Alliance Sinus & Allergy Center

Millions of Americans suffer from allergies, which can range from mild discomfort to severe illness. We are proud to offer comprehensive allergy testing and treatment, including sublingual immunotherapy.

The Alliance Sinus & Allergy Center is dedicated to the best and most advanced methods of diagnosis and treatment of allergies. We’re a unique center – based in Wauwatosa, Wisconsin – where nationally recognized asthma and allergy doctors, careful diagnoses, cutting-edge treatments, ongoing research, and education of patients are the primary objectives. Our allergists and healthcare providers devote themselves to teaching pediatric and adult patients about their diseases, the underlying causes of their symptoms, the application of the latest treatments and research, and the potential benefits and dangers of these treatments.

Alliance was the first office in Southeastern Wisconsin to perform the in-office balloon sinus dilation procedure.  Alliance surgeons were the first to place drug eluting sinus implants (Propel, Contour) into the sinus cavities in the office setting and is the first office to offer Sinuva, the next generation of drug eluting implants. Alliance was also an investigational site (2012-2015) for the MERLOT Study which was a prospective multicenter study that looked at outcomes related to medical therapy versus sinus surgery using balloon sinus dilation technology.

Patients with sinus and allergy problems are routinely referred to our Sinus & Allergy Center by both primary-care doctors and specialists, particularly when patients require extra care or are difficult to manage with standard treatment programs. If you require allergy testing or treatment of your sinus problems, please contact us at 414-727-0910 or visit the tabs below for more information.

When dealing with problems related to the nose, it is important to determine if the issues are being caused by allergies or sinus problems. These conditions often overlap and may present many of the same side effects, so determining the exact cause of your symptoms is essential to ensuring you receive the best care possible. Our team at Alliance contains some of Wisconsin’s best allergists and ear, nose, and throat doctors, so if your symptoms are allergy related or sinus related, we have the technology and expertise to help you. Our team is equipped to handle a variety of different allergies including rhinitis, food allergies, drug allergies, eczema, and many other allergies in both children and adults.

When you visit Alliance for your appointment, our doctors will make use of all the available tools including physical examinations and a variety of allergy testing methods to determine the cause of your symptoms. From there we will work with you to develop a treatment plan tailored to your unique situation and your treatment preferences.

For many people, allergies can be a lifelong problem, holding them back and harming their quality of life despite numerous doctor visits and dozens of different medications. Contact Alliance today at 414-727-0910 to learn more about our team and how we can help alleviate your allergy problems, and get your life back.

Allergies are one of the more common afflictions affecting Americans, some researches estimate that as many as 50 million Americans suffer from allergies(1). Allergies can range from nuisances to life threatening depending on the severity of the reaction and how common the allergen is.  If you’re one of the millions of Americans who suffer from allergies, it is likely that you have spent large amounts of money, time, and energy trying to deal with your symptoms. Fortunately, the talented doctors at Alliance can help manage you manage your allergies and improve your quality of life.

While there is no way to permanently cure allergies, allergen immunotherapy can act as an effective treatment for them. Many treatments like over the counter allergy medication work to treat the symptoms of allergies without doing anything about the underlying  cause of allergies, sensitivity in your immune system.

Your immune system protects you from diseases and harmful substances by producing antibodies to counteract them. If you have allergies, your immune system has identified a substance (like pet hair or pollen) as harmful even though they aren’t, so when you come in contact with these substances your body reacts by releasing antibodies, causing an allergic reaction. Allergen immunotherapy works by increasing your immune system’s resistance to allergens so your body does not react as violently when you come in contact with them, reducing your symptoms.

Before you undergo allergen immunotherapy treatment at Alliance, our doctors will work to make sure we have correctly identified your allergies, as they can change over time. We will administer one of a number of different allergen sensitivity tests to accurately determine what you are allergic to. We will then prescribe the appropriate immunotherapy treatment.

Allergen immunotherapy comes in two forms, injections (also known as allergy shots), and sublingual (under the tongue) drops or tablets. For allergy shots, your doctor will administer allergen treatments once or twice a week for a few months to build up your system’s tolerance over time. Once an effective amount has been reached, your doctor will only need to administer shots once every two to four weeks depending on your response to the treatment. For sublingual immunotherapy, your will take small tablets or drops underneath your tongue that can be swallowed after about two minutes. This procedure can be performed at home and should be done as often as your doctor recommends. This treatment can continue for a few years to slowly build up your system’s tolerance.

The doctors at Alliance are dedicated to ensuring that you receive the very best treatment, and we are proud to offer allergen immunotherapy as a way for our patients to alleviate their allergies and live their lives worry free. Contact Alliance today at 414-727-0910 to learn more and see if allergen immunotherapy is the right treatment for your allergies.


(1) Wood R, Camargo C, Lieberman P, etc. Anaphylaxis in America: the prevalence and characteristics of anaphylaxis in the United States. J Allergy Clin Immunol. Feb 2014; 133(2): 461-7. Doi:10.1016/j.jaci.2013.08.016.

Sinusitis is defined as an inflammation of the sinus lining commonly caused by bacterial, viral, or microbial infections; as well as structural issues such as ostial blockage. Symptoms include nasal congestion, facial discomfort, nasal discharge, headache, and fatigue. Sinusitis which persists for 12 weeks or more is referred to as chronic sinusitis and can be painful and disruptive to your everyday life. For chronic sinusitis where antibiotics have not proven effective, balloon sinuplasty offers an FDA-cleared, minimally-invasive alternative to more expensive sinus surgeries.

With balloon sinuplasty, your doctor at Alliance will open inflamed sinuses in the same way that heart surgeons open up blocked arteries during balloon angioplasty. Your doctor will administer local anesthesia and insert a flexible catheter topped with a small balloon into your nose. Once the balloon is in place your doctor will inflate the balloon, opening up your sinus passages without harming the surrounding tissue. The balloon will then be deflated and removed from your body. The procedure is less invasive than traditional sinus surgery, and effective at relieving symptoms of chronic sinusitis. Best of all, balloon sinuplasty can be performed in-office at Alliance by one of our talented doctors, and recovery time can be as little as 24 hours.

Dr. Rieder and Dr. Hertler are the leading experts in Wisconsin for providing this procedure. If you live in the Milwaukee, Franklin, or Brookfield area, Alliance can offer balloon sinuplasty treatment to help alleviate your symptoms and help you breathe freely again. If other treatments for your sinusitis have not worked for you, contact Alliance today at 414-727-0910 and schedule an appointment to see if balloon sinuplasty is right for you.

Having unblocked nasal passages is easy to take for granted until blockage occurs. Blocked nasal passages make it difficult or impossible to breathe through your nose, making simple activities like eating dinner, speaking to your friends, and sleeping much more difficult. Nasal blockage can be caused by small structures in your face called turbinates. Turbinates are small bony structures covered in mucous membranes that are located inside your nasal passages.

Normally your turbinates perform a number of important functions in your body, like filtering and humidifying the air you breathe. However, breathing in allergens, certain household chemicals, and smoke can irritate the tissue of your turbinates, causing them to become inflamed and enlarged. Enlarged turbinates can them cause nasal blockage. In many cases enlarged turbinates can be dealt with using medication or avoiding irritants, but in some cases turbinate enlargement may require other methods to treat.

Turbinate reduction is a procedure that can be used to treat enlarged turbinates. The procedure utilizes a specialized coblation device to heat up very precise areas of the turbinates to remove or shrink the tissue without harming the surrounding areas. Turbinate reduction can be performed in-office at Alliance by one of our doctors and takes around 10 minutes to complete. Downtime after surgery is minimal, and most patients can return to normal activity very quickly. Contact Alliance today at 414-727-0910 to see if turbinate reduction is the right solution to your nasal blockage symptoms

New technology has provided a number of excellent ways to treat nasal problems, but sometimes conventional surgical options are viable solutions. At Alliance, our doctors have decades of experience performing sinus surgery on our patients, and Dr. Rieder was one of the first physicians in Southeastern Wisconsin to perform in-office sinus procedures such as balloon sinuplasty and turbinate reduction. At Alliance we believe that in order to provide the highest quality of care it is vital to explore all the available options for our patients. Contact us today at 414-727-0910 to learn more about the services we offer and how we can help you.

Alliance is proud to be the first practice in Wisconsin to utilize the new SINUVA implant to help treat nasal polyps. SINUVA is a small implant that is inserted into the nasal cavity during your office visit without surgery. Once the implant is in place it expands, opening up your sinus cavities before releasing anti-inflammatory medicine to help treat nasal polyps. The implant stays in place for up to 90 days and can be removed earlier if your doctor decides removal is the best course of action.

SINUVA is designed to help treat nasal polyps as an alternative to surgery or other treatments for adults who have already undergone ethmoid sinus surgery. If you suffer recurring nasal polyps and surgery has not produced the results you need, contact Alliance today to learn if SINUVA is the right treatment for your sinus problems.