What Is a Sinus Headache?
If you have ever felt pressure around your forehead, cheeks, or eyes during a cold or allergy season, you might wonder if you are dealing with a sinus headache. Though a sinus headache is a real condition, oftentimes, they are confused with other types of headaches, specifically migraine headaches and tension headaches, because the symptoms are very similar.
Knowing the difference is important because the cause of the headache determines the best treatment. In some cases, headaches that feel like pain in the sinuses are actually caused by muscle tension, neck issues, or other conditions.
Keep reading to find out more about sinus headaches and how to treat them.

What Is a Sinus Headache?
Most sinus headaches are caused when the sinus cavities in the head become inflamed or blocked. This causes sinus pressure to build up. This is often referred to as a sinus infection, but allergies and upper respiratory illnesses can also contribute to pressure and pain.
Headache symptoms are usually only one of the signs the head pain is from the sinuses. Others include nasal symptoms, sinus swelling, headache pain, teeth pain, face, pain, and general sinus pain.
Common Sinus Headache Symptoms
The pain from a sinus headache only appears in the areas where the affected sinuses are located. These include:
Pressure behind the eyes
Pain across the forehead
Tenderness in the cheeks
Pain around the bridge of the nose
Facial pressure
Nasal congestion
Runny nose
Reduced sense of smell
Many people notice that the pain becomes worse when bending over or making sudden head movements, too, which is one way to be fairly sure you are dealing with a sinus headache.
What Causes a Sinus Headache?
There are several things that can cause a sinus headache, as there are many things that can cause inflammation. These include:
Sinus Infections
One of the most common causes of sinus headaches are bacterial infections or sinus infections. In addition to feeling pressure around your face, you will also commonly experience:
Thick nasal drainage
Fever
Fatigue
Cough
Bad breath
Symptoms often last longer than a typical cold, and in some cases, it can turn into chronic sinusitis.
Seasonal Allergies
Sinus headaches are also often caused by seasonal allergies. Pollen, dust, pet dander, and other allergens can inflame the nasal passages and sinuses.
This may lead to:
Sneezing
Itchy eyes
Congestion
Facial pressure
Headaches
Managing allergies with saline nasal spray or allergy medications may help reduce recurring sinus symptoms.
The Common Cold
Upper respiratory infections from the common cold often cause temporary swelling of the sinuses, too.
As mucus builds up, pressure inside the sinus cavities may cause discomfort around the forehead and eyes.
Fortunately, these headaches usually improve as the cold recedes.
Structural Problems
Some people also have structural issues in their face that change how their sinuses drain. Examples of this include:
A deviated septum
Nasal polyps
Chronic sinus inflammation
These conditions may increase the likelihood of recurring sinus infections and headaches.
How Is a Sinus Headache Different From a Migraine?
Here's the surprising thing. Many people who think they are suffering from sinus headaches are actually suffering from migraines.
Migraine headaches often cause:
Pain around the eyes
Facial pressure
Nasal congestion
Watery eyes
However, migraines are also commonly associated with:
Throbbing pain
Nausea
Sensitivity to light
Sensitivity to sound
Visual disturbances
If you have headaches like these without any sign of infection, such as discolored sinus drainage, its more likely that you are suffering from a migraine attack instead of a sinus attack. Sandia Injury Center can answer questions such as what does a headache behind the eyes mean?
Can Neck Problems Cause Similar Symptoms?
Yes. Neck dysfunction can sometimes produce headaches that mimic sinus headaches.
Tension in the muscles and joints of the cervical spine may cause pain that radiates into the forehead, temples, or around the eyes.
These headaches may also be accompanied by:
Neck stiffness
Shoulder tightness
Limited range of motion
Pain that worsens after sitting for long periods
Because the symptoms can overlap, a thorough evaluation is important to determine the true source of your discomfort.
How Are Sinus Headaches Diagnosed?
Your healthcare provider will begin by reviewing your symptoms and medical history.
Depending on your condition, the evaluation may include:
A physical examination
Examination of the nose and sinuses
Review of allergy history
Imaging studies when appropriate
Evaluation of the neck and posture
The goal is to identify whether your symptoms are caused by sinus inflammation or another condition. Sandia Injury Center can also advise on how to relieve neck pain from sinus infection.
Treatment for Sinus Headaches
Treatment depends on the underlying cause.
For headaches caused by sinus inflammation, your healthcare provider may recommend:
Staying hydrated
Saline nasal rinses
Allergy management
Humidified air
Rest
Appropriate medications when necessary
If a bacterial sinus infection is present, additional treatment may be required.
When Chiropractic Care May Help
Not every headache involving facial pressure originates in the sinuses.
If your headaches are related to muscle tension, poor posture, or dysfunction in the cervical spine, chiropractic care may help address those underlying musculoskeletal issues.
Depending on your condition, treatment may include:
Chiropractic adjustments
Soft tissue therapy
Therapeutic exercises
Stretching techniques
Postural correction
Ergonomic recommendations
Improving mobility in the neck and reducing muscle tension may help relieve certain types of headaches. It may be recommened to seek Trusted Albuquerque chiropractors.
Tips to Help Prevent Headaches
Although not every headache can be prevented, healthy habits may reduce their frequency.
Consider:
Drinking plenty of water
Managing seasonal allergies
Practicing good posture
Taking breaks from computer work
Exercising regularly
Getting enough sleep
Reducing stress
These lifestyle habits support overall health and may reduce strain on your neck and muscles.

When Should You Seek Immediate Medical Attention?
While many headaches improve with conservative care, certain symptoms require emergency evaluation.
Seek immediate medical care if you experience:
A sudden, severe headache
High fever with severe headache
Vision changes
Confusion
Difficulty speaking
Weakness or numbness
Loss of consciousness
These symptoms may indicate a more serious medical condition that requires prompt treatment.
Get to the Source of Your Headaches
Sinus headaches are typically caused by inflammation or blockage of the sinus cavities, often due to infections or allergies. However, migraines, tension headaches, and neck-related conditions can produce similar symptoms, making an accurate diagnosis essential. Understanding the cause of your headache is the first step toward finding lasting relief.
Sandia Injury Center has been helping the people of Albuquerque for years. They come here when experiencing headaches, neck pain, and musculoskeletal conditions that may contribute to ongoing discomfort. Our team provides comprehensive assessments and personalized treatment plans designed to improve mobility, reduce pain, and help you return to your normal activities. If persistent headaches are affecting your quality of life, contact Sandia Injury Center today to schedule an evaluation.
