Sinus headaches are often misdiagnosed as sinusitis when they may actually be migraines or tension headaches. Migraines can cause pain and nasal symptoms in or near the sinus cavity due to the irritation of the trigeminal nerve. It’s important to note that sinus headache is not a medical diagnosis but rather a description of symptoms.
The symptoms of sinus headaches can be similar to those of migraines and tension headaches. These symptoms may include pain and pressure around the eyes, cheeks, and forehead, nasal congestion, runny nose, eye redness, tearing, or eyelid swelling, and symptoms on one or both sides of the face.
It’s crucial to differentiate between sinusitis and migraines/tension headaches to determine the appropriate treatment. Sinusitis is associated with nasal congestion or obstruction, thick nasal discharge, and facial pain or pressure. On the other hand, facial pain or pressure without cloudy or colored nasal discharge is unlikely to be a sinus infection.
To diagnose migraines, doctors consider symptoms, frequency, severity, family history, and perform a physical exam. Additional tests, such as an MRI, may be ordered to rule out other serious conditions causing headache pain.
Treatment for migraines includes over-the-counter or prescription medications for acute relief and preventative medications for severe or frequent headaches. Sinus headaches caused by migraines or tension headaches should not be treated with antibiotics.
Lifestyle changes can also help reduce the number and severity of headaches. These changes may include avoiding triggers, regular exercise, establishing a daily routine with regular sleep patterns and meals, stress management, and reducing estrogen intake if it triggers or worsens headaches in women.
It’s important to consult a healthcare professional for an accurate diagnosis and appropriate treatment based on the severity and frequency of your headaches. Keeping a headache diary can also help track symptoms, triggers, and treatments