling with obstructive sleep apnea often find themselves confronting a myriad of upper airway issues, including chronic sinusitis. While the association between these conditions may not always be apparent, research indicates a significant overlap in their pathophysiology.How Does the VA Evaluate and Rate Service-Connected Sinusitis? Under VA regulations, confirmed diagnoses of acute or chronic sinusitis tie to fixed rating criteria under 38 CFR § 4.97, Diagnostic Codes 6510-6514. Exact ratings hinge on symptoms like: Read more. Infection episode frequency; Antibiotic treatment duration; Breathing difficultiesSep 1, 2023 ... Sinusitis is more common than you think. Having it classified as "chronic" is harder. You can get up to 50% VA disability rating for it.I'm gathering evidence now but my primary care doc died a few years ago and the clinics don't keep records that far back. I have no civilian records before 2012. I had sinus surgery and large polyps removed from almost every sinus cavity in 2012 and a diagnosis of chronic sinusitis and rhinitis with a CT scan to verify. J32.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2024 edition of ICD-10-CM J32.9 became effective on October 1, 2023. This is the American ICD-10-CM version of J32.9 - other international versions of ICD-10 J32.9 may differ. Applicable To. Public Disability Benefits Questionnaires (DBQs) DBQs help collect necessary medical information to process your disability claims. You can use these forms to submit medical evidence from your health care providers. This information helps to support your claims for disability benefits. Please have your health care provider fill out and submit ...If you are like more than 25 million adult Americans who have chronic pain every day, you know it is a big problem. It can significantly impact the quality of life that a person ha...Acute or chronic rhinosinusitis is characterized by purulent rhinorrhea, postnasal discharge, anosmia, nasal congestion, facial discomfort, headache, fever, and cough (Table 5.1 ). It is common in pregnancy [ 63 – 65 ]. The term rhinosinusitis indicates that the nose and the sinuses are affected.Chronic pain is a growing problem in the US. More than 3 out of 10 Americans are experiencing chronic pain. Not only are daily activities impaired by chronic pain, but it also caus...

Chronic rhinosinusitis (CRS) is a complex disease that affects not only the nose and sinuses but also has broad effects throughout the body. Previous studies in CRS found that 9–25% of patients report a previous physician diagnosis of depression. 1,2 Studies that used validated screening instruments were able to identify an additional 8–15% of patients with CRS with previously undiagnosed ...

Chronic rhinosinusitis (CRS) is an inflammatory disease of the nose and paranasal sinuses, with a prevalence of approximately 1% to 7%. It is defined by the presence of at least two cardinal ... The process concluded that particulate matter pollution is associated with chronic asthma, rhinitis and sinusitis for Veterans who served in the Southwest Asia theater of operations beginning Aug. 2, 1990 to the present, or Afghanistan, Uzbekistan, Syria or Djibouti beginning Sept. 19, The PACT Act is a law that expands VA health care and benefits for Veterans exposed to burn pits, Agent Orange, and other toxic substances. This law helps us provide generations of Veterans—and their survivors—with the care and benefits they’ve earned and deserve. And starting March 5, 2024, we’re expanding VA health care to …Sleep apnea can increase the risk of cardiovascular disease, stroke, and diabetes. Sleep apnea patients also experience excessive daytime sleepiness, fatigue, and mood disorders, which can affect their work performance and quality of life. Moreover, chronic sinusitis can cause headaches, facial pain, and nasal discharge, leading to sleep ...The PACT Act, which was passed in August 2022, has enlarged the presumption list of illnesses related to fire pit exposure. This new law adds 23 diseases, including chronic rhinitis, to the list of conditions deemed to be service-related for “covered veterans.”. The PACT Act defines covered veterans as those who were on active duty in ...Thick yellow or green mucus from your nose or postnasal drip (mucus that builds up and drips down the back of your throat). Stuffy nose. Toothache. Headache, particularly a headache that makes your face hurt. Cough. Tiredness. Ear pain. Loss of the senses of taste ( ageusia) and smell ( anosmia ).So I’ve been working on a PACT ACT claim for Chronic Rhinitis and Chronic Sinusitis. I know I could use a VA rep to help me with the paperwork but I wanted to ask the community for anyone who has successfully completed a claim for either of these. I went to my PCP and was able to get a CT Scan which came back with the results: “Mild ...Recurrent: Three or more Symptoms : Symptoms between lasting are typically episodes six weeks it be considered subacute. by bacterial infection. • to or sinusitis, but often, occur per of varying fatigue is present. Symptoms congestion, of sinusitis difficulty thick nasal breathing, drainage, bad-tasting sometimes headache, facial swelling ...sinusitis and rhinitis claim. VA Disability Claims. I have been seeing a sinus specialist after being diagnosed with sleep apnea by the VA (but denied SC). They diagnosed me with chronic sinusitis, allergic rhinitis, sleep apnea, and a deviated septum. Since I deployed to Djibouti, I put in a claim with the hopes of presumptive SC due to burn pits.

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Chronic sinusitis occurs when the spaces inside your nose and head (i.e., sinuses) are swollen and inflamed for three months or longer, despite treatment. This …Chronis sinusitis is inflammation in your sinuses or a sinus infection, with symptoms that don’t go away within 12 weeks. Symptoms include facial pain, post-nasal drip and thick …1. Introduction. Chronic rhinosinusitis (CRS) is a disease of the upper airways that is both common (affecting more than 10 million Americans) [] and serious (it is associated with more than 60 limited productivity days throughout the year for each patient []).CRS results in a significant decline in quality of life (QOL) [].Consequently, CRS is associated with a …The VA recognizes chronic sinusitis in its disability rating system. It also recognizes rhinitis, a condition with similar symptoms caused by an inflammation of the tissue inside your nose rather than in your sinuses. Exposure to certain toxins can lead to sinusitis and other health problems.Sleep apnea can increase the risk of cardiovascular disease, stroke, and diabetes. Sleep apnea patients also experience excessive daytime sleepiness, fatigue, and mood disorders, which can affect their work performance and quality of life. Moreover, chronic sinusitis can cause headaches, facial pain, and nasal discharge, leading to sleep ...People with chronic nasal problems or allergies are more likely to get acute sinusitis. Sinusitis is also more common if you have a weakened immune system, such as with …Dr. Dwight Jones discusses chronic sinusitis is and what patients suffering from it can come to expect when they come to the Nebraska Medicine - ENT, ENT All...You don't need a label for chronic. Acute is a one time thing. If you are having multiple occurrences per year, it's a chronic condition. Most who have allergies are chronic. Maybe you can pull a few minute clinic visit receipts or something. You'll see that saving records becomes real important in the VA disability world.Volunteering is an incredible way to give back to your community and make a positive impact on the lives of others. If you’re looking for volunteer opportunities in Roanoke, VA, yo...Symptoms. Common symptoms of chronic sinusitis include: Thick, discolored mucus from the nose, known as a runny nose. Mucus down the back of the throat, known as postnasal drip. Blocked or stuffy nose, known as congestion. This makes it hard to breathe through the nose.For Internal VA Use Sinusitis/Rhinitis and other Conditions of the Nose, Throat, Larynx and Pharynx DBQ . Updated on April 16, 2020 ~v20_1 Page 3 of 8 ... INDICATE THE SINUSES/TYPE OF SINUSITIS CURRENTLY AFFECTED BY THE VETERAN'S CHRONIC SINUSITIS (Check all that apply): 2 3. DOES THE VETERAN … ….

Sinusitis is the inflammation of the inner lining of the sinuses. This generally occurs due to allergies or infections. You don’t often think about your sinuses until there’s a problem. …Stay indoors on days when the index is high. Having surgery. In some cases, you may need surgery on the nose, sinuses, or both. This can improve sinus drainage or remove nasal blockages. Chronic sinusitis is a long-term swelling or infection of the sinuses. If sinusitis lasts more than 12 weeks (90 days), it is called chronic.VA rates chronic sinusitis under 38 CFR § 4.97 according to the General Rating Formula for Sinusitis (Diagnostic Codes 6510 through 6514). The criteria are as …NOTE - For VA purposes, an incapacitating episode of sinusitis means one that requires bed rest and treatment prescribed by a physician. A2. DOES THE VETERAN CURRENTLY HAVE ANY FINDINGS, SIGNS OR SYMPTOMS ATTRIBUTABLE TO CHRONIC SINUSITIS? A3.Sinusitis PACT Act Question. Denied. I filed a claim for asthma, rhinitis, and sinusitis in January 2022. Four months later I was diagnosed with a disability for all three, but because I was outside the “10-year” claim window, all three claims were denied. January 2023, the VA on my behalf, reopened that clam because of the PACT Act.As of 2013, there were approximately 7,391,000 living veterans who served during the Vietnam war. They are the largest group of veterans in the United States.People with chronic nasal problems or allergies are more likely to get acute sinusitis. Sinusitis is also more common if you have a weakened immune system, such as with …Volunteering is an incredible way to give back to your community and make a positive impact on the lives of others. If you’re looking for volunteer opportunities in Roanoke, VA, yo...You don't need a label for chronic. Acute is a one time thing. If you are having multiple occurrences per year, it's a chronic condition. Most who have allergies are chronic. Maybe you can pull a few minute clinic visit receipts or something. You'll see that saving records becomes real important in the VA disability world. Chronic sinusitis va, Chronic sinusitis is defined clinically as a sinonasal infection lasting more than 12 weeks. Patients may present with symptoms of sinusitis such as nasal obstruction, nasal discharge, facial pain, headache, halitosis, anosmia, etc. It is important to note however that diagnosis of chronic rhinosinusitis requires at least either nasal ..., The buildup of mucus leads to increased sinus pressure and facial pain. In adults, chronic sinusitis most often is linked to nasal swelling caused by allergies, especially allergies to inhaled dust, mold, pollen, or the spores of fungi. These allergies trigger the release of histamine and other chemicals that cause the inner lining of the …, Chronic sinusitis is an inflammation of the sinus passages that lasts three months or longer. Signs of chronic sinusitis include stuffy nose, headache or pain behind the eyes, cough, toothaches, loss of smell, and fever. Most cases of chronic sinusitis can be treated at home with over-the-counter medications., While on active duty, military service members may have been exposed to a variety of airborne hazards including: The smoke and fumes from open burn pits. Sand, dust, and particulate matter. General air pollution common in certain countries. Fuel, aircraft exhaust, and other mechanical fumes. Smoke from oil well fires., Update, just got sinusitis increased from 0% to 10%. Documented everything for about six months, went to urgent care clinics instead of over the counter at CVS. Went and saw my primary dr. at the va, sent me to the ENTs, prescribe some flonase and antibiotics. Also i wrote a log out everytime i went or felt bad., So I’ve been working on a PACT ACT claim for Chronic Rhinitis and Chronic Sinusitis. I know I could use a VA rep to help me with the paperwork but I wanted to ask the community for anyone who has successfully completed a claim for either of these. I went to my PCP and was able to get a CT Scan which came back with the results: “Mild ..., However, it’s still possible to connect the two conditions depending upon your medical evidence and medical research. #9. Sleep Apnea Secondary to GERD. Obstructive sleep apnea hypopnea syndrome (OSAHS) means apnea and hypopnea caused by partial or complete obstruction of upper airway collapse during sleep., So I’ve been working on a PACT ACT claim for Chronic Rhinitis and Chronic Sinusitis. I know I could use a VA rep to help me with the paperwork but I wanted to ask the community for anyone who has successfully completed a claim for either of these. I went to my PCP and was able to get a CT Scan which came back with the results: “Mild ..., I was denied, not being service connected. I gave up and didn’t try even though I was diagnosed with Obstructive Sleep Apnea by the VA after a sleep study and was given a CPAP. This year 2023 I was awarded 50% Sinusitis, 30% Allergic Rhinitis and 10% Asthma (this should be 30% waiting to submit a supplemental)., It is interesting to note that only 30% of these patients had isolated anatomical abnormalities, 6% had chronic rhinosinusitis, 18% AR and 26% NAR. These corroborate the results reported by Shadan et al. 29 who employed nasal cytology as a marker of clinically silent inflammation in a group of 38 OSA patients, diagnosing AR in …, Mar 14, 2022 · Although considered non-compensable, the veteran may still qualify for other benefits, such as VA health care. VA Ratings for Sinusitis. VA rates chronic sinusitis under 38 CFR § 4.97 according to the General Rating Formula for Sinusitis (Diagnostic Codes 6510 through 6514). The criteria are as follows: , Chronic sinusitis. ( J32) J32.9 is a billable diagnosis code used to specify a medical diagnosis of chronic sinusitis, unspecified. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024., While on active duty, military service members may have been exposed to a variety of airborne hazards including: The smoke and fumes from open burn pits. Sand, dust, and particulate matter. General air pollution common in certain countries. Fuel, aircraft exhaust, and other mechanical fumes. Smoke from oil well fires., There are 3 primary ways a veteran can get a VA disability rating for Rhinitis: #1: Direct Service Connection for Allergic Rhinitis with a rating of 10% or 30%. This means an in-service event, injury, or disease related to your military service caused you to develop Rhinitis. #2: Secondary Service Connection for Allergic Rhinitis with a rating ..., Symptoms. Common symptoms of chronic sinusitis include: Thick, discolored mucus from the nose, known as a runny nose. Mucus down the back of the throat, known as postnasal drip. Blocked or stuffy nose, known as congestion. This makes it hard to breathe through the nose., Thick yellow or green mucus from your nose or postnasal drip (mucus that builds up and drips down the back of your throat). Stuffy nose. Toothache. Headache, particularly a headache that makes your face hurt. Cough. Tiredness. Ear pain. Loss of the senses of taste ( ageusia) and smell ( anosmia ). , Veterans Day is one of the eleven federal holidays in the United States for federal organizations and is a public holiday for all 50 states. We celebrate it every year, but how did..., Chronic sinusitis. VA Disability Claims. I put an intent to file for sinusitis /rhinitis and went to an ENT lady on phone said was diagnosed with chronic sinusitis unsure though . Still waiting on mental health increase decision to actually file it. I have my annual lab works this January so might also ask for VA referral for another ENT opinion ., This paper presents population prevalence estimates and prevalence ratios of respiratory disease among Gulf War and Gulf War Era veterans who use VA healthcare. Methods: A total of 360,909 Gulf War deployed veterans and 323,638 Gulf War Era non-deployed veterans were included in the analysis. Ten-year period prevalence rates (PRs) for fifteen ..., The VA will now grant presumptive service connection for asthma, rhinitis, or sinusitis if any of those conditions manifested within 10 years of a qualifying period of military service. This means you will have to prove that you had asthma, rhinitis, or sinusitis that first started within 10 years from the date of your discharge., Sleep apnea can increase the risk of cardiovascular disease, stroke, and diabetes. Sleep apnea patients also experience excessive daytime sleepiness, fatigue, and mood disorders, which can affect their work performance and quality of life. Moreover, chronic sinusitis can cause headaches, facial pain, and nasal discharge, leading to sleep ... , Learn about VA disability ratings for Allergic Rhinitis and Chronic Sinusitis during today’s edition of CCK LIVE! Allergic Rhinitis and Sinusitis can be comm..., I was denied, not being service connected. I gave up and didn’t try even though I was diagnosed with Obstructive Sleep Apnea by the VA after a sleep study and was given a CPAP. This year 2023 I was awarded 50% Sinusitis, 30% Allergic Rhinitis and 10% Asthma (this should be 30% waiting to submit a supplemental)., Jul 13, 2019 · A medical diagnosis of sleep apnea confirmed by a sleep study in VA medical records or private records (unless you did this already on active duty) Evidence of a service-connected primary disability (such as PTSD, depression, anxiety, sinusitis, rhinitis, weight gain), AND , Essential Tremors. Peripheral Nerves. Carpal Tunnel. Sciatic Nerve & Neuropathy. Upper Extremities Neuropathy. Traumatic Brain Injury (TBI) Amyotrophic Lateral Sclerosis (Lou Gehrig's Disease) Central Nervous System and Neuromuscular Diseases (except TBI, …, Sinusitis PACT Act Question. Denied. I filed a claim for asthma, rhinitis, and sinusitis in January 2022. Four months later I was diagnosed with a disability for all three, but because I was outside the “10-year” claim window, all three claims were denied. January 2023, the VA on my behalf, reopened that clam because of the PACT Act., See full list on vaclaimsinsider.com , The veteran is a 48 year old who presents today for. service connection claim for allergies and sinusitis/rhinitis. The veteran's. records were available for review prior to his examination via VBMS. The. veteran served in the Army Reserves from 1984-10/2014 and initially began. having sinus problems in 2000., The PACT Act is a law that expands VA health care and benefits for Veterans exposed to burn pits, Agent Orange, and other toxic substances. This law helps us provide generations of Veterans—and their survivors—with the care and benefits they’ve earned and deserve. And starting March 5, 2024, we’re expanding VA health care to millions of Veterans—years earlier than called for by the ..., The Veteran claims that he has had chronic sinus allergies since his deployments in Kuwait and Iraq. He believes the chronic sinus problems are related to ..., Stay indoors on days when the index is high. Having surgery. In some cases, you may need surgery on the nose, sinuses, or both. This can improve sinus drainage or remove nasal blockages. Chronic sinusitis is a long-term swelling or infection of the sinuses. If sinusitis lasts more than 12 weeks (90 days), it is called chronic., Chronic rhinosinusitis (CRS) is a prevalent and disabling condition of the paranasal sinuses. It affects approximately 31 million people in the United States and accounts for an estimated $8.6 billion in direct health care expenditures. 1 CRS is reported to have a more negative impact on quality of life than other chronic conditions, such as congestive …, If you are like more than 25 million adult Americans who have chronic pain every day, you know it is a big problem. It can significantly impact the quality of life that a person ha...