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BackTable / ENT / Podcast / Episode #228
Sinus Headaches vs. Migraines: Diagnosis & Treatment
with Dr. Jessica Lee
Sinusitis or migraine? Understanding the difference between rhinogenic and primary headaches could change your treatment algorithm. In this episode of Backtable ENT, Dr. Jessica Lee, an otolaryngologist from Charleston ENT and Allergy, discusses the prevalence and treatment of sinus headaches with hosts Dr. Gopi Shah and Dr. Ashley Agan.
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BackTable, LLC (Producer). (2025, June 24). Ep. 228 – Sinus Headaches vs. Migraines: Diagnosis & Treatment [Audio podcast]. Retrieved from https://www.backtable.com
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Podcast Contributors
Dr. Jessica Lee
Dr. Jessica Lee is a practicing otolaryngologist and lifestyle medicine specialist in Charleston, South Carolina.
Dr. Ashley Agan
Dr. Ashley Agan is an otolaryngologist in Dallas, TX.
Dr. Gopi Shah
Dr. Gopi Shah is a pediatric otolaryngologist and the co-host of BackTable ENT.
Synopsis
The doctors discuss how half of sinus infection diagnoses are often misdiagnosed, with many patients having normal CT scans and nasal endoscopies. Dr. Lee emphasizes the importance of distinguishing between sinus-related headaches and migraines, noting that 80% of sinus headache complaints meet migraine criteria. The conversation covers the use of lifestyle medicine, supplements, medications, and the role of neurologists in managing chronic headaches. Dr. Lee also touches on the role of mycotoxins, drawing from evidence-based practices while stressing patient education and collaboration in treatment.
Timestamps
00:00 - Introduction
04:10 - Differentiating Sinus Headaches from Other Conditions
10:07 - Lifestyle Factors and Migraine Management
25:45 - Supplements and Treatments for Migraine
30:01 - Iron Supplementation and Dietary Adjustments
31:42 - Medication Management for Migraines
34:52 - Botox as a Treatment Option
44:50 - Mycotoxins and Mold Illness
50:11 - Non-Pharmacologic Options for Headaches
54:00 - Final Thoughts and Recommendations
Resources
Dr. Jessica Lee
https://charlestonent.com/bio/jessica-lee/
Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.
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