Sinus headaches 

Overview  

Sinus headaches often resemble sinus infections (sinusitis), leading to facial pain and tenderness. The sensation frequently presents as a persistent, mild throbbing located around the eyes, cheekbones, forehead, and the nasal bridge. Sudden head movements or bending over tend to exacerbate the ache. Typically, these headaches subside as the underlying sinus infection naturally resolves.  

However, it is advisable to seek medical attention if the headache persists for more than a week, as it could indicate a more serious concern.  

Symptoms  

 These are some possible signs and symptoms of sinus headaches:  

• Discomfort, pressure, and a sensation of fullness in the forehead, brow, or cheeks. 
• Exacerbation of pain when bending forward or reclining. 
• Congested or blocked nose. 
• Feelings of tiredness. 
• Dull ache in the upper teeth.

Distinguishing between migraines and sinusitis–related headaches can be confusing due to overlapping symptoms. Both worsen with forward bending. Migraines involve nasal signs due to the autonomic system, leading to the misdiagnosis of sinus headaches. Unlike migraines, sinusitis headaches lack nausea, vomiting, noise, and light sensitivity. Sinusitis–related headaches follow colds, have discolored mucus, affect smell, and cause cheek or teeth pain. Sinus headaches last longer, while migraines last hours to a day or two. 

When to Seek Medical Attention: 

• Frequent Headaches: If you have headache symptoms occurring over 15 days a month or find yourself relying on non–prescription pain medication frequently. 
• Severe Headaches: If you experience intense headaches that don’t respond to over–the–counter pain relief. 
• Disruption of Daily Life: If your headaches lead to missed school, work, or interfere with your daily activities. 

Causes  

Sinus headaches are often associated with migraines or other types of headaches, characterized by facial and sinus pain, along with nasal symptoms. It’s important to understand that these headaches are typically not related to sinus infections and generally do not require antibiotic treatment. 

Risk factors  

Sinus headaches arise due to sinus infections. Understanding the factors that increase the risk of sinus infections can be beneficial in reducing the occurrence of such headaches. The risk factors include: 

• Presence of the common cold. 
• Experience of seasonal allergies. 
• Smoking or exposure to secondhand smoke. 
• Presence of structural abnormalities in the sinuses, such as nasal polyps or a deviated septum, which can lead to the retention of mucus in the sinuses.
• Weakened immune system or usage of immune–suppressing medications, which heighten susceptibility to infections, including sinus infections.