About Sinus Headache
What Is A Sinus Headache?
A sinus headache refers to a type of headache that is associated with inflammation or congestion in the sinuses, which are air-filled cavities located in the facial bones around the nose and eyes. Sinus headache can often be confused with Sinus infections, however in the case of Sinus Headache it is a link to sensitised neural pathways from the brainstem. Sinus headaches are typically described as a dull, constant pain rather than a throbbing or pulsating sensation.
Sinus Headache Diagnosis
How Do We Diagnose A Sinus Headache?
To diagnose a sinus headache, healthcare professionals typically consider several factors, including a thorough medical history, physical examination, and assessment of symptoms, such as facial pain or pressure, nasal congestion, postnasal drip, or a thick nasal discharge may suggest a sinus-related issue.
It is important to differentiate sinus headache from a headache referred by other structures such as the neck. If your headache is not responding to direct sinus treatment such as antibiotics or antihistamines, rinsing with saline or cortisone sprays, it may not be a sinus headache. On occasion, a scan of the sinuses is required to determine if there really is a problem with the area or not, a clear scan means the pain is often being referred from other structures such as the upper neck.
Sinus Headache Symptoms

Facial pain or pressure
Localised in the forehead, cheeks, or around the eyes.
It may worsen with movement or when bending forward.

Nasal issues
Post nasal drip
Nasal congestion
Thick nasal discharge
Sinus Migraine – Frequently Asked Questions
What is a sinus migraine?
A sinus migraine is often mistaken for sinusitis due to overlapping symptoms like facial pain and nasal congestion. However, it is a type of migraine triggered by sinus-related issues or misdiagnosed as sinus headaches.
What causes sinus migraine?
Sinus migraine can be triggered by weather changes, barometric pressure shifts, allergies, or sinus infections, which may irritate the trigeminal nerve and lead to migraine symptoms.
What are the symptoms of sinus migraine?
Symptoms include facial pain or pressure, nasal congestion, sensitivity to light and sound, nausea, and a throbbing headache, often on one side of the head.
How is sinus migraine different from sinusitis?
Sinusitis is caused by an infection or inflammation of the sinuses, often accompanied by fever and thick nasal discharge. Sinus migraine, on the other hand, is a neurological condition with no infection present.
How is sinus migraine diagnosed?
Diagnosis involves ruling out sinusitis through imaging or physical examination and identifying migraine-specific symptoms like sensitivity to light, nausea, or aura.
What triggers sinus migraine?
Common triggers include weather changes, allergies, strong smells, dehydration, and stress. Identifying and managing these triggers can help reduce the frequency of attacks.
How is sinus migraine treated?
Treatment may include manua; therapy using the Watson Headache® Approach to desensitise the brain stem. Migraine-specific medications like triptans, preventive medications, and lifestyle changes. Addressing sinus-related triggers, such as allergies, can also be beneficial.
Can sinus migraine be prevented?
Prevention involves managing triggers, maintaining a consistent sleep schedule, staying hydrated, and using preventive medications if prescribed by a healthcare provider.
What are the risks of untreated sinus migraine?
Untreated sinus migraine can lead to chronic migraine, increased sensitivity to triggers, and a reduced quality of life due to frequent and debilitating symptoms.
Who can help with sinus migraine?
A neurologist or headache practitioners can provide a proper diagnosis and treatment plan. Allergy specialists may also help if allergies are a significant trigger.
Read More Headache & Migraine Blogs
Exercise and Headache Management: Your Path to Relief and Wellness
Headaches can be a debilitating part of life, affecting your productivity, mood, and overall well-being. While medication and lifestyle changes are often the first line of defence, one powerful yet...
Technology and Headaches: How to Stay Connected Without the Pain
In today’s digital age, technology is an integral part of our lives. From work to leisure, we spend countless hours in front of screens. While technology has made life more convenient, it has also...
Migraine Relief in Sydney: Natural Solutions That Work
Are you one of the thousands of Sydneysiders suffering from frequent migraines? You're not alone. Migraines are more than just headaches – they can be debilitating, affecting your work,...