How can you tell if you are having a sinus headache?

Sometimes it can be difficult for patients to tell the difference between tension headaches, migraine headaches, and sinus headaches. Sinus headaches typically are present above the eyes, between the eyes, and under the eyes. Frequently, they are associated with some congestion and allergy symptoms. Typically, they are worsened if the patient bends down and can be at least partially improved with decongestants, exercise, and hot showers. Sinus headaches occur when the sinus cavities, which surround the nose, are having difficulty ventilating and equilibrating with the surrounding atmospheric pressure. Many patients are prone to this condition because the natural sinus outflow tracts are quite narrow and/or become partially blocked because of allergies. Treatment can include allergy management, decongestants, facial massage, and hot showers. Acupuncture has also been shown to provide temporary relief. Emerging technologies, such as balloon sinuplasty, now offer a more permanent solution. In this simple office procedure the natural outflow tracts of the sinus cavities are gently dilated to allow for better ventilation and equilibration.

Daniel Slaughter, MD