how to fix a deviated septum without surgery

Can you fix a deviated septum without surgery?

Yes, you can – there are natural methods that don't require surgery. And in this complete guide we cover every method that can help you. But…

Remember that natural methods for fixing a deviated septum do not have the support of scientific studies that surgical methods do. In other words, while surgeries for deviated septum have been tested in scientific studies, natural methods have not.

With that said, there are natural methods that many people have used with success, and that you can try at home to get relief from the symptoms of deviated septum. We cover all of those methods in this guide.

How to Fix a Deviated Septum Without Surgery

Home treatments for a deviated septum include:

• Essential oils
• Dietary changes
• Supplements
  
• Devices
  
• Medications
  
• Exercises (yoga and Buteyko breathing)
  
• Eastern medicine (Ayurveda)

And more! Let's get into each one:

Essential Oil for a Deviated Septum

There are a number of essential oils that can alleviate the breathing problems associated with a deviated septum. These include:

• Eucalyptus Oil: This oil is obtained through steam distillation of eucalyptus leaves (Eucalyptus globulus). The extracted oil is a colorless or pale-yellow liquid, with an aromatic, sweet smell.

External application of eucalyptus oil decreases the formation of mucus (slimy substance on the inner surface of the nose and sinus), reducing nasal congestion. Inhalation of steam mixed with eucalyptus oil (12 drops of oil in 150 ml of boiling water) reduces bacterial activity and inflammation. It also helps reduce headaches induced by sinonasal congestion. This oil should not be used during pregnancy, lactation, and in infants. ¹ Ali, Babar & Al-Wabel, Professor Dr. Naser & Shams, Saiba & Ahmad, Aftab & Khan, Shah & Anwar, Firoz. (2015). Essential oils used in aromatherapy, A systemic review. Asian Pacific Journal of Tropical Biomedicine.2015, 5:589-598

• Peppermint Oil\Herbal Tea: The peppermint oil (Menthae piperita) is obtained by steam distillation of fresh flowers. It is a colorless or pale-yellow liquid. The main constituent of peppermint oil is menthol which provides a cooling effect and relieves sinonasal congestion.

External application or inhalation of steam mixed with a few drops of the oil helps open the nasal passage, clear the mucus, and reduce headache. Due to its anti-inflammatory and antibacterial property, herbal tea prepared from peppermint also helps reduce sinus infections. This oil is not advised for infants, children, pregnant women, and lactating mothers. ² Ali, Babar & Al-Wabel, Professor Dr. Naser & Shams, Saiba & Ahmad, Aftab & Khan, Shah & Anwar, Firoz. (2015). Essential oils used in aromatherapy, A systemic review. Asian Pacific Journal of Tropical Biomedicine.2015, 5:589-598

• Lavender Oil

Lavender oil is commonly used in aromatherapy. The inhalation of lavender oil helps relieve headaches due to pressure from clogged sinuses. Its anti-inflammatory and antibacterial properties aid in reducing the inflammation in the nose and sinuses. Inhalation of this oil instills relaxing effects, reduces anxiety, clears the airway, and eases the breathing process. ³ Ali, Babar & Al-Wabel, Professor Dr. Naser & Shams, Saiba & Ahmad, Aftab & Khan, Shah & Anwar, Firoz. (2015). Essential oils used in aromatherapy, A systemic review. Asian Pacific Journal of Tropical Biomedicine.2015, 5:589-598

• Other Essential Oils ⁴ Hall, Elizabeth. "Natural Rx for Sinus Infections.

• Anise oil: This oil helps in thinning of the mucus and clearing of clogged nose and sinuses. This shouldn't be used for more than 2-3 weeks and is not advised in case of any allergic reactions. Its use is also restricted in individuals below 18 years of age, pregnant women, and lactating mothers.
• Thyme oil: This oil is obtained from the steam distillation of flowers of Thymus vulgaris. It is a yellow or dark reddish-brown liquid and is aromatic in nature. Inhalation of 4-5 drops of thyme oil helps in thinning of the mucus and combats infection in the sinuses. This oil is not recommended in children below 5 years, pregnant women, lactating mothers, and individuals with thyroid and epileptic disorders.
• Oregano oil: This oil has antiseptic and antiallergic properties. Steam inhalation of the oil helps fight against bacterial activity and reduces sinus infection.
  
• Rosemary oil: It has antibacterial action and helps increase antioxidant levels in the body which eliminates infection in clogged sinuses, clearing the airway.

Diet for a Deviated Septum

Certain foods can cause congestion and inflammation, which can be made worse by a deviated septum. Here are some of the foods and dietary changes you can follow to reduce those side effects:

• Cayenne Pepper\Hot Peppers

They help reduce the inflammation present in the nose and sinuses. ⁵ Hardy, Mary L., and Elizabeth R. Volkmann. "2 Rhinosinusitis." Food and Nutrients in Disease Management (2016): 29. Research suggests that the use of cayenne pepper in the diet results in clearing congestion. It is a good source of vitamin A and helps relieve pain by promoting drainage of accumulated mucus in clogged sinuses. ⁶ Blom, Severijnen, Van Rijswijk, Mulder, Gerth Van Wijk, & Fokkens. (1998). The long-term effects of capsaicin aqueous spray on the nasal mucosa. Clinical Experimental Allergy, 28(11), 1351–1358.

• Ginger

Ginger (Zingiber officinale) is commercially available in wet and dry forms, both of which have great medicinal value. Its anti-inflammatory property causes shrinkage of the enlarged mucous lining (inner skin) of the sinus and nose. ⁷ Manohar, P. Ram. "Ayurvedic Uses." Ginger is commonly used in various medicinal formulations in Ayurveda. Below are some uses of ginger in relieving nose and sinus congestion: ⁸ Kunnumakkara, A. B., Koca, C., Dey, S., Gehlot, P., Yodkeeree, S., Danda, D., … Aggarwal, B. B. Traditional Uses of Spices: An Overview. Molecular Targets and Therapeutic Uses of Spices.2009, 1–24.

• Consumption of ginger along with jaggery for a month is effective against sinusitis and diminishes any difficulty in breathing.
• Ginger juice along with honey is also effective against sinusitis.
• A mix of ginger juice, rock salt, black pepper, long pepper, and dry ginger powder is effective against nasal congestion.

• Reduce Dairy Intake

Intake of dairy products increase the production of mucus (slimy substance). Dairy products are considered inflammatory, and may amplify the existing rhinosinusitis (inflammation of nose and sinus). Further, they may increase the patient's susceptibility to bacteria and impair sinus drainage. However, these claims do not have enough scientific backing. ¹⁰ Bartley, J., & McGlashan, S. R. Does milk increase mucus production? Medical Hypotheses.2010, 74(4): 732–734.

Supplements for a Deviated Septum

In addition to improving your overall health, there are supplements you can take that will reduce the effect of the deviated septum:

• Vitamin C: Vitamin C (ascorbic acid) is an important antioxidant in the respiratory tract. It is also an effective anti-inflammatory and anti-allergic supplement. Research suggests that it is effective in clearing the mucus from blocked sinuses. Vitamin C is largely taken orally. ¹¹ Jiao, J., Meng, N., Wang, H., & Zhang, L. (2013). The effects of vitamins C and B12 on human nasal ciliary beat frequency. BMC Complementary and Alternative Medicine. 2013;13(1).
• Vitamin D: Vitamin D has anti-inflammatory properties and hence aids in a reduction in the size of an inflamed mucosa (inner skin) of the nose and sinus. Research suggests that the incidence of chronic rhinosinusitis with vitamin D deficiency is more common in females than males. It also suggests that symptoms in chronic rhinosinusitis (especially smell related) show significant improvement with vitamin D. ¹² Al-Ebiary, Hassan A., et al. "Role of vitamin D in chronic rhinosinusitis: a systematic review and meta-analysis study." The Egyptian Journal of Otolaryngology 34.1 (2018): 1.
• Magnesium and Calcium: Research suggests that reduced magnesium levels in the body can aggravate headaches and can be associated with various diseases including sinusitis. Magnesium is also essential for the absorption of calcium in the body. Meanwhile, calcium acts against inflammation-causing substances (histamine) in individuals with sinusitis. ¹³ Johnson S. The multifaceted and widespread pathology of magnesium deficiency. Med Hypotheses. 2001;56(2):163-170.

Devices That Help a Deviated Septum

As you would expect, where there's a health problem, there's a device that can help!

Here are the main nasal devices that can help a deviated septum:

• Neti Pot

This is an alternative therapy for the treatment of sinonasal disorders. This method involves pouring lukewarm saltwater in a pot and flushing the nose. The pot resembles a teapot with a conical, tapered spout. The spout is easy to insert in the opening of the nostrils and forms a seal. ¹⁴ Scott, John. "Nasal irrigation for allergies, sinusitis-and winter sniffles?." Foods Matter (2008): 13.This seal allows flushing of the nose without entering the mouth. The volume of neti pots range from 30-500ml. ¹⁵ Jeffe, J. S., Bhushan, B., & Schroeder, J. W. (2012). Nasal saline irrigation in children: A study of compliance and tolerance. International Journal of Pediatric Otorhinolaryngology, 76(3), 409–413.

While using, the spout of the pot is inserted into a nostril. The position of head and pot are tilted and adjusted until there is no spilling. The use of neti pot aids in mucociliary clearance (draining of mucus embedded with foreign particles), which eases nasal and sinus congestion. ¹⁶ Jeffe, J. S., Bhushan, B., & Schroeder, J. W. (2012). Nasal saline irrigation in children: A study of compliance and tolerance. International Journal of Pediatric Otorhinolaryngology, 76(3), 409–413.

Here's a video showing how to use a neti pot:

• Pillows

In individuals with sinus inflammation, sleeping on the back with a flat pillow may lead to discomfort due to pressure created by the accumulation of mucus. The use of double or wedge-shaped pillows helps them keep their head elevated which aids in drainage of mucus (due to gravity). This prevents the accumulation of mucus at one site, reducing discomfort. ¹⁷ Farrer, Fae. "Blocked nose and sinus headaches: clinical." SA Pharmacist's Assistant 14.3 (2014): 16-18

• Humidifier

Sometimes if the air inhaled is too dry, it can cause thickening of mucosa (inner skin) of the nose and sinus. This can reduce the drainage of mucus (mucociliary clearance). The thickened mucosa further obstructs the airway passage, causing difficulty in breathing. Over time, this congestion can lead to pain and a headache. ¹⁸ Keck, T., Dürr, J., Leiacker, R., Rozsasi, A., Rettinger, G., & Rother, T. (2006). Influence of passive humidification on nasal conditioning. American Journal of Rhinology, 20(5), 430–433.

Devices such as the humidifier add moisture to the air, preventing dryness of the mucosa. Humidifiers come in various shapes and sizes and can be purchased based on the purpose and use. These devices are also recommended to individuals after sinus and nose surgeries. ¹⁹ Best Humidifier for Sinus Problems (All Types Compared 2020);Humidity expert; August 7, 2020

• Nose Cones

These are soft, flexible, nasal devices which assist in dilating the nostril to ease breathing in a blocked airway passage. These are commonly used for unrestricted breathing in individuals with sleep apnea or nasal obstruction due to deviated nasal septum. ²⁰ Raudenbush, Bryan. Stenting the nasal airway for maximizing inspiratory airflow: Internal Max-Air Nose Cones versus external Breathe Right strip. American journal of rhinology & allergy.2011,25: 249-51.

Here's a video showing a popular brand of nose cones:

• Nasal Strips

These consist of an adhesive strip with two parallel bands, and helps broaden the nostrils for unrestricted breathing. It is placed 1 cm above the nostril openings and extends horizontally from one nasal wing (flares of the nose) to the other. These strips prevent the closing of the nasal wings while breathing to increase the airflow. ²¹ Dinardi RR, de Andrade CR, Ibiapina Cda C. External nasal dilators: definition, background, and current uses. Int J Gen Med. 2014;7:491-504. Published 2014 Nov 11.

Here's a video showing nasal strips:

• Nasal Dilator

 A nasal dilator is a small plastic device that comes in various forms (in-nostril stents, in-nostril cones, and external strips) and is designed to mechanically open users' nasal passages. By increasing the diameter of the nostril, the dilators enhance the airflow and reduce the impact of the deviated septum. These are also effective in overcoming difficulty in breathing among pregnant women and infants. ²² Corey JP, Houser SM, Ng BA. Nasal congestion: a review of its etiology, evaluation, and treatment. Ear Nose Throat J. 2000;79(9)

Here's a video showing one brand of nasal dilator:

• Airway Remodeling Devices

Airway Remodeling Devices(e.g., Vivaer Nasal Airway Remodeling Device): This device uses heat to reshape tissues on the inner sidewalls of the nose. This creates more space in the nasal passage and improves breathing. The treatment can be carried out under local anesthesia and requires minimal intrusion. This non-surgical therapy is helpful in individuals with the deviated nasal septum, congestion, and snoring. ²⁴ Brehmer, D., Bodlaj, R. & Gerhards, F. A prospective, non-randomized evaluation of a novel low energy radiofrequency treatment for nasal obstruction and snoring. Eur Arch Otorhinolaryngol 2019,276:1039–1047.

Here's a video showing one brand of airway remodeling device:

• Hot Shower/Steam Therapy

Steam therapy using vaporizer moisturizes the dry, enlarged mucosa of the nose and sinus. It softens the dry flaky crusts on the nose and liquefies the mucus for easier drainage. Steam inhalation can also be taken with essential oils (e.g., eucalyptus, lavender, peppermint oil) for more benefits. If steam inhalation is not possible, a hot water bath can provide relaxing effects. ²⁵ Druce, H. M. (1990). Adjuncts to Medical Management of Sinusitis. Otolaryngology-Head and Neck Surgery, 103(5_suppl), 880–883

Medication for a Deviated Septum

The main medications for a deviated septum reduce inflammation in the nasal passage and help to flush it out:

• Nasal Steroids: These have anti-inflammatory properties and help reduce the swelling in the inner skin of the nose. Steroids also help enlarge the diameter of the sinus opening which permits drainage of mucus from clogged sinuses. These are recommended in individuals with nasal obstruction, allergic conditions of nose, and sinusitis. ²⁶ Druce, H. M. (1990). Adjuncts to Medical Management of Sinusitis. Otolaryngology-Head and Neck Surgery, 103(5_suppl), 880–883
• Nasal Irrigation: The use of salt water irrigation or flushing of the nose acts as a decongestant when performed 2-3 times a day. It helps in mucociliary clearance (draining of mucus embedded with foreign particles), which eases congestion. Nasal irrigation helps in thinning the mucus and moisturizing the mucosa of nose and sinus. ²⁷ Druce, H. M. (1990). Adjuncts to Medical Management of Sinusitis. Otolaryngology-Head and Neck Surgery, 103(5_suppl), 880–883
• Allergy Medications (e.g., antihistamines/decongestants): Decongestants are considered the first line of drugs for the treatment of nasal congestion. They are available in oral and topical (applied on the surface of the skin) forms. The topical form can be used in the initial days of congestion. If congestion persists for more than 3 days, oral decongestants can be used. ²⁸ Druce, H. M. (1990). Adjuncts to Medical Management of Sinusitis. Otolaryngology-Head and Neck Surgery, 103(5_suppl), 880–883
  
• Homeopathic Medicine: Homeopathic medicine is an alternative therapy for the treatment of many chronic ailments including chronic rhinosinusitis. These are derived from natural resources such as plants and minerals in small quantities. The therapy relies on the self-curing ability of the body against diseases. ²⁹ Loudon I. A brief history of homeopathy. J R Soc Med. 2006;99(12):607-610.

The medicines prescribed in case of sinusitis include Mercurius (Merc.), Kalium bichromicum (Kali bi.), Silicea (Sil.), Kalium iodatum (Kali. Iod.), Lycopodium clavatum (Lyc.), Nux vomica (Nux vom.), Pulsatilla (Puls.), Arsenicum album (Ars.), Graphites (Graph.), and Sticta pulmonaria (Stic). ³⁰ Nayak, C., Singh, V., Singh, V. P., Oberai, P., Roja, V., Shitanshu, S. S., … Mathew, G. Homeopathy in chronic sinusitis: a prospective multi-centric observational study. Homeopathy.2012; 101(2)

While individuals benefit from the therapy, there is little scientific evidence to validate the use of this therapy.

Exercises for a Deviated Septum

There are some intriguing exercises to help in breathing problems, including problems caused by a deviated septum.

While these exercises have not been validated in scientific studies, there are many online chat forums where fans of these exercises describe their success in using them. The main exercises are:

• Buteyko breathing method: This breathing therapy teaches ways to control and hold the breath. It is based on the principle that deficiency of carbon dioxide in the body is the reason for chronic disorders. ³¹ Courtney, Rosalba. "Buteyko breathing method." Recognizing and Treating Breathing Disorders E-Book (2014): 241. As such, performing breath retaining exercises can elevate the level of carbon dioxide and cure the disorder.

This breathing method involves 3 steps: inhalation, exhalation, and automatic pause. These breathing exercises are to be practiced for a few minutes every day. It helps treat chronic rhinosinusitis and sleep apnea. ³² Stark, R., & Stark, J. (2015). Buteyko. Diet and Exercise in Cystic Fibrosis, 247–257. doi:10.1016/b978-0-12-800051-9.00029-8

• Yoga breathing techniques: Pranayama is an ancient Indian breathing exercise that involves controlling one's breathing. Research has shown that performing yogic breathing exercises helps in treating symptoms of chronic rhinosinusitis, nasal congestion, and other breathing disorders.³³ Abishek K, Bakshi SS, Bhavanani AB. The Efficacy of Yogic Breathing Exercise Bhramari Pranayama in Relieving Symptoms of Chronic Rhinosinusitis.Int J Yoga. 2019;12(2):120-123. Below are some of the breathing exercises:³⁴ Singh, Ram B., et al. "Pranayam yoga breathing practices modulate the mind-body connection."Int J Disability Human Dev 2 (2009): 141-153.

• Bhramari pranayama: This pranayama involves producing a humming sound which creates movement of air between the nose and sinuses. This movement of air assists in opening the blocked sinus opening, allowing drainage of mucus and reducing congestion. This can be practiced for 5-10 minutes every morning and evening.
• Kapalbhati: This pranayama includes slowly inhaling air, followed by a short and forceful exhalation.
• Anulome and Velome: This involves slow and deep inhaling of air from one nostril and exhaling from the other. This can be performed by closing one nostril with the thumb and then inhaling followed by closing the other nostril to exhale.
  
• Other useful breathing exercises include Nari shodhanam, bhastrika, and ujjayi.

Eastern Medical Techniques

There are other traditional techniques that originate from countries in Asia, notably India:

• Ayurveda: Panchakarma in Ayurveda consists of five (panch) procedures to cleanse the body's toxins. The procedure that involves the nose is called Nasyakarma. This therapy involves inhalation of medicated oil through the nostrils which helps eliminate mucus accumulated in the sinus, throat, nose, or head. This procedure aids in treating various chronic diseases including the deviated nasal septum, rhinosinusitis, and allergy. ³⁵ Rawal M, Chudasma KM, Vyas RV, Parmar BP. Effect of Vasantic Vaman and other Panchakarma procedures on disorders of various systems. Ayu. 2010;31(3):319-324. doi:10.4103/0974-8520.77160

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    Dinardi RR, de Andrade CR, Ibiapina Cda C. External nasal dilators: definition, background, and current uses.Int J Gen Med. 2014;7:491-504. Published 2014 Nov 11.
    

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    Nayak, C., Singh, V., Singh, V. P., Oberai, P., Roja, V., Shitanshu, S. S., … Mathew, G. Homeopathy in chronic sinusitis: a prospective multi-centric observational study. Homeopathy.2012; 101(2)
    

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    Abishek K, Bakshi SS, Bhavanani AB. The Efficacy of Yogic Breathing Exercise Bhramari Pranayama in Relieving Symptoms of Chronic Rhinosinusitis.Int J Yoga. 2019;12(2):120-123.
    

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    Singh, Ram B., et al. "Pranayam yoga breathing practices modulate the mind-body connection."Int J Disability Human Dev 2 (2009): 141-153.
    

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    Rawal M, Chudasma KM, Vyas RV, Parmar BP. Effect of Vasantic Vaman and other Panchakarma procedures on disorders of various systems.Ayu. 2010;31(3):319-324. doi:10.4103/0974-8520.77160

how to fix a deviated septum without surgery

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