Sinus pressure blocked nose ear pain cervical pain pain in leg

Professional Assessment: The constellation of symptoms (sinus pressure, blocked nose, ear pain, cervical pain, and leg pain) suggests potential differential diagnoses including upper respiratory tract infection with secondary sinusitis and eustachian tube dysfunction, possibly complicated by cervical lymphadenopathy; however, the concurrent leg pain raises concern for systemic conditions such as viral infection or autoimmune processes. The pathophysiological mechanism likely involves inflammatory responses affecting the respiratory mucosa and lymphatic drainage, while the leg pain could represent either referred pain or separate musculoskeletal pathology - in a 34-year-old male, occupational factors and physical activity patterns should be considered as contributing factors. Given the patient's age and gender, additional risk factors to consider include workplace exposure, seasonal allergies, and anatomical variations of the nasal passages that are more common in males. Additional testing indicated includes: - Comprehensive ENT examination - Sinus CT scan if symptoms persist - Basic inflammatory markers (ESR, CRP) - Detailed neurological examination of cervical spine and lower extremities - Consider immunological workup if symptoms suggest systemic involvement

Take a combination of pseudoephedrine (30mg) and ibuprofen (400mg) every 6 hours to address both the sinus/ear pressure and pain symptoms, while applying a warm compress to the sinuses for 10 minutes 3 times daily. For the cervical and leg pain, perform gentle stretching exercises and use a topical pain relief cream containing menthol or capsaicin, applying it 3-4 times daily to the affected areas. Use a nasal saline spray every 4-6 hours to help clear the nasal passages and reduce sinus pressure. For additional treatment recommendations, ask in the chat.