The difference between pressure headache and sinus headache It is an important issue that needs accurate diagnosis. Most doctors and specialists mistake pressure headaches and nerve pain for a sinus headache. Therefore, we will explain in detail through a useful site headache, pressure pain and sinus, if you suffer from headaches, be sure to see your doctor for appropriate treatment, and the type of headache must be diagnosed correctly.

Sinus headache

Sinus headaches are often associated with sinusitis. Sinusitis is a common disease in which the mucous membrane of the sinuses swells. You may feel pressure around the eyes, cheeks and forehead, and more pain and pressure in the upper nose and between the eyes. The severity of the pain ranges from moderate to severe.

What is the shape of the sinuses?

The sinuses are spaces or cavities between the bones that help purify the air by moistening the air we breathe and secreting mucus. The sinuses also play an important role in the strength of the skull and its ability to deal with trauma. The holes create more echo in the sound.

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Types of sinuses

  • The maxillary sinuses are below the cheekbones, below the jawbone.
  • The sinuses are above the eye and between the frontal bones.
  • The ethmoid sinuses are in the ethmoid bone that separates the eyes from the nose.
  • The dorsal or sphenoid sinuses in the sphenoid bone of the skull.

What is a sinus headache?

If the tissues of the ducts or cells that connect the sinuses to the back of the nose become inflamed, the sinuses cannot drain normally and pressure increases within the sinuses, leading to increased mucus and fluid secretion. This increase in fluid and the inability to drain it increases pressure within the sinus cavity and eventually leads to pain called sinus pain.

Types of sinusitis

Sinusitis is divided into acute and chronic sinusitis, the difference between them is the duration of severe symptoms and also their frequency within a year.

1. Acute sinusitis

Acute sinusitis is a condition in which sinusitis symptoms persist for up to 4 weeks. This type of sinusitis occurs no more than 3 times a year and lasts no more than ten days at a time. Most cases of sinusitis are caused by an overgrowth of bacteria in the sinuses.

2. Chronic sinusitis

Sinusitis is called chronic sinusitis when symptoms are more than 3 months old and occur more than 4 times a year. Lasts more than 20 days at a time. Chronic sinusitis is caused by fungi and bacteria.

The difference between pressure headache and sinus headache

The difference between pressure headache and sinus headache
The difference between pressure headache and sinus headache

Signs and symptoms of a pressure headache include a unilateral, throbbing, and prolonged headache, accompanied by nausea, vomiting, mild runny nose, sensitivity to smell, and light, sound, and intensity of a headache so severe that they call it a debilitating headache. A sinus headache is accompanied by severe nasal discharge, cough, loss of smell, earache, toothache, sweating, fever and chills, and abnormal breathing. An accurate diagnosis of sinusitis from a pressure headache is very important because people have continued treatment for sinusitis over the years due to a sinusitis diagnosis.

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Similarities between pressure headache and sinusitis

  • Both pressure headaches and sinusitis are made worse by leaning forward.
  • Both are related to runny nose and runny eyes.
  • Both lead to nasal congestion.
  • In both cases there is a feeling of pressure in the face.

When does a person get sinusitis?

If the sinus channels are blocked for any reason, for example by excessive secretion of mucus, the sinuses are cut from the outside and provide a breeding ground for bacteria and germs.

Sinusitis can occur in 3 cases

  • Of course, there is mucus inside the sinuses, and if this amount of mucus exceeds a certain amount, as in the case of colds and allergies, the excess mucus blocks the sinus channels and paves the way for sinusitis.
  • Inside the sinuses there are ciliated bodies that absorb germs and foreign bodies and direct them outward, preventing them from accumulating inside the sinuses and causing infection. If these things don’t work well for any reason, the excess material and mucus will build up in the sinuses and cause sinusitis.
  • Certain anatomical problems, such as a deviated middle septum, adenoids or nasal passage problems can cause the sinus canal to close.

Other conditions that resemble sinus headaches include temporomandibular joint syndrome, trigeminal neuralgia, Janet’s cellulitis, and overuse of headache medications.

Medical treatments for sinusitis

pressure headache sinus headache treatment
pressure headache sinus headache treatment

1. Use of nasal steroid spray

Over-the-counter steroids such as fluticasol or triamcinolone are currently available, which reduce headaches by decreasing rhinitis. The advantage of these sprays is that they have no side effects such as oral anticonvulsants and antihistamines such as drowsiness and dry mouth. There are also prescription stimulants such as mometasone furoate that have side effects including indigestion, headache, nausea, and bad taste and smell when the spray is used.

Intranasal steroids should be the first line of treatment for nasal congestion.

2. Use decongestants

Use of these medications can relieve pressure in the sinuses by opening blocked nasal airways and helping to empty them. This medication is available in the form of nasal and oral sprays. Oral and spray decongestants include soda, fastifed, afarin, and neosinephrine. Some may contain pseudoephedrine, which raises blood pressure, and people with high blood pressure and prostate cancer should not take pseudoephedrine.

3. Use of antihistamines

Useful in long-term sinus infections or people with allergies as it can reduce nasal congestion.

Oral antihistamines include diphenhydramine, cetirizine and loratadine. Some antihistamines can have side effects on the sinuses, such as dryness of the nasal mucosa and thickening of secretions, as well as drowsiness.

4. Take painkillers

Reduce pain with over-the-counter anti-inflammatory medications such as ibuprofen or naproxen. These medications help open the airways by decreasing inflammation, reducing fever, and relieving pain. Aspirin is also a pain reliever that relieves pain by suppressing pain signals in the brain. In addition, it is a medicine that reduces fever but should not be given to children under 18 years of age. Acetaminophen can also be used for pain and fever, and children are allowed to take it, but it does not help with infections.

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Sinus headache surgery

If chemotherapy and home remedies do not work for chronic sinus headaches, a specialist may recommend endoscopic sinus surgery. This removes benign tumors and bony spine. Some doctors also perform the process of dilating the entrance to the sinuses. There is a new method called rhinoplasty in which a balloon is inserted into the sinus cavity and then inflated.

Sinus headache prevention

  • Avoid stimulants such as hookah, cigarettes, allergens, and air pollutants that cause sinusitis.
  • Make sure to wash your hands before eating and after going to the bathroom.
  • Take a hot shower during the day as it relieves sinus congestion.
  • If the air in your room is dry, use a vaporizer. Of course, care must be taken not to use incense more than the air, because it causes a lot of moisture in the air, and this provides the ground for the growth of harmful fungi.
  • Use plenty of fluids, especially drinking plenty of water to relieve dehydration and keep the airway moist. Dry airways cause sinus infections and congestion, which leads to headaches.
  • Make sure that your home air conditioner is working properly and that there is no way for germs and fungi to grow.
  • Get more rest, especially when you have a headache.


In conclusion, the symptoms are similar Pressure headache and sinus headacheIn most cases, a pressure headache is known as sinusitis in the early stages of diagnosis. Ninety percent of referrals are sinusitis, while the definitive diagnosis is pressure headache. Most pressure headaches are diagnosed by experimental and non-specialist doctors as sinusitis.

Frequently Asked Questions

What should we do to treat nasal congestion and tension headaches?

If there is a permanent blockage in one or both nasal cavities that does not respond well to drug therapy, the patient should see a doctor for better treatment and examination.

Are all headaches caused by sinusitis?

Not all headaches are caused by sinusitis, so you should see a doctor to diagnose the cause of the headache.

What areas of the face does sinusitis pain affect?

Sinusitis pain can affect the cheeks, forehead, and between the temples and head.

Is sinus headache increases blood pressure?

Chronic sinusitis causes trouble breathing during sleep, up to sleep apnea.

What are the common symptoms of tension headaches?

(1) Pain on both sides of the head, forehead and neck.
(2) Feeling of something pressing on your head or being tightened around it.
(3) You feel pain in the affected area and your head hurts more when you touch it.

What are the symptoms of corona headache?

(1) A moderate to severe headache.
(2) Increasing headache strength in the evening.
(3) Sensation of pressure on the head.
(4) headache on both sides of the head (bilateral).
(5) The condition increases when bending forward.

How do I know that I have sinuses?

I can tell if I have a sinus by these symptoms:
(1) Inflammation of the nose.
(3) Runny nose down the throat.
(4) Nasal congestion.
(5) Swelling around the eyes.
(6) Weakness of sense of smell and taste.