Sinus headache refers to head and facial pain associated with congestion, inflammation, or infection of the sinuses (sinusitis). The sinuses are hollow cavities in the skull that have openings into the nose.
allergies cause congestion and inflammation of the nasal passages and can lead to sinusitis. Sinus headache is a symptom of sinusitis.
Sinus Headache: Areas of Pain
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Allergies and viral upper respiratory infections increase nasal secretions and cause tissue lining the nasal passages to swell. This results in nasal congestion and stuffiness. The opening into the sinuses become blocked and normal drainage cannot occur. Secretions that are trapped in the sinuses build up and may become infected with bacteria or, rarely, fungus. The swollen tissue, mucous build-up, or infection may create pain and pressure.
Factors that may increase your chance of a sinus headache include: Allergies, such as allergic rhinnitis or asthma
upper respiratory infectionEar infectionsEnlarged tonsils or adenoidsNasal polyps
Nasal deformities, such as a
deviated septumCystic fibrosisProblems with immunityPrior sinus surgeryFacial injuries that block sinus passagesTraveling in an airplane if you have an upper respiratory infectionTooth abscess or infectionSwimming in dirty water
A sinus headache may cause: Pain and tenderness behind the forehead, cheeks, and around the eyes and earsPain in the upper teethPain ranging from mild to severePain that is more intense first thing in the morningPain that may worsen when you bend over
Headache may occur with other symptoms of sinusitis, including:
Nasal stuffiness and congestionThick nasal drainagePostnasal dripFeverFatigueStuffy earsSore throatCoughPuffiness around the eyes
The doctor will ask about your symptoms and medical history, and perform a physical exam.
Imaging tests may include: CT scan—to look for sinus
fluidNasal endoscopy—to look inside your nose and possibly take samples of drainage to be tested
Sinus headache treatment aims to: Open the nasal passagesTreat any infectionAllow sinus cavities to drain
Treatment may include:
Medications may include: Pain relieversAntihistamines to treat nasal allergiesDecongestants to open clogged nasal passages, which allows the sinuses to drainSteroid nasal spray to reduce inflammationAntibiotics—only if a bacterial infection has developed
Self-care includes: Breathe warm, moist air. Try inhaling steam.Mist of saline nasal spray to moisten the nasal passages and help remove crusty secretions. A saline spray can be used up to 6 times per day.Ask your doctor for directions on how to perform nasal irrigation that you can do at home.
Drink plenty of fluidsDo not smoke. If you smoke, talk to your doctor about how you can
Avoid second-hand smoke and polluted air.
Surgery is usually not required. People with a structural abnormality or chronic sinusitis that do not respond to medications may benefit from surgery. The doctor may perform one of several procedures to enlarge the opening to your sinuses or clean out your sinus cavities.
To help reduce your chance of a sinus headache:
Avoid exposure to anything that
allergy or sinus symptoms.
Seek medical treatment for allergies.Wash your hands
frequently to avoid colds.
Seek treatment for a persistent cold before sinusitis sets in.Avoid alcoholic drinks. Alcohol can cause swelling of nasal and sinus tissues.Check with your doctor about using a decongestant before air travel.
Cady RK, Dodick DW, Levine HL, et al. Sinus headache: a neurology, otolaryngology, allergy, and primary care consensus on diagnosis and treatment.
Mayo Clinic Proc.
Hainer BL, Matheson EM. Approach to acute headache in adults. Am Fam Physician. 2013;87(10):682-687.
National Headache Foundation website. Available at:
http://www.headaches.org/2007/10/25/sinus-headache. Accessed September 29, 2014.
Sinus headaches. American Academy of Otolaryngology website. Available at:
http://www.entnet.org/?q=node/1410. Accessed July 29, 2014.
Asthma and Allergy Foundation of America website. Available at:
http://www.aafa.org/display.cfm?id=9&sub=18&cont=240. Accessed September 29, 2014.
Last reviewed September 2016 by David Horn, MD, FACP
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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