From Belleville the clinic is a straightforward run north and west — I-255 to I-270 and across the river, or I-64 west and around — to Woodson Road on the Missouri side, beside Lambert Airport.
The diagnosis that gets missed most often around here
Recurrent pain across the cheeks, forehead and bridge of the nose, with a blocked nose and watering eyes, gets treated as sinus disease for years at a time. A large share of it is migraine. The nasal and eye symptoms are part of the migraine itself, driven by the same trigeminal-autonomic pathway, not evidence of infection.
The tell is what the episodes do over time: migraine recurs in discrete attacks with clear periods in between and often responds to migraine treatment, while genuine sinusitis produces continuous symptoms with discolored discharge and fever. The full comparison is in is it a sinus headache or a migraine.
Why it matters more than a label
Years of antibiotics for something that was never bacterial is the obvious cost. The less obvious one is the acute medication taken alongside, which crosses into medication-overuse headache more easily than most people expect and quietly raises the attack frequency.
Treatment aimed at the actual pathway
Where the pattern is facial and autonomic, the sphenopalatine ganglion block targets a nerve bundle behind the nose that carries exactly those symptoms. The anesthetic is delivered topically through a soft catheter in the nostril; there is no needle.
Common questions
I have had sinus surgery and the headaches continued. What now?
That history is itself informative — it is one of the more common routes to a migraine diagnosis being made late. See sinus headache or migraine, then get in touch.
Does the SPG block involve a needle?
No. It is delivered topically through a soft catheter in the nostril. See the SPG block explained.
Do you take Illinois insurance?
We verify benefits before treatment and will tell you what your plan covers. Note that an authorization is a confirmation that a service meets criteria for review, not a guarantee of payment — details on the contact page.