Sprays, Irrigation and Other Treatments

Written by WebMD Editorial Contributors

Medically Reviewed by Jennifer Robinson, MD on March 21, 2023

• Symptoms
• Treatments

Your clogged sinuses can give you pain and pressure above your nose and between your eyes, but the right treatment can bring relief. First, you need to find out if a sinus headache is the cause of your discomfort.

These headaches may give you:

• Pain and pressure around the sinuses — in the forehead, especially behind and between the eyes, and above the nose. These areas may be tender to the touch.
• Pain that gets worse with movement, like bending over or lying down.

If pain is your only symptom, you probably don’t have a sinus headache. Those usually have other symptoms as well, including:

• Stuffy nose
• Nasal discharge
• Cough
• Sore throat
• Fatigue

Your doctor may suggest treating the pain and the underlying causes of your sinus headache at the same time.

They might recommend:

Over-the-counter painkillers. Drugs like acetaminophen, ibuprofen, or naproxen sodium may help. Always read and follow the label, and don’t use them for more than 10 days at a time without talking to your doctor.

Decongestants. These medicines, which you can buy without a prescription, help open your blocked sinus cavities. They do this by curbing the swelling and mucus in your nasal passages.

Follow the instructions carefully. You shouldn’t use nasal decongestant sprays for more than 3 days in a row, or it could make your congestion worse. And don’t use oral decongestants for more than 7 days. If you also take a pain medicine, make sure the decongestant doesn’t have it as well, so you don’t accidentally get too much.

Nasal steroid sprays. In some cases, your doctor may suggest an over-the-counter spray and other drugs to reduce your congestion and pain.

Antihistamines. These drugs may help if allergies cause your sinus problems.

Think moist. Dry air can irritate your sinuses, so use a humidifier or vaporizer. Other options include holding a warm, wet towel over your face for a few minutes or using a saline solution nasal spray.

Use salt water. Get a bulb syringe or neti pot and flush out your sinuses with salt water. It moistens and helps clear mucus from your nasal passages, which cuts down on the pressure. 

Bioelectronic Sinus Device. This device works by using microcurrents to stimulate nerve fibers and helps reduce sinus inflammation, pain, and congestion. It is sold over-the-counter.

Always use distilled, sterile, or previously boiled and cooled water. Rinse the neti pot after each use and let it air dry.

You can also try saline (salt water) nasal sprays to flush out your stuffy nose.

Avoid irritants. Perfume, cigarette smoke, and certain chemicals can irritate your nasal passages and worsen your symptoms.

If home treatments don’t work — or if you have a fever, pain, or swelling of your face or eyes, redness around your eyes or cheeks, severe headache, confusion, or a stiff neck — see your doctor right away.

If your headaches and other sinus problems keep coming back, surgery can sometimes help if nothing else does. Your doctor can tell you if you’re a good candidate, what the risks and benefits are, and what to expect. 

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Sinus headache relief

Find specific relief for the kind of discomfort that comes with sinus pressure. Sinus headache relief products work to both clear your sinuses and relieve the pain. These sinus medicines can contain nasal decongestants or expectorants. which can both help to reduce pressure. Many also contain acetaminophen or ibuprofen for pain relief. You can choose between sinus headache relief products in tablet or liquid form from brands such as Vick’s, Advil and Robitussin here at Walgreens.com.

Relief for sinus pain

For effective relief, choose your sinus headache relief based on what you need. You can find combination packs of both day time and night time relief to help you get better rest and feel good throughout the day. If you don’t have any trouble sleeping, choose a day time sinus relief product. There are formulas for severe colds and coughs as well as different flavors of liquid medicines to choose from.

More congestion relief

Additional options for sinus relief include an assortment of products for children and adults. You can use nasal strips to help open your airways for better breathing while you sleep. Nasal sprays and neti pots can help clear your sinuses for up to 12 hours. Saline and nasal washes can be used by kids and adults for relief of sinus pressure, congestion and pain.

How to diagnose sinus headache

How to diagnose sinus headache – advice from a neurologist

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• Sinus headache with runny nose

How to diagnose sinus headache with a runny nose: Sinus headache is pain that can feel like an infection in your sinuses. There may be a feeling of pressure around the eyes, on the cheeks and on the forehead, and pain in the head. But in fact, this pain can be caused by a migraine. Primary diagnosis of sinus headache with a runny nose will require computed tomography of the brain, magnetic resonance imaging of the brain and subsequent consultation with a neurologist. As an additional examination, the doctor may prescribe an MRI of the sinuses.

Which doctor treats sinus headache with a runny nose: If you have symptoms of sinus headache with a runny nose, you should first consult a neurologist, based on the results of the initial examination, the doctor may prescribe an additional consultation with an otolaryngologist.

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Headache symptoms of a common cold

Headache symptoms of sinusitis include:

• pain, pressure, and a feeling of fullness in the cheeks, eyebrows, or forehead
• Increased pain when bending forward or lying down
• nasal congestion
• fatigue
• Sensation of pain in the upper teeth.

Differential diagnosis between common cold headache and migraine headache

Migraine and sinus headache are easy to confuse because the symptoms of these 2 types of headache may overlap. In both migraine and sinusitis, the headache is often aggravated by leaning forward. Migraines can also be accompanied by a variety of symptoms, including nasal congestion, facial pressure, and a clear, watery discharge from the nose. This is due to the involvement of the autonomic nervous system in a migraine attack. In fact, studies have shown that most patients who see a neurologist for sinus headaches have migraines instead. However, sinusitis is usually not accompanied by nausea or vomiting, and is not aggravated by noise or bright lights – all of which are characteristic of migraine Headache with a common cold is usually:

• occurs after a viral infection of the upper respiratory tract or a cold
• appears as thick, discolored nasal mucus
• associated with decreased sense of smell
• causes pain in one cheek or upper teeth.

Sinus headaches often last a few days or longer, and migraines most often last from a few hours to 1-2 days.

Which doctor diagnoses a headache with a runny nose

Consult a neurologist if:

• headache symptoms occur more than 15 days per month or require frequent over-the-counter pain medications
• severe headache and over-the-counter pain medications are not helping.

If you suspect a headache with a runny nose, a neurologist will give you a referral for a consultation with an otolaryngologist.

Diagnosing the cause of a headache with a runny nose

Sinus headache is usually associated with migraine or other forms of headache. Headaches in the common cold are associated with pain and pressure in the face and sinuses, and can also cause nasal symptoms. In most cases, 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 to occur if present:

• previous history of migraine or headaches
• family history of migraines or headaches
• hormonal changes associated with headaches.

Differential diagnosis of headache in the common cold

The cause of headaches is sometimes difficult to determine. At the initial examination, the neurologist will conduct a physical examination and interview the patient. Imaging tests may be done to determine the cause of the headache, including:

• computed tomography of the brain
• magnetic resonance imaging of the brain
• MRI of the sinuses.

Author: Bogatov Nikita Dmitrievich

Specialization: Manual Therapy, Osteopath

Place of appointment: MRI Center and RIORIT clinic, Incentro Clinic

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2. Bartsikhovsky A.I. A set of olives for the treatment of patients with sinuitis by the method of fluid displacement / A.I. Bartsikhovsky, K.G. Vasilik, V.N. Velichko // Journal of Ear, Nose and Throat Diseases.-1989.-№3.-P.77-78.
3. Garashchenko T.I. Diagnostic and therapeutic endoscopy of the upper respiratory tract in children: Abstract of diss. dokt.med.sci. / T.I. Garashchenko-M., 1996.-48s.
4. Dobrotin V.E. Discrepancy between computed tomography and magnetic resonance imaging data in diagnosing diseases of the paranasal sinuses / V.E. Dobrotin, E.V. Tyutina // Tr. All-Russian Conf., dedicated to 80th anniversary of acad. I.B. Soldatova “The problem of rehabilitation in otorhinolaryngology.” – Samara, 2003. – S.240-241.
5. Zubareva A.A. Differential diagnosis of diseases of the paranasal sinuses using magnetic resonance imaging / A.A. Zubareva // News of otorhinolaryngology. and logopathology. – 2000. – No. 3 (23). -p.125-30.

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Treatment of headache in the occipital, temporal, parietal regions

Can headaches be cured with painkillers?

Tolerating constant or frequent headaches is harmful! However, it is also impossible to constantly drown them out with painkillers!

Agree, it doesn’t occur to anyone to constantly take painkillers for toothache – if it occurs, we immediately go to the dentist.

However, we are usually not in a hurry to “part” with a headache. And in vain! After all, many diseases that cause pain in the head can be life-threatening.

How to get rid of a headache?

The question is rather complicated, and only an experienced neurologist can help. The success of treatment largely depends on how correctly the diagnosis is made.

Doctors of the Center for Neurology and Orthopedics “Alan Clinic” specialize in the treatment of headaches of various origins in adults and children.

We use mild, gentle, completely painless, safe, mostly drug-free methods for the treatment of headaches and diseases accompanied by headaches.

Why does my head hurt?

Headache, as a rule, is not an independent disease, more often it is a manifestation or consequence of various diseases, including life-threatening ones, among them:

• Osteochondrosis of the cervical spine
• Herniated disc in the cervical spine
• Disk protrusion in the cervical spine
• Instability / displacement of the cervical vertebrae
• Muscular —tonic syndrome (muscle tension in the shoulder and neck areas)
• Cervical sciatica
• Vertebral artery syndrome
• Migraine
• Vertebrobasilar insufficiency
• Inflammation of the occipital nerve
• Periarthrosis of the shoulder blade
• Cervical myositis
• Scoliosis
• Encephalopathy
• Oncological diseases of the brain (neoplasms)

Diagnosis of headaches 9002 8

The task of the doctor is to identify the root cause:

• Diseases of the brain (injuries, formations, inflammations)
• Vascular problems (circulatory disorders of the brain)
• Diseases of the spine
• Mental disorders (mental overstrain, stress, high level of anxiety, depression)
• Consequences of craniocerebral injuries, surgeries
• Extracerebral causes (hormonal disorders, infectious diseases, drugs, and chemicals)

The following methods are used to diagnose headaches:

• questioning the patient – the doctor must understand how the patient’s head hurts, under what circumstances and in what areas:
  • infrequent, frequent or constant pain
  • aching pain, throbbing or sharp, shooting
  • arising from a certain movement (tilting, turning, etc. ), weather changes, colds, lack of sleep, stress, etc.
  • forehead, occipital region, temples, right, left, etc.
  • accompanied by other symptoms (nausea, dizziness, fever, eye pain, increased or decreased pressure, weakness, pain in the neck)
• medical manipulations:
• ultrasound of the vessels of the neck and head (ultrasound dopplerography of brachiocephalic arteries)
• MRI of any part of the spine (usually cervical)
• X-ray of the cervical spine
• computed tomography of the brain
• magnetic resonance imaging of the brain
• magnetic resonance angiography of cerebral vessels
• laboratory tests
• examination by an ophthalmologist
• blood pressure monitoring
• gynecological consultation (for migraines associated with hormonal menstrual disorders)

How to treat headaches

• Manual therapy
• Physiotherapy
• Physiotherapy with enzyme preparations
• Therapeutic drips
• Medical massage
• Ozone therapy – treatment with active oxygen.
• Hirudotherapy – treatment with leeches.
• Osteopathy – treatment by the hands of a doctor, a mild effect on the musculoskeletal system, nervous and vascular systems, internal organs.
• Pharmacopuncture is the introduction of medicinal preparations of natural origin into the focus of the problem.
• Acupuncture – impact on biologically active points with microneedles.
• Isometric kinesiotherapy – individual gymnastic techniques / exercises, according to indications with elements of joint massage.
• Botulinum therapy is treatment with botulinum toxin.
• Laser reflexology – painless effect on reflexogenic zones and points.
• Tsubotherapy is a gentle effect on the reflex points of the body.

Types of headache

Migraine. Migraine is a throbbing pain in the forehead and / or temples on one side of the head, which can be aggravated by intense lighting, strong odors, from various sounds and even when touched. May be accompanied by nausea, vomiting, pallor or redness of the skin of the face, coldness of the hands and feet, weakness, chills.

Tension headache. This is actually a migraine in which throbbing pain is felt on both sides of the head. Pain occurs, as a rule, in the temples, in the forehead and in the back of the head. Such pain may appear from time to time or be constant. It usually occurs as a result of anxiety, depression, stress, sleep disturbances, long-term use of painkillers, frequent use of alcoholic beverages.

Sinus headaches. Symptoms of sinus headaches: pain at the level of the eyebrows and / or near the nose, often accompanied by nasal congestion, the appearance of thick yellow or green discharge from the nose, fever, cough and sore throat, fatigue. To make a diagnosis of sinus headache, you need to undergo an examination: CT scan or MRI.

Cluster headaches. Characterized by the occurrence of attacks of acute headache lasting from 15 to 60 minutes. Before an attack, it usually lays the ear, then there is a sharp pain behind the eye. The attack is accompanied by redness of the eye, the appearance of tears, nasal congestion, a rush of blood to the face and increased sweating. Cluster headaches are difficult to treat. Treatment should only be carried out under the supervision of an experienced physician.

Vertebrogenic headache. Associated with pathologies of the cervical spine. Pain occurs in the occipital region and can radiate to the frontal and temporal regions. It is accompanied by pain and limited mobility in the cervical spine, tension and soreness of the neck muscles, dizziness, tinnitus, and impaired coordination of movements. The main causes of vertebrogenic headaches are: prolonged work at the computer, prolonged stay of the head and neck in one position, great psycho-emotional overload, stress, lack of adequate physical activity, injuries of the cervical spine.

Post-traumatic headache.