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Diseases & Conditions

Sinus Headaches

(Also Called 'Sinus Headaches - Type')

The sinuses

Sinuses are air-filled cavities (spaces) located in your forehead, cheekbones, and behind the bridge of your nose. The sinuses produce a thin mucus that drains out of the channels of the nose. When a sinus becomes inflamed, usually as the result of an allergic reaction, a tumor, or an infection, the inflammation will prevent the outflow of mucus and cause a pain similar to that of a headache.

What are the symptoms of sinus headaches?

Sinus headaches are associated with a deep and constant pain in the cheekbones, forehead, or bridge of the nose. The pain usually intensifies with sudden head movement or straining. The pain is usually accompanied by other sinus symptoms, such as nasal discharge, feeling of fullness in the ears, fever, and facial swelling.

Whether the symptoms of headache can actually be attributed to the sinuses will need to be determined by a physician. If your headache is truly caused by a sinus blockage, such as an infection, you will likely have a fever. CT scans or MRI, along with a physical examination, are usually conducted to determine if there is a blockage in your sinuses.

How are sinus headaches treated?

Treatment of sinus headaches is usually directed toward symptom relief and treating the infection. Treatment might include antibiotics for the infection, as well as a short period of antihistamines or decongestants to treat the symptoms. If you take decongestants but do not have a true sinus headache, the medication could make your headache worse.

Other medications to treat sinus infections include analgesics (pain-relieving medications) and vasoconstrictors. Corticosteroids may be prescribed for some people when the pain continues after the use of analgesics. When an allergen is causing the sinus flare-ups, preventive allergy therapy is often needed.

Decongestant medications can be used to relieve headaches associated with sinus infections. Decongestants help relieve headache symptoms because they constrict blood vessels that cause headache pain. However, decongestant use can be habit-forming. If your headaches seem to be relieved by decongestants but you do not have a sinus infection, you may actually have a migraine or tension-type headache, which require treatment with abortive or preventive medications.

For treatment of chronic sinusitis, warm moist air may alleviate sinus congestion. Using a vaporizer or inhaling steam from a pan of boiling water (removed from heat) may also help. Warm compresses are useful to relieve pain in the nose and sinuses. Saline nose drops are also safe for home use.

Allergy and headache

It is a misconception that allergies cause headaches. However, allergies can cause sinus congestion, which can lead to headache pain. If you have allergies, the treatment for your allergy will not relieve your headache pain. The two conditions generally must be treated separately.

References
  • National Headache Foundation. Headache Topic Sheets: Sinus Headache www.headaches.org/. Accessed 2/1/2012
  • Aminoff M.J., Greenberg D.A., Simon R.P. (2009). Chapter 2. Headache & Facial Pain. In M.J. Aminoff, D.A. Greenberg, R.P. Simon (Eds), Clinical Neurology, 7e. Retrieved February 1, 2012 from www.accessmedicine.com/.
  • American Academy of Otolaryngology-Head and Neck Surgery. Health Information: Sinus Headaches. www.entnet.org/ Accessed 2/1/2012

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This information is provided by the Cleveland Clinic and is not intended to replace the medical advice of your doctor or health care provider. Please consult your health care provider for advice about a specific medical condition. This document was last reviewed on: 2/1/2012...#9641