Is It a Sinus Headache or a Migraine?
Have you ever had a sinus infection that turns into a migraine attack? If so, you’re not alone in this. Pain caused by the sinuses and migraine attacks can have very similar symptoms, so much so that it can be hard to know which type of pain you are experiencing. However, identifying the kind of pain you have is the first step in developing a successful treatment plan.
According to the American Migraine Foundation, studies show that about 90% of self-diagnosed sinus headaches are actually migraine attacks. Why? It is common for migraine to go undiagnosed and undertreated, and without a formal diagnosis, people assume their headaches are simply sinus headaches.
What Causes a Sinus Headache?
The sinuses are the hollow spaces in the bones around the nose. When these spaces become swollen, it is called sinusitis. Allergies, bacterial or viral infections can cause this swelling. Common symptoms of sinusitis are nasal congestion, a runny nose, facial pain or pressure, and a painful sinus headache. A sinus headache is called rhinosinusitis.
Is it a Migraine Attack or a Sinus Headache?
Sinus headache symptoms often include a deep, constant pain in the front of the face, around the eyes, temples, and forehead. The pain can be dull or sharp. The area under the eyes and around the cheekbones usually feels tender to the touch. A sinus headache is often accompanied by symptoms of sinusitis, such as nasal congestion. During a sinus infection, you may lose your sense of smell and have a fever. Seek treatment from your doctor if you have signs of a sinus infection that do not resolve quickly.
Both migraine attacks and sinus headache symptoms can include watery eyes, congestion, fatigue, and pain and pressure when leaning forward.
Common Triggers for Migraine and Sinus Headaches
Migraine attacks and sinus headaches have a few triggers in common, such as exposure to strong scents (perfume, cologne, scented candles), pollution, cold, dry weather, and cigarette smoke.
Additionally, the swelling caused by sinusitis can trigger a migraine attack. Additionally, people with migraine are more likely to develop sinusitis because they are hypersensitive to pain, have comorbid immune conditions, and use steroids to treat persistent migraine attacks.
Treatment Options for a Sinus Headache
Treatment for sinus congestion and pain includes over-the-counter or prescription medicines that reduce swelling and pain. Decongestants and antihistamines can ease nasal congestion. Nasal corticosteroids may be used to control allergies, and nasal rinses can help clear nasal passages. An antibiotic will only be prescribed if you have a bacterial infection.
Placing a warm compress across your forehead and cheekbones may help. Drink plenty of fluids, especially if you have a sinus infection. This will help thin out and drain the mucus in your sinuses. For some, inhaling steam or moist air is beneficial. Take a hot shower, or hold your face over a bowl of hot water and inhale, use a humidifier, and as always, take all medications as directed.
If the above treatments do not provide relief, talk with your doctor. It is possible that your sinus headaches are migraine attacks, or that you have both conditions and need an updated treatment plan. Are you looking for a headache specialist? Our easy-to-use locator can help you find a headache specialist in your area.