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By Joseph McCaffrey, MD, FACS


A stuffy nose and sinus misery are all too common at this time of year. A lot of folks reach for over the counter remedies that may or may not help the symptoms but do nothing for the underlying cause.

Fortunately, there's an ancient practice that works great to relieve the sinus distress and improve your health without having to resort to drugs. But first I want to tell you about one over-the-counter treatment you should avoid like the plague -- decongestant nasal sprays.

These sprays work by constricting the small blood vessels in the nasal passages. As a result, the swollen mucous membranes shrink and congestion temporarily feels better. When the drug wears off, people tend to use the spray again. That's when the problem begins.

Your body very quickly adapts to the sprays, often within a few days. If you continue using them, the blood vessels will be normal size when you're taking them and overly swollen and engorged if you try to stop. The spray has had no lasting benefit and has created its own problem.

Instead of that, how about a method that has been around for over 2000 years and that modern studies (1) show is effective?

The method is saline nasal lavage -- that is, rinsing the nasal passages with a saline solution. Ayurvedic practitioners have recommended this for years and now more and more western physicians are as well.

Our nasal passages act like a filter for our respiratory system. Airborne debris, including pathogens and allergens, is trapped in a normally thin layer of mucus and cleared from the nasal passage. If the system is overwhelmed, the debris accumulates, the nasal passages are irritated and the misery begins.

Nasal rinsing helps restore balance by clearing built up material and restoring an environment that allows the mucociliary lining to do its job.

Although the lavage may seem a little odd at first, people soon become used to it.

The traditional tool is a netti pot -- a small pot, usually ceramic, with a spout that is inserted gently into a nostril to instill the solution. Many health food stores carry these. Alternatively, you could use a bulb syringe, which is available in most pharmacies.

The technique is essentially the same with either tool. First, mix a saline solution, using 1/2 to 1 tsp salt (I suggest canning or sea salt rather than the usual table salt) to 2 cups water. Some people find the solution more comfortable if they add a pinch of baking soda (not powder) since it also helps break up mucus.

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