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Sinus Headache

Pressure and pain across the forehead, cheeks, or behind the eyes is often blamed on a "sinus headache," but the actual cause isn't always the sinuses. Here's how to tell the difference.

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Types of headaches. Illustrated guide showing the typical pain patterns for Sinus, Tension, Migraine, and Cluster headaches.

Types of headaches. Illustrated guide showing the typical pain patterns for Sinus, Tension, Migraine, and Cluster headaches.

How It Happens

Step by Step

A quick walkthrough of what's actually going on, so the treatment makes sense too.

  1. 1
    Sinus tissue inflames. From infection, allergies, or irritation, the lining inside the sinuses swells.
  2. 2
    Swelling presses on surrounding structures. The inflamed tissue puts pressure on nearby nerves and bone.
  3. 3
    Pressure radiates outward. That pressure is felt as pain across the forehead, cheeks, or behind the eyes, worse when you bend forward or lie down.

Signs to Watch For

Common Symptoms

Sinus Headache vs. Migraine

Migraines and sinus headaches share enough symptoms, facial pressure, congestion-like sensations, that they're commonly confused. An ENT evaluation helps tell the two apart, since the right treatment depends on getting that distinction right.

When Sinuses Are the Real Cause

True sinus-related headaches usually come with other signs of sinus involvement: nasal congestion, thick drainage, or a low fever. Pain alone, without those symptoms, more often points to a migraine or tension headache.

Treatment

When the sinuses are confirmed as the source, treatment focuses on resolving the underlying sinus issue rather than just managing the pain.

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