Can sinusitis lead to headaches. How to distinguish sinus headaches from migraines. What are the main causes of sinus inflammation. Which treatment options are available for sinus headaches. How to prevent sinus-related pain.

Understanding Sinus Headaches: Symptoms and Characteristics

Sinus headaches are often misunderstood and misdiagnosed. They are typically characterized by a pressure-like pain in specific areas of the face or head, particularly behind the eyes. To better understand this condition, let’s explore its key symptoms and how they differ from other types of headaches.

Key Symptoms of Sinus Headaches

• Localized pressure and pain in the face
• Tenderness when touching the affected areas
• Pain exacerbation with sudden head movements
• Increased discomfort in the morning
• Sensitivity to temperature changes
• Onset often coinciding with a cold or respiratory infection

Do sinus headaches worsen throughout the day. Unlike migraines, which may intensify with noise or light exposure, sinus headaches typically maintain a consistent level of discomfort, often feeling worse in the morning due to mucus accumulation overnight.

Associated Symptoms of Sinusitis

Sinus headaches are frequently accompanied by other symptoms related to sinus inflammation, or sinusitis. These may include:

• Nasal congestion or runny nose
• Postnasal drip and sore throat
• Discolored nasal discharge
• Low-grade fever
• General malaise and fatigue
• Pain in upper teeth

Is facial pressure always indicative of a sinus headache. While facial pressure is a common symptom, it’s important to note that migraines can also cause similar sensations. The key differentiator is that migraines are more likely to be accompanied by nausea and sensitivity to light and sound.

The Root Causes of Sinus Headaches: Unraveling the Mystery

Understanding the underlying causes of sinus headaches is crucial for effective treatment and prevention. Let’s delve into the primary factors that contribute to this painful condition.

Sinus Congestion and Inflammation

The main culprit behind sinus headaches is sinusitis, which is characterized by inflammation and congestion of the sinus cavities. But what causes sinusitis itself?

• Respiratory infections (colds, flu)
• Allergies (e.g., hay fever)
• Environmental irritants

How do healthy sinuses function. In normal conditions, sinuses allow mucus to drain and air to circulate freely through the nasal passages. When inflammation occurs, these pathways become blocked, creating an ideal environment for pathogens to thrive.

The Domino Effect of Sinus Blockage

When sinuses become blocked, several consequences can follow:

1. Mucus accumulation
2. Pressure buildup
3. Bacterial, viral, or fungal growth
4. Increased inflammation
5. Pain and discomfort

Can chronic sinusitis lead to long-term health issues. Prolonged sinus inflammation can indeed have more serious consequences, potentially affecting quality of life and leading to other complications if left untreated.

Risk Factors: Who’s Most Susceptible to Sinus Headaches?

While anyone can experience sinus headaches, certain factors can increase an individual’s susceptibility. Identifying these risk factors can help in prevention and early intervention.

Allergies and Respiratory Conditions

People with a history of allergies, particularly hay fever, or asthma are more prone to developing sinus headaches. These conditions can cause frequent inflammation of the nasal passages, increasing the likelihood of sinus blockages.

Anatomical Factors

Certain physical characteristics or conditions can predispose individuals to sinus problems:

• Nasal polyps
• Nasal bone spurs
• Deviated septum
• Cleft palate
• Facial or nasal tumors

How do these anatomical factors contribute to sinus headaches. These conditions can obstruct normal sinus drainage, leading to congestion and increased pressure within the sinus cavities.

Environmental and Lifestyle Factors

Certain activities or environmental conditions can also increase the risk of sinus headaches:

• Frequent flying or high-altitude climbing
• Regular swimming or diving
• Exposure to pollutants or irritants
• Smoking or secondhand smoke exposure

Can changes in air pressure affect sinus health. Indeed, rapid changes in air pressure, such as those experienced during air travel or scuba diving, can cause sinus pain and increase the risk of sinusitis.

Diagnosing Sinus Headaches: Separating Fact from Fiction

Accurate diagnosis of sinus headaches is crucial for effective treatment. However, these headaches are often confused with other types of headaches, particularly migraines. Let’s explore the diagnostic process and tools used by healthcare professionals.

Clinical Evaluation

The first step in diagnosing sinus headaches involves a thorough clinical evaluation:

• Detailed medical history
• Discussion of recent respiratory infections or allergy flare-ups
• Physical examination of the nose and face

What specific signs do doctors look for during a physical exam. Physicians will check for nasal congestion, discharge, and facial tenderness. They may also use a light to check for sinus inflammation by observing if light can pass through the sinuses.

Differential Diagnosis

Distinguishing sinus headaches from other types of headaches is a crucial part of the diagnostic process. Doctors will ask specific questions to differentiate between:

• Sinus headaches
• Migraines
• Tension headaches

How can patients help in the diagnostic process. Keeping a detailed headache diary, noting symptoms, triggers, and associated factors, can greatly assist healthcare providers in making an accurate diagnosis.

Advanced Diagnostic Tools

In cases of suspected chronic sinusitis or when the diagnosis is unclear, additional tests may be necessary:

• Imaging tests (X-rays, CT scans, MRI)
• Allergy testing
• Nasal endoscopy

When is a referral to a specialist necessary. If symptoms persist or if there’s suspicion of underlying structural issues, your doctor may refer you to an ear, nose, and throat (ENT) specialist for further evaluation and specialized treatment.

Treatment Strategies: Alleviating Sinus Headache Pain

The most effective approach to treating sinus headaches involves addressing the underlying sinus inflammation. Let’s explore various treatment strategies, from medication to lifestyle changes.

Medications for Sinus Headache Relief

Several types of medications can help alleviate sinus headache symptoms:

• Over-the-counter pain relievers
• Decongestants
• Antihistamines (for allergy-related sinusitis)
• Nasal corticosteroid sprays
• Antibiotics (for bacterial sinusitis)

How long does it typically take for antibiotics to improve sinus infection symptoms. While some relief may be felt within a few days, it’s important to complete the entire course of antibiotics as prescribed, which is usually 10-14 days.

Non-Pharmacological Approaches

Several non-drug methods can complement medical treatments:

• Nasal irrigation with saline solution
• Steam inhalation
• Warm compresses applied to the face
• Elevation of the head while sleeping
• Humidifier use to moisten air

Can dietary changes help alleviate sinus headaches. While not a direct treatment, maintaining proper hydration and avoiding known dietary triggers (such as alcohol or caffeine for some individuals) can support overall sinus health.

Alternative and Complementary Therapies

Some people find relief through alternative approaches:

• Acupuncture
• Herbal supplements (e.g., bromelain, quercetin)
• Essential oil inhalation (e.g., eucalyptus, peppermint)

Are these alternative therapies scientifically proven. While some people report benefits from these methods, it’s important to note that scientific evidence for their effectiveness is often limited. Always consult with a healthcare provider before trying alternative treatments.

Prevention Strategies: Keeping Sinus Headaches at Bay

Preventing sinus headaches often involves managing risk factors and maintaining good sinus health. Let’s explore some effective prevention strategies.

Environmental Control

Minimizing exposure to allergens and irritants can significantly reduce the risk of sinus inflammation:

• Use air purifiers with HEPA filters
• Keep indoor humidity levels between 30-50%
• Regularly clean and replace air filters
• Avoid known allergens and irritants

How often should air filters be replaced. This depends on the type of filter and air quality, but generally, it’s recommended to change them every 3-6 months.

Lifestyle Modifications

Certain lifestyle changes can promote better sinus health:

• Stay hydrated
• Practice good hand hygiene
• Avoid smoking and secondhand smoke
• Manage stress through relaxation techniques
• Maintain a balanced diet rich in anti-inflammatory foods

Can regular exercise help prevent sinus headaches. While not directly preventing sinus headaches, regular exercise can boost overall immune function and help manage stress, potentially reducing the frequency of sinus-related issues.

Proactive Sinus Care

Regular sinus care can help maintain healthy sinuses and prevent inflammation:

• Use a neti pot or saline nasal spray regularly
• Practice proper nasal hygiene
• Consider using a humidifier in dry environments
• Manage allergies proactively with appropriate medications

How often should nasal irrigation be performed. For general sinus health, once or twice daily is often recommended, but individual needs may vary. It’s best to consult with a healthcare provider for personalized advice.

When to Seek Medical Help: Recognizing Serious Symptoms

While many sinus headaches can be managed at home, certain symptoms warrant immediate medical attention. Understanding when to seek help is crucial for preventing complications and ensuring proper treatment.

Red Flags for Immediate Medical Attention

The following symptoms may indicate a more serious condition:

• Severe headache with sudden onset
• Headache accompanied by fever over 101°F (38.3°C)
• Mental confusion or personality changes
• Visual disturbances or eye swelling
• Stiff neck along with headache
• Persistent headache after a head injury

Can sinus infections lead to more serious complications. In rare cases, untreated sinus infections can spread to nearby structures, potentially causing serious complications such as meningitis or brain abscesses. This underscores the importance of proper treatment and medical follow-up.

Chronic Sinus Issues

If sinus headaches are frequent or persistent, it’s important to consult a healthcare provider. Chronic sinusitis may require specialized treatment. Signs of chronic issues include:

• Headaches lasting more than 10 days
• Recurring headaches several times a month
• Headaches unresponsive to over-the-counter treatments
• Persistent nasal discharge or congestion

How is chronic sinusitis treated differently from acute cases. Chronic sinusitis often requires a more comprehensive approach, potentially including long-term use of corticosteroid nasal sprays, immunotherapy for allergies, or in some cases, surgical intervention to correct structural issues.

Follow-Up Care

Even after successful treatment, follow-up care is important:

• Regular check-ups with your healthcare provider
• Monitoring for recurrence of symptoms
• Adjusting prevention strategies as needed
• Discussing any new or changing symptoms promptly

How often should one have follow-up appointments for chronic sinus issues. The frequency of follow-up appointments can vary based on individual cases, but typically, patients with chronic sinusitis might have check-ups every 3-6 months, or as recommended by their healthcare provider.

Understanding sinus headaches, their causes, and effective management strategies can significantly improve quality of life for those affected by this condition. By recognizing symptoms early, seeking appropriate treatment, and implementing prevention strategies, many individuals can find relief from the discomfort of sinus headaches. Remember, while self-care measures can be effective for mild cases, persistent or severe symptoms should always be evaluated by a healthcare professional to ensure proper diagnosis and treatment.

Sinus headache Information | Mount Sinai

Headache – sinus

Signs and Symptoms

Sinus headaches typically have the following symptoms:

• Pressure-like pain in one specific area of your face or head (for example, behind your eyes)
• Face is tender to the touch
• Pain is worse with sudden movements of the head and bending forward
• Pain is worse in the morning because mucus collects and drains through the night
• Sudden temperature changes, like going out into the cold from a warm room, worsen the pain
• Headache often starts when you have a bad cold or just after
• Congested or runny nose

Other symptoms may be related to sinus inflammation (sinusitis):

• Fever
• Postnasal drip with sore throat (pharyngitis)
• Yellow or green discharge from your nose
• Red and swollen nasal passages (nasal congestion)
• Mild-to-moderate fever
• A sense of not feeling well
• Fatigue
• Pain in upper teeth

Migraines may feel worse when you bend forward and can be accompanied by nasal congestion. But a migraine is more likely to be made worse by noise or light, and to be accompanied by nausea.

Causes

Sinus headaches can be caused by sinus congestion and inflammation, called sinusitis. Sinusitis, in turn, is caused by either a respiratory infection, such as a cold or flu, or allergies, like hay fever.

Healthy sinuses allow mucus to drain and air to circulate throughout the nasal passages. When sinuses become inflamed, these areas get blocked and mucus cannot drain. When sinuses are blocked, they provide a place for bacteria, viruses, and fungus to live and grow rapidly. Although a cold is the most common culprit, sinusitis can be caused by anything that prevents the sinuses from draining.

Risk Factors

• History of allergies, especially hay fever, or asthma
• Nasal polyps or swellings in the nasal passage, nasal bone spurs, nasal or facial tumor, deviated septum, or cleft palate
• Climbing or flying to high altitudes
• Frequent swimming or diving

Diagnosis

Your doctor will ask questions to distinguish sinus headaches from migraines or tension headaches. If you have had a recent cold, allergy flare up, or symptoms of sinusitis, it will help your doctor make a diagnosis.

Your doctor will look in your nose to check for congestion and nasal discharge. Your doctor will also press on areas of your face to check for tenderness. Your doctor may shine a light through the sinuses to look for sinus inflammation; if the light does not shine through, your sinuses may be congested.

If your doctor suspects chronic sinusitis, you may need imaging tests, including an x-ray, computed tomography (CT) scan, or magnetic resonance imaging (MRI). If your doctor suspects allergies may be causing your sinusitis, you may need an allergy test. Your doctor may also refer you to a specialist, known as an ear, nose and throat (ENT) doctor, or an otolaryngologist. This specialist may perform a nasal endoscopy using a fiber optic scope to look at your sinuses.

Treatment Approach

The best way to avoid or get rid of a sinus headache is to treat the underlying sinus inflammation. Sinus pain caused by allergies may be helped by allergy medications and medicated nasal sprays. Your doctor may prescribe antibiotics or corticosteroids. Lifestyle changes, such as using a humidifier or irrigating your nasal passages with salt water, may also help. Several dietary supplements and herbs may help prevent colds and flu, shorten their duration, or work together with antibiotics to treat your infection and support your immune system. Flushing the nose and sinuses with saline solution may also help.

Lifestyle

Doing the following things can help reduce congestion in your sinuses:

• Using a humidifier
• Using a saline nasal spray
• Breathing in steam 2 to 4 times per day (for example, sitting in the bathroom with the shower running)
• Quickly treating allergic and asthma attacks

Other techniques that might help include:

• Stretches for the head and neck
• Relaxation techniques (see Mind-Body Medicine section)

Medications

Antibiotics. Your doctor may prescribe antibiotics if they suspects you have a bacterial infection. To treat acute sinusitis, you may take from 10 to 14 days of antibiotics. Treating chronic sinusitis may take longer, usually 3 to 4 weeks.

Nasal corticosteroids. These prescription sprays reduce inflammation of the nose and help relieve sneezing, itching, and runny nose. They are most effective at reducing symptoms, although it can take anywhere from a few days to a week after you start using them to see improvement.

• Beclomethasone (Beconase)
• Fluticasone (Flonase)
• Mometasone (Nasonex)
• Triamcinolone (Nasacort)

Antihistamines. Antihistamines are available in both oral and nasal spray forms, and as prescription drugs and over-the-counter remedies, to treat allergies. Over-the-counter antihistamines are short acting and can relieve mild-to-moderate symptoms. All work by blocking the release of histamine in your body.

• Over-the-counter antihistamines: Include diphenhydramine (Benadryl), chlorpheniramine (Chlor-Trimeton), and clemastine (Tavist). These older antihistamines can cause sleepiness. Fexofenadine (Allegra), cetinzine (Zyrtec), and loratadine (Claritin) are newer antihistamines that do not cause as much drowsiness.

Decongestants. Many over-the-counter and prescription decongestants are available in tablet or nasal spray form. They are often used in combination with antihistamines.

• Oral and nasal decongestants: Include Sudafed, Actifed, Afrin, and Neo-Synephrine. Some decongestants may contain pseudoephedrine, which can raise blood pressure. People with high blood pressure or enlarged prostate should not take drugs containing pseudoephedrine. Avoid using nasal decongestants for more than 3 days in a row, unless specifically instructed by your doctor, because they can cause rebound congestion. Do not use them if you have emphysema or chronic bronchitis.

Triptans. In one study, 82% of people with sinus headaches had a significant response to triptans, a medication commonly used for migraines.

Surgery and Other Procedures

For chronic sinusitis that does not respond to medication, your doctor may recommend endoscopic sinus surgery, which may be done to remove polyps or bone spurs. Some doctors also recommend enlarging the sinus opening. A newer procedure called balloon rhinoplasty involves inserting a balloon inside the sinus cavity and then inflating it.

Sinus surgeries are done by an ENT specialist.

Nutrition and Dietary Supplements

Several supplements may help prevent or treat sinus headaches, either by reducing sinus inflammation, or by helping to ward off colds. (See Sinusitis for more details.) Because supplements may have side effects, or interact with medications, you should take them only under the supervision of a knowledgeable health care provider.

• Bromelain. Several studies suggest that bromelain, an enzyme derived from pineapples, may help reduce inflammation and swelling and relieve symptoms of sinusitis. However, not all studies agree. Bromelain is often combined with quercetin, a flavonoid or plant pigment responsible for the colors found in fruits and vegetables, which may act as an antihistamine. Bromelain may increase the risk of bleeding, so people who take blood thinners, such as warfarin (Coumadin) or clopidogrel (Plavix) should not take bromelain without talking to their doctor first. Taking bromelain with ACE inhibitors may cause a drop in blood pressure, called hypotension. Bromelain may interact with certain antibiotics as well. Speak with your doctor.
• Quercetin. In test tubes, quercetin stops the production and release of histamine, which causes allergy symptoms, such as a runny nose and watery eyes. It is often combined with bromelain. However, there is not yet much evidence that quercetin would work the same way in humans. More studies are needed. Some people may prefer water-soluble forms of quercetin, such as hesperidin methyl chalcone (HMC) or quercetin chalcone. Quercetin may interact with certain medications, so ask your doctor before taking it.
• Probiotics (Lactobacillus). Probiotics, or “friendly” bacteria, may help if you are taking antibiotics for sinusitis. They may also reduce your chances of developing allergies. People who have very weakened immune systems or who take drugs to suppress the immune system should ask their doctor before taking probiotics.

Herbs

The use of herbs is a time-honored approach to strengthening the body and treating disease. Herbs, however, can trigger side effects and can interact with other herbs, supplements, or medications. For these reasons, you should take herbs with care, under the supervision of a health care practitioner.

As with supplements, there are many herbs that may help reduce your chances of getting a sinus headache by preventing or treating a cold, boosting your immune system, or reducing sinus inflammation.

Sinupret, a proprietary formulation containing European elder (Sambucus nigra), common sorrel (Rumex acetosa), cowslip (Primula veris), European vervain (Verbena officinalis), and gentian (Gentiana lutea). In two studies, Sinupret was found to work better than placebo in relieving symptoms of sinusitis. The herbs it contains may work by thinning mucus and helping the sinuses drain, and they may also help strengthen the immune system.

Although research is lacking, other herbs have been used traditionally to treat headaches:

• Chinese skullcap (Scutellaria baicalensis)
• Feverfew (Tanacetum parthenium)
• Willow bark (Salix spp.)

People who take blood thinners, or women who are pregnant or breastfeeding, should not take these herbs. People who are allergic to aspirin should not take willow bark. Feverfew can interact with several medications. If you are allergic to ragweed you may also be allergic to feverfew.

Homeopathy

One of the most common reasons people seek homeopathic care is to relieve chronic headaches. Few studies have examined the effectiveness of specific homeopathic remedies. Professional homeopaths, however, may recommend treatments for sinus headaches based on their knowledge and clinical experience. In one study of homeopathy for sinusitis, more than 80% of the participants had significant improvement in their symptoms after taking the homeopathic remedy for 2 weeks.

Before prescribing a remedy, homeopaths take into account a person’s constitutional type. In homeopathic terms, a person’s constitution is his or her physical, emotional, and intellectual makeup. An experienced homeopath assesses all of these factors when determining the most appropriate remedy for a particular individual.

The following are remedies commonly prescribed for sinus congestion and headache:

• Arsenicum album. For throbbing, burning sinus pain that is relieved by lying upright in a cool room with open windows.
• Belladonna. For throbbing headaches that come on suddenly and feel worse with motion and light; pain is partially relieved by pressure, standing, sitting, or leaning backwards.
• Bryonia. For headaches with a steady, sharp pain that occurs most often in the forehead but may radiate to the back of the head; symptoms tend to worsen with movement and light touch, but firm pressure alleviates the pain; the person for whom this remedy is most appropriate is usually irritable and may experience nausea, vomiting, and constipation.
• Hepar sulphuricum. For headaches described as “a nail being driven between the eyes,” these types of headaches are often accompanied by thick, yellow nasal discharge; symptoms tend to worsen with movement and light touch of the scalp and improve with pressure.
• Iris versicolor. For throbbing headaches that occur on one side of the head, especially after eating sweets; visual disturbances may also occur; these headaches are worse in the early morning, during spring and fall, and symptoms tend to worsen with vomiting.
• Kali bichromicum. For sinus headaches and congestion; pain often occurs between and behind the eyes; symptoms typically progress throughout the morning, worsen with cold and motion, and improve with warmth and pressure.
• Mercurius. For raw, swollen nostrils; this remedy is most appropriate for individuals whose pain feels as though the head has been placed in a vise; pain may also extend to the teeth; symptoms tend to worsen at night and the individual may alternate between sweating and having the chills; nasal discharge may be bloody.
• Natrum muriaticum. For headaches and congestion associated with allergies.
• Pulsatilla. For headaches triggered by eating rich, fatty foods, particularly ice cream; pain may move around the head but tends to be concentrated in the forehead or on one side of the head and may be accompanied by digestive problems or occur around the time of menstruation; symptoms tend to worsen at night and with coughing and blowing the nose; children often develop these symptoms while at school.
• Silicea. For sinus pain that improves with pressure, head wraps, and warm compresses.
• Spigelia. For stinging, burning, or throbbing sinus pain that often occurs on the left side of the head; symptoms tend to worsen with cold weather and motion but may be temporarily relieved by cold compresses and lying on the right side with the head propped up.

Acupuncture

Although studies are few and have found conflicting results, some people may find that acupuncture helps relieve symptoms of sinusitis. An acupuncturist diagnosis headaches not as migraine, tension, or sinus, but rather as conditions deriving from “energetic” imbalances. Acupuncturists usually describe sinusitis as “dampness” which creates inflammation and congestion in the mucus membranes. This dampness is cleared by strengthening the spleen meridian and by working with the stomach meridian. Practitioners often perform needling therapy and/or moxibustion, a technique in which the herb mugwort is burned over specific acupuncture points, for this condition.

Chiropractic

Although there are no studies on using chiropractic to treat sinus headaches, some practitioners suggest that it may decrease pain and improve sinus drainage for some people.

Mind-Body Medicine

For headaches in general, relaxation techniques can be helpful. This is especially true for frequent headaches, such as sinus headaches. You may want to try these techniques:

• Biofeedback to control muscle tension
• Learn to meditate, breathe deeply, or try other relaxation exercises, such as yoga or hypnotherapy
• Try guided imagery techniques

Other Considerations

If you are not better in a few weeks, your primary care physician may send you to see an ear, nose, and throat specialist for tests to find the cause of your sinus congestion.

Pregnancy

Sinus congestion often acts up during pregnancy. There are many herbs and medications that pregnant and breastfeeding women should not use. Check with your doctor before using any herbs or supplements if you are pregnant or breastfeeding.

Warnings and Precautions

You should go to the emergency room or call 911 if you experience the following:

• Sudden and severe headache that persists or increases in intensity over 24 hours
• A sudden, severe headache that you describe as “your worst ever,” even if you are prone to headaches
• Chronic or severe headaches that begin after age 50
• Headaches accompanied by memory loss, confusion, loss of balance, change in speech or vision, or loss of strength in, or numbness or tingling, in any one of your limbs
• Headaches accompanied by fever, stiff neck, nausea, and vomiting (may indicate meningitis)
• Severe headache in one eye accompanied by redness of the eye (may indicate acute glaucoma)

Supporting Research

Annequin D, Tourniaire B, Massiou H. Migraine and headache in childhood and adolescence. Pediatr Clin North Am. 2000;47(3):617-31.

Aring AM, Chan MM. Acute rhinosinusitis in adults. Am Fam Physician. 2011 May 1;83(9):1057-63.

Blumenthal M, Goldberg A, Brinckmann J. Herbal Medicine: Expanded Commission E Monographs. Newton, MA: Integrative Medicine Communications; 2000:240-3.

Cady RK, Schreiber CP. Sinus headache or migraine? Considerations in making a differential diagnosis. Neurology. 2002;58(9 Suppl 6):S10-S14.

Foroughipour M, Sharifian SM, Shoeibi A, Ehdali Barabad N, Bakhshaee M. Causes of headache in patients with a primary diagnosis of sinus headache. Eur Arch Otorhinolaryngol. 2011;268(11):1593-6.

Friese KH, Zabalotnyi DI. Homeopathy in acute rhinosinusitis: a double-blind, placebo controlled study shows the efficiency and tolerability of a homeopathic combination remedy. HNO. 2007;55(4):271-7.

Guo R, Canter PH, Ernst E. Herbal medicines for the treatment of rhinosinusitis: a systematic review. Otolaryngol Head Neck Surg. 2006;135(4):496-506.

Harvey R, Hannan SA, Badia L, Scadding G. Nasal saline irrigations for the symptoms of chronic rhinosinusitis. Cochrane Database Syst Rev. 2007;(3):CD006394.

Helms S, Miller A. Natural treatment of chronic rhinosinusitis. Altern Med Rev. 2006;11(3):196-207.

Kaya A, Caliskan H. Does wet hair in cold weather cause sinus headache and posterior eye pain? A possible mechanism through selective brain cooling system. Med Hypotheses. 2012;79(6):744-5.

Kari E, DelGaudio JM. Treatment of sinus headache as migraine: the diagnostic utility of triptans. Laryngoscope. 2008;118(12):2235-9.

Karkos PD, Leong SC, Arya AK, Papouliakos SM, Apostolidou MT, Issing WJ. ‘Complementary ENT’: a systematic review of commonly used supplements. J Laryngol Otol. 2007;121(8):779-82.

Marmura MJ, Silverstein SD. Headaches caused by nasal and paranasal sinus disease. Neurol Clin. 2014; 32(2):507-23.

Mauskop A. Alternative therapies in headache. Is there a role? Med Clin North Am. 2001;85(4):1077-84.

Mehle ME, Kremer PS. Sinus CT scan findings in “sinus headache” migraineurs. Headache. 2008;48(1):67-71.

Melzer J, Saller R, Schapowal A, Brignoli R. Systematic review of clinical data with BNO-101 (Sinupret) in the treatment of sinusitis. Forsch Komplement Med. 2006;13(2):78-87.

Sinus headaches – Symptoms & causes

Overview

Sinus headaches are headaches that may feel like an infection in the sinuses (sinusitis). You may feel pressure around the eyes, cheeks and forehead. Perhaps your head throbs.

But, this pain might actually be caused by a migraine.

Products & Services

Symptoms

Signs and symptoms of sinus headaches may include:

• Pain, pressure and fullness in the cheeks, brow or forehead
• Worsening pain if you bend forward or lie down
• Stuffy nose
• Fatigue
• Achy feeling in the upper teeth

Sinusitis or migraine?

Migraines and headaches from sinusitis are easy to confuse because the signs and symptoms of the two types of headaches may overlap.

Both migraine and sinusitis headache pain often get worse when you bend forward. Migraine can also be accompanied by various nasal signs and symptoms — including congestion, facial pressure and a clear, watery nasal discharge. These are due to involvement of the autonomic nervous system in a migraine attack. In fact, studies have shown that most people who see a health care provider for sinus headaches are found to have migraines instead.

Sinusitis, however, usually isn’t associated with nausea or vomiting or aggravated by noise or bright light — all common features of migraines.

Sinusitis usually:

• Occurs after a viral upper respiratory infection or cold
• Includes thick, discolored nasal mucus
• Is associated with a decreased sense of smell
• Causes pain in one cheek or upper teeth

Headaches due to sinus disease often last days or longer, and migraines most commonly last hours to a day or two.

When to see a doctor

Consult your provider if:

• Your headache symptoms occur more than 15 days a month or require frequent pain medicine available without a prescription
• You have a severe headache, and pain medicine available without a prescription doesn’t help
• You miss school or work because of frequent headaches or the headaches interfere with your daily life

Causes

Sinus headaches are usually associated with migraines or other forms of headaches.

Sinus headaches are associated with pain and pressure in the face and sinuses and can cause nasal symptoms. Most of these headaches are not caused by sinus infections and generally should not be treated with antibiotics.

Risk factors

Sinus headaches can affect anyone but may be more likely if you have:

• A previous history of migraines or headaches
• A family history of migraines or headaches
• Hormonal changes associated with headaches

Prevention

Whether or not you take preventive medications, you may benefit from lifestyle changes that can help reduce the number and severity of headaches. One or more of these suggestions may be helpful for you:

• Avoid triggers. If certain foods or odors seem to have triggered your headaches in the past, avoid them. Your provider may recommend you reduce your caffeine and alcohol intake and avoid tobacco.

  In general, establish a daily routine with regular sleep patterns and regular meals. In addition, try to control stress.

• Exercise regularly. Regular aerobic exercise reduces tension and can help prevent headaches. If your provider agrees, choose any aerobic exercise you enjoy, including walking, swimming and cycling.

  Warm up slowly, however, because sudden, intense exercise can cause headaches.

  Obesity is also thought to be a factor in headaches, and regular exercise can help you maintain a healthy weight or lose weight.

• Reduce the effects of estrogen. If estrogen seems to trigger or make your headaches worse, you may want to avoid or reduce the medications you take that contain estrogen.

  These medications include birth control pills and hormone replacement therapy. Talk with your provider about the appropriate alternatives or dosages for you.

Acute sinusitis (sinusitis), symptoms – Health Clinic 365 Yekaterinburg

A disease in which inflammation of the maxillary paranasal sinus occurs is called sinusitis. Symptoms of sinusitis are varied.

Sinusitis is included in the group of diseases that are currently defined by the general term – sinusitis, so we will use this term below. Sinusitis, synonym: sinuitis is an acute or chronic inflammation of one or more paranasal sinuses. It usually occurs as a complication of the common cold, flu, measles, scarlet fever and other diseases.

Sinusitis is divided into:

• Sinusitis – inflammation of the maxillary sinus;
• Frontitis – inflammation of the frontal paranasal sinus;
• Ethmoiditis – inflammation of the cells of the ethmoid bone;
• Sphenoiditis – inflammation of the sphenoid sinus

Acute sinusitis cavities adjacent to the nasal passages (sinuses) become inflamed and swollen. This makes it difficult for the mucus to pass and it accumulates inside. This common condition is also called acute rhinosinusitis.

In acute sinusitis, it becomes difficult to breathe through the nose and the facial area, especially around the eyes, becomes inflamed. There may be throbbing pain in the face or headache.

Acute sinusitis most often occurs as a complication of the common cold. Other causes may be bacteria, allergic reactions, or fungal infections. Treatment of acute sinusitis is necessary depending on the cause of its occurrence. In most cases, home remedies are sufficient. However, prolonged sinusitis can lead to serious infections and other complications. If the disease lasts more than eight weeks or recurs periodically, it is already chronic sinusitis.

Symptoms of acute sinusitis include :

• Thick yellow or greenish discharge from the nose or running down the back of the throat;
• Nasal congestion and consequent difficulty in breathing;
• Pain, tenderness, swelling, fullness around the eyes, cheeks, nose and forehead;

In addition, there may be other symptoms of acute sinusitis:

• Ear pain or pressure;
• Sore throat;
• Bad breath;
• Fatigue;
• Temperature;
• Pain in the upper jaw and/or toothache;
• Decreased sense of smell and taste;
• Cough which may be worse at night.

When to see a doctor

If symptoms are not severe, try self-treatment; but you should see your doctor if you have any of the following symptoms:

• Does not improve for several days or worsens;
• Temperature above 38.1 C;
• The disease recurs.

Seek immediate medical attention if you have symptoms that could lead to a serious infection:

• Pain and swelling around the eyes;
• Puffiness in forehead;
• Severe headache;
• Confusion;
• Double vision or any other disturbance of vision;
• Stiff neck;
• Shortness of breath.

For more information about acute sinusitis, please contact the otolaryngologists of the Health 365 clinic in Yekaterinburg.

Otorhinolaryngology (ENT)

Otolaryngologist

ENT for children

ENT for patients over 70

Appointment with endoscopy

Diagnostics

Outpatient treatment

Inpatient operations

Diagnostics and treatment of acute sinusitis (sinusitis, frontal sinusitis, ethmoiditis, sphenoiditis) in Yekaterinburg in children and adults:

9000 5

• st. Forge, 83
• st. Bazhova, 68
• st. Bazhova, 137
• st. Soyuznaya, 2
• st. Stepan Razin, 122
• st. Krestinsky, 2

Clinic “Health 365” – a network of multidisciplinary clinics of expert class

Making an appointment with a doctor:
+7 (343) 270-17-17

Commercial and administrative issues:
+7 (343) 270-17-20

E-mail:
[email protected] 900 05

Sinus headache (Sinusitis headache)

Sinus headaches are also called sinusitis headaches. Sinus headache is characterized by sinusitis (sinusitis) and can cause a headache so severe and depressing that it can sometimes be interpreted as migraine or stress headaches.

Sinus headache: when your sinuses give you a headache

Sinus headaches are caused by increased pressure inside the sinuses. The sinuses are air-filled areas inside the forehead, jaw, and behind the nasal bone (see picture). When they become inflamed due to an allergic reaction or infection, they may swell and produce more mucus and mucus. This overproduction can lead to clogged drainage ducts, causing the pressure inside the sinuses to build up rapidly and cause severe headaches.

Where are the sinuses?

Illustration showing the location of the four sinus regions.

Affected? Join the Facebook group “ Headache Network – Norway: research, new discoveries and cohesion” for the latest research news and media coverage about this disorder. Here participants can also get help and support – at any time of the day – by sharing their own experiences and advice.

Pain Relief: How to relieve sinus headaches?

For the relief of sinus headaches (sinusitis headaches), we recommend lying down for a while (about 20-30 minutes) with the so-called “headache / migraine mask” over the eyes (a mask that you keep in your freezer and which is specially adapted to relieve migraines, neck headaches and stress headaches – it can also be heated to stimulate circulation to tired and puffy eyes) – this will reduce some of the pain signals and relieve tension. Click on the image or link below to learn more about it. Regular consumption of saline is also recommended to prevent this condition. A nasal spray (available at a pharmacy) may also be needed when the condition has really improved.

For lasting improvement, it is also recommended to regularly use a saline rinse, as well as apply trigger point balls to tense muscles in the shoulders and neck (you know what you have!) and exercise, as well as stretching. Meditation and yoga can also be helpful interventions to reduce mental stress in everyday life. Gentle, regular self-massage of the facial muscles can also help relieve some pressure on the sinuses located under the eyes and near the nose.

Read more: Pain relief headache and migraine mask (Opens in a new window)

Pain presentation: sinus headache symptoms (sinusitis headache) 900 04

Sinusitis usually causes a headache that is felt as deep and depressive pain in the cheeks, forehead and around the nose, and in the transition between forehead and nose. The pain usually gets worse if you suddenly move your head (for example, lean forward) or engage in physical activity. The symptoms and signs of a sinus headache may vary slightly, but some typical and characteristic symptoms are:

• Moderate to moderate fever (you usually don’t have a fever with other types of headaches)
• Slight swelling of the face and around the sinuses
• Sinus pressure (see illustration)
• Difficulty of concentration
• Constant pressure in ears
• Difficult or impossible to equalize ear pressure
• Soreness and discomfort in the muscles – especially at the transition of the forehead / nose and above the masseter muscle (Masticatory)

Unlike migraines, then you will not have the neurological symptoms of sinus headaches. Examples of nerve symptoms that can occur with a migraine include muscle weakness and blurred vision.

Epidemiology: who gets sinus headache? Who suffered the most?

Everyone can be affected by sinus headaches, but as mentioned earlier, the most common causes are allergic and inflammatory reactions (eg due to flu and colds). Therefore, sinus headaches most often affect people with a reduced immune system and those with allergies.

Reason: Why do you have a sinus headache (sinusitis headache)?

The two main causes of sinus headaches are allergic reactions and inflammation/infections (eg due to influenza virus). This causes pressure changes in the air pockets we call the sinuses and leads to the characteristic symptoms of a headache. If you are often bothered, there may also be polyps in your sinuses – in some cases, this can be an alternative to removing them to make room and reduce the frequency of this type of headache. On the positive side (especially for your bed partner) it can also reduce snoring.

Exercise and stretching: what exercises can help with sinus headaches?

An important exercise that we would recommend is a light massage of the muscles of the face, which is directly related to the sinuses. It can also be nice to stretch your neck and shoulders, as they tend to stretch when you have a headache. We recommend that you get a good routine that includes daily, individual, neck stretching.

Try this: – 4 Stretches for Neck Stiffness

We also recommend these 5 specific jaw exercises.

Sinus headache treatment

When we talk about the treatment of sinus headaches, the greatest relief of symptoms is actually applied, as well as the elimination of blockages inside the sinuses that cause poor flow of mucus and snot.

• Medical treatment : Allergy tablets and their correct use can prevent allergic reactions and thus prevent sinus reactions.
• Muscle Whip Treatment: Muscle therapy can reduce muscle tension and muscle pain in the neck and shoulders.
• Joint Therapy: A muscle and joint specialist (eg a chiropractor) will work with both muscles and joints to give you functional improvement and symptom relief. This treatment will be tailored to each individual patient based on a thorough examination, which also takes into account the overall health of the patient. Most likely, treatment will consist of joint correction, muscle work, ergonomics/posture counseling, and other forms of treatment appropriate to the individual patient.
• Saline solution (drug-free): Pharmacies and stores provide drug-free saline solutions (often added to aloe vera) that can be used to maintain good nasal and nasal passage function. Regular use can also work preventively.
• Pain Relieving Headache and Migraine Mask: These masks can be either iced or heated, meaning they can be used for more acute pain (cooling) and more preventative (warming and circulating).
• Yoga and Meditation Yoga, mindfulness and meditation can help reduce mental stress in the body. A good measure for those who have too much stress in everyday life.

Self-help: what can I do even with muscle and joint pain?

As already mentioned, it often happens that we additionally tense the muscles and the pain fibers become more sensitive when we have headaches. We always recommend that self-medication be one of the main ways to deal with pain – regular self-massage (for example, with a ball trigger point) and stretching can help prevent muscle and joint pain.

1. General exercise, specific exercises, stretching and activity are recommended, but stay within pain limits. Two walks a day for 20-40 minutes are good for the whole body and sore muscles.

2. Trigger point / massage balls we highly recommend – they come in different sizes so you can even hit all parts of the body. There is no better self-help than this! We recommend the following (click the image below) is a complete set of 5 trigger points / massage balls in different sizes:

3. Training: Special training with training techniques of different opponents (for example, this set of 6 different resistance knots) can help you train strength and function. Knitting training often includes more specific training, which in turn can lead to more effective injury prevention and pain reduction.