Sinus Headaches

What is a sinus headache?

A sinus headache is a type of headache caused by inflammation or pressure in the sinuses which are air-filled spaces located in your forehead, cheeks, and behind your eyes.  When the sinuses become blocked or inflamed, pressure builds and can lead to pain and discomfort.

What does a sinus headache feel like?

A sinus headache typically causes:

• Pressure or pain in the forehead, cheeks, or around the eyes
• Pain that worsens when bending forward or lying down
• Facial tenderness
• A feeling of fullness in the head

The discomfort is often described as a deep, constant pressure rather than sharp pain.

What causes a sinus headache?

Sinus headaches are usually caused by conditions that block or inflame the sinuses, including:

• Sinus infections (sinusitis)
• Allergies
• Nasal congestion
• Structural issues like a deviated septum

In Newport News and Hampton Roads, VA, seasonal allergies and humidity can contribute to sinus inflammation and pressure.

Are sinus headaches the same as migraines?

Not always, and this is one of the most common misunderstandings. Many headaches people think are “sinus headaches” are actually migraines.

Sinus headache:

• Associated with nasal congestion and sinus symptoms
• Often includes thick nasal discharge
• Typically occurs with a sinus infection

Migraine:

• May include nausea or sensitivity to light and sound
• Can occur without sinus symptoms
• Often more severe and recurring

A proper evaluation can help determine the correct cause. (mayoclinic.org)

What other symptoms occur with sinus headaches?

Sinus headaches are often accompanied by:

• Nasal congestion
• Thick nasal discharge (yellow or green)
• Post-nasal drip
• Fever (in some cases)
• Fatigue

These symptoms help distinguish sinus-related headaches from other types.

How are sinus headaches diagnosed?

Diagnosis typically includes:

• A review of your symptoms and medical history
• Physical examination of your nose and sinuses
• Evaluation for sinus infection or inflammation

In some cases, imaging or nasal endoscopy may be recommended.

What are the treatment options for sinus headaches?

Treatment focuses on relieving pressure and addressing the underlying cause.

Common treatments include:

• Treating sinus inflammation

• • Nasal steroid sprays
  • Decongestants
  • Antihistamines (if allergies are involved)

• Treating infections

• • Antibiotics (if bacterial sinus infection is present)

• Supportive care

• • Saline nasal rinses
  • Hydration
  • Warm compresses

• Addressing underlying issues

• • Allergy management
  • Treatment for structural problems if needed

Are sinus headaches common in Newport News and Hampton Roads?

Yes. Local factors that contribute include:

• Seasonal pollen exposure
• High humidity (which can increase mold and allergens)
• Frequent sinus congestion

These can lead to recurring sinus pressure and headaches.

When should I see an ENT specialist?

You should consider evaluation if:

• Headaches are frequent or recurring
• Symptoms last longer than 10–14 days
• You have ongoing sinus pressure or congestion
• Over-the-counter treatments are not helping
• You are unsure if your headaches are sinus-related or migraines

Can sinus headaches affect daily life?

Yes. They can interfere with:

• Work and productivity
• Sleep
• Daily comfort

Proper diagnosis is key to effective relief.

Is there a cure for sinus headaches?

Because sinus headaches are caused by underlying sinus issues, treatment focuses on addressing the root cause. With proper care, most patients experience significant relief.

Ready to Find Relief in Newport News or Hampton Roads?

If you’re experiencing ongoing facial pressure or headaches, it’s important to determine the cause. Schedule an evaluation today with Dr. Timothy Queen and his expert team to identify whether your symptoms are sinus-related and create a personalized treatment plan.

References

• Mayo Clinic. Sinus Headaches: Symptoms & Causes
• Mayo Clinic. Sinus Headaches vs Migraine
• Cleveland Clinic. Sinus Headache Overview
• American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS). Sinus Conditions