Richmond’s Sinus and Allergy Specialists

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Ask the Doctor: What is Empty Nose Syndrome?

Q: What is Empty Nose Syndrome? A: Empty nose syndrome is a very unpleasant condition characterized by a wide open, dry nose that drips and feels blocked.  Patients complain bitterly of nasal blockage while their physician insists that it is wide open.  The nose appears dry and crusty on examination, but drains constantly. Typically the inferior turbinates […]

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Dr. Armstrong Discusses New Treatments for Sinusitis and Nasal Congestion for ‘Boomer Magazine’ Online

Dr. Armstrong has contributed a sponsored article for Boomer Magazine online.  Boomer targets active adults, primarily ages 45 to 70, engaging their interests in arts and entertainment, food and drink, home, travel and recreation, history and nostalgia, health and finances, while recognizing their need to connect with their families – from children and grandchildren to aging parents and […]

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Ask the Doctor: Reconsidering Sinus Surgery with the Propel Contour Implant

Q: I had sinus surgery many years ago but it failed. Why would I consider it now? A: The most common reasons for failure after endoscopic sinus surgery include residual disease, nasal polyps and scarring. Sometimes, patients have had conservative surgery and simply need  their sinuses to be opened up more widely. Others have had narrowing of […]

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Dr. Armstrong featured in Richmond Times-Dispatch Article: ‘Simple procedure to treat sinusitis now covered by major insurers in Richmond’

Twelve years after it was approved by the U.S. Food and Drug Administration, a procedure that can help patients with sinusitis is finally accepted by all the major insurance carriers in Richmond. Anthem was the last insurer to begin considering balloon sinus dilation medically necessary earlier this month, said Dr. Michael Armstrong with Richmond’s Ear, […]

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Ask the Doctor: Using CPAP with a Stuffy Nose

Q: I have sleep apnea. How can I use CPAP with a stuffy nose? A: Nasal congestion is one of the most common reasons that patients with obstructive sleep apnea fail to use continuous positive airway pressure (CPAP) machines. Positive airway pressure is prescribed to hold the airway open by preventing collapse of the soft […]

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October is National Domestic Violence Awareness Month — Dr. Armstrong is a Volunteer Physician with AAFPRS FACE TO FACE Program

In honor of October as National Domestic Violence Awareness month, the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) and FACE TO FACE have teamed up to share the following infographic to spotlight the important issue of Domenstic Violence. Dr. Armstrong is a volunteer for the FACE TO FACE program , which provides free […]

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When should I stop my anti-coagulation before surgery?

Anticoagulants are commonly prescribed to prevent blood clots in the heart, leg veins and lungs, especially in patients with a history of atrial fibrillation, artificial heart valves, deep venous thrombosis or pulmonary embolism.  Anticoagulants will increase the risk of bleeding with any surgical procedure.  The need for anticoagulation should be balanced against the risk of […]

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Richmond: Sneeziest and Wheeziest City in America

Do you suffer from allergies?  If you live in the Richmond area, you’re certainly not alone!  The Natural Resources Defense Council recently named Richmond the “sneeziest and wheeziest” city in the United States, based on its combination of ragweed pollen and ozone smog.  Also named in the top 5 were Memphis, Oklahoma City, Philadelphia and […]

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Guest Post: Learning from the Specialist – My time at Richmond ENT

By Ava Torjani – Princeton Class of 2018 When I was first offered the Princeternship at Richmond ENT, I was given the perfect reason to be excited for an otherwise lonely spring break back at Princeton. I have had previous work experience in medicine but never in the field of otolaryngology (a.k.a. ear, nose, and throat), […]

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Sinus of the Times- Less Invasive Procedure Helps Patients Breathe Easier

Published in Richmond Magazine – December 2014 If the latest seasonal weather shift brings aching sinuses, scratchy throats and maybe a cough waiting in the wings, most of us tend to pop an allergy pill, grab an ibuprofen and hope that the sinuses clear until next season. For chronic sinusitis sufferers who find themselves  on […]

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