Ból zatokowy
Etiologia i przyczyny
Ból zatokowy, często zgłaszany w praktyce klinicznej, jest najczęściej mylnie diagnozowany, gdyż prawdziwy ból zatokowy związany z zapaleniem zatok (rhinosinusitis) jest stosunkowo rzadki. Badania wskazują, że aż 90% pacjentów z objawami bólu zatokowego cierpi na migrenę lub inne pierwotne bóle głowy, takie jak ból głowy typu napięciowego (TTH). Migrena może wywoływać objawy podobne do zapalenia zatok poprzez aktywację nerwów łączących zatoki z oczami, uszami, zębami i szczęką, co prowadzi do przekrwienia, wydzieliny z nosa i łzawienia oczu. Prawdziwe zapalenie zatok, najczęściej wirusowe lub bakteryjne, charakteryzuje się gęstą, przebarwioną wydzieliną, obniżonym lub zniesionym węchem, bólem twarzy i gorączką. Najczęstszymi patogenami bakteryjnymi są Streptococcus pneumoniae, Haemophilus influenzae i Moraxella catarrhalis, a infekcje wirusowe stanowią około 90% przypadków zapalenia zatok po przeziębieniu.
Etiologia bólu zatokowego
Ból zatokowy to objaw powszechnie zgłaszany przez pacjentów zgłaszających się do laryngologów, neurologów i lekarzy podstawowej opieki zdrowotnej. W praktyce klinicznej często pojawia się błędna diagnoza tego rodzaju bólu, co prowadzi do niewłaściwego leczenia i przedłużenia dyskomfortu pacjenta12.
Bóle pierwotne jako główna przyczyna bólu zatokowego
Wbrew powszechnemu przekonaniu, prawdziwy ból zatokowy pochodzący z zapalenia zatok jest stosunkowo rzadki. Badania wskazują, że nawet 90% pacjentów z samodzielnie zdiagnozowanym bólem zatokowym w rzeczywistości cierpi na migrenę lub inne pierwotne bóle głowy12. Migrena i ból głowy typu napięciowego (TTH) stanowią najczęstsze przyczyny dolegliwości u pacjentów zgłaszających się do lekarza z powodu bólu zatokowego12.
Wyjaśnieniem podobieństwa objawów między migreną a bólem zatokowym jest fakt, że migrena wpływa na nerwy łączące się z zatokami, a także z oczami, uszami, zębami i szczęką. Gdy nerwy te zostają aktywowane, może to prowadzić do przekrwienia, wydzieliny z nosa i łzawienia oczu, niezależnie od tego, czy przyczyną jest atak migreny, alergia czy infekcja zatok1.
Trigemino-autonomiczne bóle głowy (TACs) mogą być odpowiedzialne za nawet 11% przypadków bólu zatokowego, choć dane na ten temat są ograniczone1.
Prawdziwy ból zatokowy – związek z zapaleniem zatok
Prawdziwy ból zatokowy (sinusitis/” title=”rhinosinusitis” class=”to-tag” data-termid=”42904″>rhinosinusitis) jest rzadki i wtórny do wirusowego lub bakteryjnego zakażenia zatok, charakteryzującego się gęstą, przebarwioną wydzieliną z nosa, potencjalnie zmniejszonym lub brakiem węchu, bólem twarzy lub uczuciem ucisku oraz często gorączką12.
Zapalenie zatok (sinusitis) to stan zapalny tkanek wyściełających zatoki (przestrzenie w czole, policzkach i nosie zwykle wypełnione powietrzem)1. Kiedy zatoki stają się zapalne lub zatłoczone, może to powodować ból i uczucie ucisku w okolicy oczu, nosa, policzków lub czoła12.
Czynniki infekcyjne
Ból zatokowy najczęściej powstaje w wyniku infekcji zatok (sinusitis). Gdy wirusy, bakterie lub rzadziej grzyby dostają się do zatok, powodują stan zapalny, który prowadzi do zwiększonej produkcji śluzu i obrzęku błony śluzowej12.
Najczęstszą przyczyną zapalenia zatok są infekcje wirusowe, takie jak przeziębienie. Około 90% osób, które przechodzą przeziębienie, doświadcza objawów zapalenia zatok1. Gdy infekcja wirusowa ustępuje, ból zatokowy zazwyczaj również znika1.
Bakteryjne zapalenie zatok często pojawia się po infekcji wirusowej i może powodować dłuższe utrzymywanie się objawów1. Najczęstsze bakterie powodujące zapalenie zatok to Streptococcus pneumoniae, Haemophilus influenzae i Moraxella catarrhalis1.
Zakażenia grzybicze zatok występują rzadziej i mogą pojawić się częściej u osób z obniżoną odpornością12.
Alergie jako przyczyna bólu zatokowego
Alergie nosowe i sezonowe mogą wywołać stan zapalny zatok, który prowadzi do bólu zatokowego12. Reakcje alergiczne na alergeny takie jak pyłki, kurz, sierść zwierząt czy pleśń mogą powodować obrzęk błony śluzowej nosa i zatok, co utrudnia odpływ wydzieliny1.
Alergiczny nieżyt nosa (katar sienny) może prowadzić do zwiększonej produkcji śluzu, który blokuje zatoki i prowadzi do wzrostu ciśnienia, co skutkuje bólem głowy1. Osoby z alergicznym nieżytem nosa mogą doświadczać przewlekłego przekrwienia zatok, co zwiększa ryzyko infekcji i bólu1.
Badania sugerują również związek między migreną a alergią, co wskazuje, że leczenie alergii może pomóc zapobiegać zarówno migrenie, jak i bólowi zatokowego u niektórych pacjentów1.
Czynniki anatomiczne
Różnice strukturalne w budowie nosa i zatok mogą predysponować do bólu zatokowego poprzez utrudnianie prawidłowego odpływu wydzieliny1. Do najczęstszych problemów anatomicznych należą:
- Skrzywiona przegroda nosowa – może ograniczać przepływ powietrza i utrudniać odpływ wydzieliny z zatok12
- Polipy nosowe – nienowotworowe wyrośla w jamach nosowych i zatokach, które mogą blokować odpływ wydzieliny12
- Powiększone małżowiny nosowe – mogą powodować obrzęk i nadmierną produkcję śluzu, często blokując zatoki1
- Zablokowany kompleks ujściowo-przewodowy – kluczowy obszar dla drenażu zatok, którego blokada może prowadzić do bólu głowy1
Punkty kontaktowe w jamie nosowej, komórki Hallera, concha bullosa, powiększona bulla ethmoidalis, aplastyczne zatoki czołowe oraz wąski zachyłek czołowo-sitowy również mogą powodować i przyczyniać się do bólu głowy1.
Czynniki środowiskowe
Różne czynniki środowiskowe mogą przyczyniać się do powstania bólu zatokowego:
- Zmiany ciśnienia atmosferycznego – podczas lotów samolotem, wspinaczki na duże wysokości czy nagłych zmian pogody mogą powodować obrzęk wyściółki śluzowej zatok12
- Zanieczyszczenie powietrza i dym tytoniowy – mogą drażnić zatoki i prowadzić do stanu zapalnego12
- Suche powietrze – szczególnie w okresie zimowym, gdy używane jest ogrzewanie, może powodować zagęszczenie śluzu w zatokach, utrudniając jego odpływ i usuwanie bakterii1
- Częste pływanie lub nurkowanie – może powodować podrażnienie zatok1
Choroby współistniejące
Niektóre choroby mogą zwiększać ryzyko wystąpienia bólu zatokowego:
- Astma – osoby z astmą są bardziej narażone na zapalenie zatok12
- Mukowiscydoza – może powodować przewlekłe zapalenie zatok u dzieci i młodzieży1
- Osłabiony układ odpornościowy – osoby z obniżoną odpornością są bardziej podatne na infekcje zatok12
- Zespół Sjögrena – z powodu nieprawidłowej tkanki wyściełającej zatoki1
- Problemy stomatologiczne – według przeglądu z 2021 roku, prawie 30% przypadków przewlekłego zapalenia zatok, które wpływają na obie zatoki szczękowe, może mieć problemy dentystyczne jako przyczynę podstawową1
- Bezdech senny – może prowadzić do zwiększenia ciśnienia w zatokach i bólów głowy1
Mechanizm powstawania bólu zatokowego
Mechanizm powstawania bólu zatokowego polega głównie na zwiększeniu ciśnienia w zatokach przynosowych. W normalnych warunkach zatoki są wypełnione powietrzem, a śluz swobodnie odpływa przez przewody łączące je z jamą nosową1.
Gdy dochodzi do stanu zapalnego (z powodu infekcji, alergii lub innych czynników drażniących), tkanki wyściełające zatoki puchnają i produkują więcej wydzieliny. To blokuje normalne drenaż zatok, powodując gromadzenie się płynu i wydzielin. Ciśnienie tego nagromadzonego płynu powoduje ból charakterystyczny dla bólu zatokowego1.
W przypadku infekcji bakteryjnej, bakterie mogą wytwarzać gazy, które dodatkowo zwiększają ciśnienie w zatokach, potęgując ból1.
Nerw trójdzielny, który zaopatruje okolice twarzy, odgrywa kluczową rolę w przekazywaniu sygnałów bólowych. Pierwsza gałąź nerwu trójdzielnego odpowiada za ból głowy występujący przy migrenie, ale druga gałąź łączy się z receptorami w zatokach, co może powodować uczucie ucisku oraz bólu w obszarze czoła, za oczami lub nosem oraz pod policzkami, naśladując niektóre objawy zapalenia zatok1.
Czynniki ryzyka bólu zatokowego
Do głównych czynników ryzyka występowania bólu zatokowego należą:
- Historia migreny lub innych bólów głowy w przeszłości1
- Rodzinne występowanie migreny lub bólów głowy12
- Palenie tytoniu1
- Częste infekcje górnych dróg oddechowych1
- Wahania hormonalne12
- Przewlekły stres12
- Ekspozycja na alergeny1
Diagnostyka różnicowa bólu zatokowego
Prawidłowe rozpoznanie bólu zatokowego jest kluczowe dla skutecznego leczenia. Często objawy, które pacjenci przypisują bólowi zatokowego, mogą wskazywać na inne schorzenia, szczególnie migrenę12.
Jeśli objawy występują po przeziębieniu i towarzyszą im gęsta, mętna wydzielina z nosa, prawdopodobnie jest to infekcja zatok. Jeśli bólowi zatokowego towarzyszy nudności lub wrażliwość na światło lub dźwięk, bardziej prawdopodobna jest migrena1.
Ból głowy związany z zapaleniem zatok zwykle trwa kilka dni lub dłużej, podczas gdy migreny najczęściej trwają od kilku godzin do jednego lub dwóch dni1.
Inne przyczyny bólu twarzy i ucisku, które mogą być mylone z bólem zatokowym, obejmują zespół stawu skroniowo-żuchwowego (TMJ), zaciskanie lub zgrzytanie zębami, neuralgię nerwu trójdzielnego, zapalenie tętnicy skroniowej, infekcje dentystyczne lub inne neurologiczne przyczyny bólu twarzy12.
Znaczenie multidyscyplinarnej diagnostyki
Ze względu na złożoność diagnostyki bólu zatokowego, wskazane jest wczesne wprowadzenie multidyscyplinarnej oceny pacjentów. Zespół powinien obejmować specjalistę ds. bólu głowy i rynologa, co pozwoliłoby na prawidłową klasyfikację typu bólu głowy i uniknięcie niepotrzebnych zabiegów chirurgicznych1.
Leki skuteczne w migrenie i bólu głowy typu napięciowego również zmniejszają objawy „bólu zatokowego”. Chociaż to odkrycie nie może być traktowane jako potwierdzenie diagnozy, wspiera obserwacje, że „ból zatokowy” to najczęściej błędnie zdiagnozowany pierwotny ból głowy1.
Niewłaściwa diagnoza bólu zatokowego może prowadzić do niepotrzebnych badań diagnostycznych, interwencji chirurgicznych i leczenia medycznego1. Dokładna diagnoza bólu zatokowego wymaga dokładnej oceny klinicznej, w tym szczegółowego wywiadu z pacjentem i badania fizykalnego1.
Warto pamiętać, że termin „ból zatokowy” nie jest faktyczną diagnozą medyczną1. Badania pokazują, że 90% osób z objawami bólu zatokowego doświadcza migreny1.
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Materiały źródłowe
- #1 Etiology of âSinus HeadacheââMoving the Focus from Rhinology to Neurology. A Systematic Reviewhttps://pmc.ncbi.nlm.nih.gov/articles/PMC7827425/
Sinus headache and/or facial pain (SH) is a common complaint encountered by otorhinolaryngologists, neurologists and general practitioners. […] The majority of these publications indicate that migraine and TTH are the most prevalent causes of SH, although most of these studies were conducted in a clinical setting. […] This observation further supports a neurologic etiology of the majority of SH cases. […] According to some authors, SH is the most common misdiagnosis in migraine. […] This review highlights the fact that the majority of studies recognize migraine as the cause of complaints in patients reporting with sinus headache. […] This course of action confirmed that the majority of SH are not caused by sinonasal disorders. […] Data on trigeminal autonomic cephalalgias (TACs) as an underlying problem in sinus headache patients is limited.
- #1 Migraine vs. Sinus Headaches | American Migraine Foundationhttps://americanmigrainefoundation.org/resource-library/sinus-headaches/
Migraine is commonly misdiagnosed as a sinus headache. […] Self-diagnosed sinus headache is nearly always migraine (90% of the time). […] Migraine is commonly associated with forehead and facial pressure over the sinuses, nasal congestion and runny nose. […] In the absence of fever, pus from your nose, alteration in smell or foul-smelling breath, you likely have a migraine headache. […] Your diagnosis needs health practitioner confirmation for accuracy and the best treatment. […] A very large population-based study, entitled American Migraine Study II, showed that many people who were diagnosed with migraine thought they had âsinusâ headache. […] The most common misdiagnosis was âsinusâ headache. […] âTrueâ sinus headache, more properly called rhinosinusitis, is rare and secondary to a viral or bacterial sinus infection characterized by thick, discolored nasal discharge, possibly decreased smell or no smell, facial pain or pressure and commonly fever.
- #1 Migraine vs. Sinus Headache: Symptoms, Causes, and Differenceshttps://www.webmd.com/migraines-headaches/migraine-vs-sinus-headache
True sinus headaches are caused by sinusitis, which means inflammation of the tissues lining your sinuses spaces in your forehead, cheeks, and nose that are usually filled with air. Colds and allergies are common triggers. Some people have chronic sinusitis, caused by bacterial infections. […] The main link between migraine headaches and true sinus headaches (caused by sinusitis) is their similar symptoms. The best explanation is that migraine affects nerves that connect to your sinuses, as well as your eyes, ears, teeth, and jaw. When these nerves are activated, you can get congestion, a runny nose, and watery eyes, whether the cause is a migraine attack, an allergy, or a sinus infection. […] Some research suggests migraine is more common in people with allergies, which is one cause of sinusitis. It’s possible that problems caused by allergies, such as nasal congestion, inflammation, and disrupted sleep, help trigger migraine attacks in some people. So, treating your allergies might help prevent both migraine and sinus headaches.
- #1 Etiology of âSinus HeadacheââMoving the Focus from Rhinology to Neurology. A Systematic Reviewhttps://pmc.ncbi.nlm.nih.gov/articles/PMC7827425/
Our review shows that TACs can be responsible for up to 11% of SH cases. […] Migraine and tension-type headache are the most prevalent causes of complaints in patients reporting to a physician for treatment of sinus headache and facial pain. […] Medications effective in migraine and tension-type headache also decrease sinus headache symptoms. Although this finding cannot be treated as diagnosis confirmation, it supports observations that sinus headache is mostly misdiagnosed primary headache. […] Multidisciplinary evaluation of patients with sinus headache should be introduced at an early stage.
- #1 Sinus Infection (Sinusitis): Causes, Symptoms & Treatmenthttps://my.clevelandclinic.org/health/diseases/17701-sinusitis
Sinusitis is an inflammation of the tissues in your sinuses (spaces in your forehead, cheeks and nose usually filled with air). […] Its usually caused by the common cold, but other viruses, bacteria, fungi and allergies can also cause sinusitis. […] Bacterial infections, viral infections and allergies can irritate them, causing them to get blocked and filled with fluid. […] This can cause pressure and pain in your face, nasal congestion (a stuffy nose) and other symptoms. […] Viruses, bacteria, fungi and allergens can cause sinusitis. Specific triggers for sinusitis include: […] The common cold. […] The flu (influenza). […] Streptococcus pneumoniae bacteria. […] Haemophilus influenza bacteria. […] Moraxella catarrhalis bacteria. […] Nasal and seasonal allergies. […] Some people are more likely to get sinusitis than others. Risk factors include:
- #1 Sinus headaches – Symptoms & causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/sinus-headaches/symptoms-causes/syc-20377580
Sinus headaches are usually associated with migraines or other forms of headaches. […] Sinus headaches are associated with pain and pressure in the face and sinuses and can cause nasal symptoms. Most of these headaches are not caused by sinus infections and generally should not be treated with antibiotics.
- #1 Sinus Headaches: Symptoms, Causes & Reliefhttps://my.clevelandclinic.org/health/diseases/9641-sinus-headaches
Sinus headaches are a symptom of sinus infections (sinusitis). […] If you have a sinus headache, a viral or bacterial infection in your sinuses may be to blame. […] Sinus headaches stem from sinus infections. Understanding sinus infection risk factors may reduce your risk of sinus headaches. […] Normally, free-flowing mucus carries off intruders before they can make trouble in your sinuses. But sometimes your sinuses reaction to intruders starts a chain reaction that leads to sinus headaches. […] First, your sinuses start making more mucus. Mucus building up in your sinuses creates a place where intruders like bacteria and viruses can settle and grow. […] Sinus headaches happen because you have a sinus infection. […] That depends on what caused you to have sinusitis. For example, viruses cause most sinus infections. When the viral infection clears up, the sinus headache goes away. […] Most sinus headaches go away when sinus infections clear.
- #1 Sinus Headache: Symptoms, Causes & Treatmentshttps://www.healthline.com/health/sinus-headache
Sinusitis directly causes sinus headaches, so they share the same causes and triggers. These include: […] Viral infection. This is the most common cause of sinusitis and sinus headache. About 90 percent of people who who get a cold end up experiencing symptoms of sinusitis. […] Bacterial infection. This often occurs after a viral infection and can cause symptoms to last longer. […] Fungal infection. This may occur more often in people who are immunocompromised. […] Seasonal allergies. Allergies that last an extended period of time can cause the sinuses to become inflamed. This is called rhinitis, or hay fever. […] Structural differences. Things like nasal polyps, enlarged adenoids, or a deviated septum can prevent the sinuses from draining properly.
- #1 What Are the Symptoms of a Sinus Headache? | Kaplan Sinus ReliefExitFacebookTwitterLinkedinMailYoutubeFacebookhttps://www.kaplansinusrelief.com/blog/symptoms-sinus-headache/
Sinus infections are the most common cause of sinus headaches, also known as sinusitis. When the sinuses become infected by viruses, bacteria, or fungi, they can become inflamed. […] Several factors can contribute to sinus headaches, but the more common causes include: […] Allergic reactions to pollen, dust, pets, or other airborne allergens can cause inflammation in the sinuses. […] Nasal polyps, or other non-cancerous growths in the nasal passages known as nasal polyps can obstruct the sinuses. […] Deviated septums can restrict proper airflow through the nose and cause sinus pressure. […] Environmental factors like air pollution, smoke, sudden changes in weather conditions, and even strong odors can trigger sinus headaches. […] What all of these causes have in common is that they cause a blockage of the sinus drain channels, which creates excessive pressure throughout the sinuses.
- #1 Sinus Headaches and Pain: Causes and Prevention | TYLENOL®https://www.tylenol.ca/symptoms/upper-respiratory/sinus-pain-prevention
Sinus headaches and pain are usually due to irritation or the blockage of the sinuses. Some of the most common causes of a sinus headache include: […] The common cold is the most common cause of sinus headaches. Typically, colds are caused by a virus, such as rhinovirus. If you have a cold, you could develop congestion in your sinuses, which could increase the pressure. As the pressure goes up, you may start to feel facial pain and discomfort, leading to a sinus headache. […] If you suffer from seasonal allergies, which are also called allergic rhinitis, you could develop a sinus headache. Allergic rhinitis can cause congestion to build up in the sinuses, increasing the pressure, which results in a headache. […] You might also have nasal polyps. They are noncancerous growths that may form inside nasal passages and sinuses. Nasal polyps, while they might not cause congestion, take up space in your sinuses. This can increase sinus pressure, leading to a sinus headache. […] If you have a deviated septum, you could develop a sinus headache. A deviated septum encloses the space in your sinuses, causing the pressure to go up. Even if you don’t have congestion, you could still develop a sinus headache.
- #1 Headaches Connected to Allergies and Sinus Problemshttps://www.aaaai.org/tools-for-the-public/conditions-library/allergies/headaches-connected-to-allergies-and-sinus-problem
Sinus headaches are hard to identify since headache specialists consider true sinus headaches to be fairly rare. […] Recent studies suggest that patients who appear to have sinus headaches frequently have migraines. […] Headaches attributed to acute bacterial rhinosinusitis are a specific, rare diagnosis. […] Chronic rhinosinusitis is one of the most common problems experienced with allergic rhinitis and can occasionally lead to headaches. […] However, it is controversial whether constant blockage of the nasal passages caused by allergic inflammation can lead to chronic headaches. […] Research also supports a link between migraine and allergy, so your physician will consider both migraine headache and sinus headache if you are experiencing headaches and allergic rhinitis.
- #1 Headaches and Nasal Sinus Disease | Cleveland Nasal Sinus and Sleep Centerhttps://www.clevelandnasalsinus.com/headaches-facial-pain-cleveland-nasal-sinus-sleep-ear-nose-throat-ohio.html
Sinus headaches are caused when the nasal turbinates are swollen. The swelling of the turbinates creates excess mucous, often filling and blocking the sinuses. This swelling causes the facial pressure. […] Sinus headaches are caused when turbinates are swollen. The swelling of the turbinates creates excess mucous, often filling and blocking the sinuses. This swelling causes the facial pressure. […] Surgical management of obstructing areas that trigger headache.
- #1 âSinus Headacheâ: Diagnosis and Dilemma?? An Analytical and Prospective Studyhttps://pmc.ncbi.nlm.nih.gov/articles/PMC6737117/
To evaluate the type, location, severity of headache and their relation to various nasal and sinus related pathological conditions. […] The headache is the commonest associated symptom which is needed to be given attention. […] The inappropriate diagnosis of sinus headache can lead to unnecessary diagnostic studies, surgical interventions and medical treatment. […] There may be many other important factors like mucosal contact points, agar nesi, hellar cells, concha bullosa, enlarged bulla ethmoidelis, aplastic frontal sinuses, narrow fronto-ehmoidal recess can cause and contribute the headache. […] In some conditions the etiology of headache resides in maxillary sinus which is secondary to chronic sinus infection and surgical intervention required to treat these cases. […] The patients with blocked osteomeatal complex, one or more contact points, spheno-ethmoid complex diseases, nasal polype, and anatomical variations can also cause headache and needs surgical interventions along with medical treatment. […] In sinugenic headache group, sinugenic headache were etiologically related to chronic rhinosinusits most commonly followed by acute rhinosinusitis and allergic rhinitis. […] It has been seen in many studies that contact points in nasal cavity also causes headache.
- #1 Sinus Headaches: Causes, Symptoms, Diagnosis, and Treatmenthttps://www.verywellmind.com/sinus-headaches-causes-symptoms-diagnosis-treatment-5225690
Sinus headaches are caused by sinusitis, which occurs when there’s a mucus buildup in the sinuses, giving bacteria, viruses, or fungus an opportunity to grow there and cause an infection. As the sinus cavities swell and fill up with liquid, they can cause tenderness and pain in the face. […] These are some of the causes of sinusitis: Respiratory infections, with the common cold and flu being the most frequent culprit; Allergies, such as hay fever; Swelling, bone spurs, polyps, or tumors in the nasal passage, which can block the sinuses from draining properly; A deviated septum or cleft palate, which can also affect the draining of the sinuses; Flying or climbing to high altitudes, which can cause the mucosal lining in the sinuses to become swollen due to the differences in atmospheric pressure; Frequently swimming or diving, which can cause irritation in the sinuses. […] Sinus headaches can be caused by sinusitis, but they are in fact an extremely rare condition that are usually a misdiagnosis of migraine headaches.
- #1 Why Are My Sinus Headaches Worse in the Winter? – Lakeside Allergy ENThttps://lakesideallergyent.com/2023/02/14/why-are-my-sinus-headaches-worse-in-the-winter/
Sinus headaches can come with facial pressure; a stuffy, runny nose; draining yellowish mucus; and fevers. […] They can be caused by sinus issues, such as small sinus openings or nasal polyps that block the sinuses, which make it difficult for them to drain properly. […] However, there are plenty of other things that can cause sinus headaches in the winter: […] Dry air. Are you running your heater or furnace a lot lately? This can dry out the air, which can cause a variety of problems (as well as just making life uncomfortable). It can make the mucus in your sinuses thicken, which can make it difficult for the mucus to remove bacteria as effectively as it is supposed to. […] Cold and flu. Winter is the time for these respiratory problems, which seem to get passed back and forth between family members. Sinus inflammation and nasal congestion can result in bad sinus headaches.
- #1 Sinus Infection (Sinusitis): Causes, Symptoms & Treatmenthttps://my.clevelandclinic.org/health/diseases/17701-sinusitis
Nasal allergies. […] Asthma. […] Nasal polyps (growths). […] Deviated septum. […] A weakened immune system. […] Smoking. […] Sinusitis itself isnt contagious. But the viruses and bacteria that can cause it are. […] Very rarely, untreated sinus infections can lead to life-threatening infections. This happens if bacteria or fungi spread to your brain, eyes or nearby bone.
- #1 Chronic sinusitis – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/chronic-sinusitis/symptoms-causes/syc-20351661
An infection, growths in the sinuses, called nasal polyps, or swelling of the lining of the sinuses can cause chronic sinusitis. […] The cause of chronic sinusitis usually is not known. Some medical conditions, including cystic fibrosis, can cause chronic sinusitis in children and teens. […] Some conditions can make chronic sinusitis worse. These include: A common cold or other infection that affects the sinuses. Viruses or bacteria can cause these infections. A problem inside the nose, such as a deviated nasal septum, nasal polyps or tumors.
- #1 Sinus Headache Causes, Symptoms, and Treatments | UPMChttps://www.upmc.com/services/neurology/services/headache-center/sinus-headache
A sinus headache is a rare side effect of sinusitis (a sinus infection). […] Sinus headaches causes include a sinus infection. […] Fluid usually moves out of the sinuses through tubes called „ducts.” But fluid can’t drain well when mucus or swelling blocks these ducts. […] When the fluid builds up, germs can grow. Most sinus infections are viral, but bacteria can also be the culprit. […] Other health issues can cause ear fullness, blocked sinuses, inflammation, and facial swelling. […] Health problems that may put you at risk of getting a sinus infection include: allergies, colds, tumor, weak immune system, nasal polyps (growths on the nose lining), a deviated septum (when the wall between your nasal passages is off center). […] A real sinus headache is rare, and a sinus infection causes it. The headache comes after the infection. When you treat the sinus infection, the headache goes away.
- #1 Sinus Headache: Causes, Symptoms, and Treatmenthttps://skinsight.com/skin-conditions/sinus-headache/
Sinus headache involves head pain caused by irritation of the sinuses (the air-filled chambers in several bones in the face). The irritation can be due to sinus infection from viruses, bacteria, fungi, or other organisms, or it may be due to allergies. […] Infection of the sinuses is possible in anyone, but it can be more common or more serious in people with compromised immune systems (eg, people with AIDS, cancer, diabetes, or older adults). Certain medical conditions may also make people prone to sinus infections, for example Sjgren syndrome, due to abnormal tissue lining of the sinuses. Injury to nasal passages and sinuses may also predispose a person to sinus infections and headaches. […] Many sinus infections are caused by viruses that the body can effectively eliminate with time, though, and viral infections do not require antibiotics. If fungal or other organisms are causing your sinus headache, your medical professional will treat the infection appropriately.
- #1 Sinus headache: Symptoms, treatments, and home remedieshttps://www.medicalnewstoday.com/articles/321012
According to a 2021 review, nearly 30% of chronic sinusitis cases that affect both maxillary sinuses, which are in the cheeks, may have dental problems as the underlying cause. […] Sinus headaches occur when pressure or blockages inside the sinuses cause pain. The pain may be around the forehead, bridge of the nose, or cheeks. Often, it occurs due to a viral infection. Bacteria, fungi, and allergies can also be a cause.
- #1 Sinus Headaches: Causes & Simple Solutionshttps://adventknows.com/what-we-treat/sinus-headaches
Sinus headaches happen when there’s something blocking the nasal and sinus passageways, causing inflammation in the lining of the sinuses and nose, or both. Sinus headaches can be a symptom of an acute sinus infection, or they can occur more frequently as the result of an anatomical or inflammatory issue, or both. […] Potential root causes of sinus headaches can include: Sinusitis: Sinus headaches are often caused by sinusitis, which is an inflammation or swelling of the tissue lining the sinuses. Chronic Sinusitis: A long-term sinus condition often associated with sinus headaches. Allergies: Allergic reactions often cause sinus congestion, which can cause sinus headaches. Rhinitis: This is an inflammation of the nasal mucosa, and it can cause symptoms similar to a sinus headache. Nasal Polyps: These are non-cancerous growths in the nose or sinuses that can block the sinuses, leading to headaches. Deviated Septum: A condition where the nasal septum is significantly displaced, potentially causing sinus blockage and headache. Common Cold/Flu: Viral infections can cause inflammation and congestion in the sinuses, leading to a sinus headache. Barometric Pressure: Changes in weather or altitude can cause pressure changes leading to sinus headaches. Postnasal Drip: This condition can cause irritation and inflammation in the sinuses, leading to a sinus headache. Sleep Apnea: A disorder of breathing during sleep, which may lead to an increase in sinus pressure and headaches. Stress: Chronic stress can contribute to tension and ultimately sinus headaches.
- #1 Sinus Headache: Symptoms, Causes, Treatment & Remedieshttps://www.emedicinehealth.com/sinus_headache/article_em.htm
A sinus headache results from inflammation and pressure within the sinus cavities of the skull. […] Inflammation of the lining tissues of the sinuses due to infections, allergies, or other irritants causes fluid secretion that can block drainage from the sinuses, causing the sinus pressure within to increase. […] Inflammation of the tissues lining the sinuses is the primary cause of a sinus headache. The inflamed tissues swell and produce secretions that clog the normal drainage system of the sinuses, causing a build-up of fluid and secretions. The pressure of this fluid build-up causes the pain of a sinus headache. Inflammation of the sinuses is known as sinusitis. The inflammation may arise due to: Infection, Allergic reactions such as hay fever, Irritation. […] Most commonly, infectious sinusitis (sinus infection) is due to a viral infection, but bacterial and fungal infections of the sinuses can also occur.
- #1 Sinus headache: Symptoms, treatments, and home remedieshttps://www.medicalnewstoday.com/articles/321012
Sinus headaches often occur due to a sinus infection, or sinusitis. […] Several things can cause or contribute to sinusitis. […] Sinus headaches are often the result of a viral infection. However, sometimes sinus infections occur due to bacteria or fungi. […] During a sinus infection, the sinuses become inflamed, and the body produces more mucus. This, on its own, can cause a sinus headache. […] However, if bacteria start to grow inside the sinuses, a person may develop a bacterial infection. The bacteria produce gases that cause sinus pressure, which also causes pain. […] Allergies, particularly hay fever, can also cause sinus headaches. This is because allergies can cause blocked or inflamed sinuses. […] If someone has a condition that prevents mucus from draining effectively from the nose and sinuses, they may be prone to blockages and infections.
- #1 Chapter 1, Episode 11: What is Sinus Migraine? – Association of Migraine Disordershttps://www.migrainedisorders.org/video/sinus-migraine/
Sinus migraine occurs due to hyperactivation of the trigeminal and autonomic nervous systems. […] It is believed that the first branch of the trigeminal nerve is responsible for the head pain that occurs with migraine but the second branch connects to sensors in the sinuses which can cause pressure, as well as pain, across the forehead, behind the eyes or nose, and beneath the cheeks mimicking some of the symptoms of sinusitis. […] Generally, sinusitis treatments are not the best strategies for treating sinus migraine. […] Triptans, which are migraine abortive treatments, have proved to be effective for sinus migraine.
- #1 Sinus Headaches: Causes, Symptoms and Reliefhttps://greatist.com/health/sinus-headache
Struggling with a sinus headache? They might be due to sinusitis, causing pressure and pain. […] Sinus headaches happen when your sinuses basically the cavities behind your eyes, nose, cheeks, and forehead become congested or inflamed. This puts pressure on these areas, causing a headache. […] The most common cause of sinus headaches is sinusitis. Sinusitis happens when something triggers inflammation in your sinuses and nasal passages. […] Common causes of sinusitis include: seasonal allergies, sinus infections, other bacterial or viral infections, sinus blockages. […] Sinus headaches dont care who you are they can affect anyone. However, you run a higher risk of getting one if: You have a history of headaches or migraine. Migraine or headaches run in your family. You experience headaches during hormonal fluctuations.
- #1 Sinus headache: Not what you think – Mayo Clinic Health Systemhttps://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/your-sinus-headache-may-not-be-what-you-think
Sinusitis usually isnât associated with nausea or vomiting or aggravated by noise or bright light, which are all common features of migraines. […] Headaches due to sinus disease often last several days or longer, while migraines most commonly last hours to a day or two. […] Many people who assume they have headaches from sinusitis have been misdiagnosed and prescribed an antibiotic for sinusitis. […] However, an antibiotic is not the correct treatment for a migraine headache. […] Migraine headaches can affect anyone. However, theyâre more common in people between age 20 and 50. […] Migraine headaches tend to run in families. Seventy-five percent of people with migraine headaches have a family history of migraine headaches. […] The cause of headaches can be challenging to determine.
- #1 The Causes of Daily Sinus Headaches | Southern California Sinus Institutehttps://www.socalsinus.com/the-causes-of-daily-sinus-headaches/
Sinus headaches occur when pressure and mucus build up in the sinus cavities and airways inside the nose. […] Head pain related to sinusitis is often secondary to other health conditions, such as migraines, hypertension, allergies. […] The swelling increases the pressure inside the sinus cavities and decreases the size of the airways and nostrils, causing pain in the head and areas surrounding the eyes, nose, and jaw. […] Chronic sinus infections, or sinusitis, allergies, and other upper respiratory ailments can cause the septum to collapse resulting in partial or complete obstruction of the nasal cavity. […] Frequent or prolonged exposure to allergens, viruses, bacteria, and germs are a source of daily headaches and facial pain for many people. […] Allergy-related headaches are more likely to occur in individuals with nasal congestion, untreated sinus infections, viral or bacterial infections, or abnormal internal nasal structures.
- #1 Sinus Headaches – ENT Healthhttps://www.enthealth.org/conditions/sinus-headaches/
Not every headache is the result of sinus and nasal passage problems. […] Sinus headaches are most likely due to migraines or tension headaches. […] Symptoms of sinusitis and migraine headaches can be similar, which can be confusing about what is causing sinus pain and pressure. […] Sinus pain and pressure without discolored nasal discharge is most likely not a sinus infection. […] If you have been diagnosed with frequent sinus infections and have been treated with repeated episodes of antibiotics without improvement, migraines or tension headaches could be causing your sinus pain and pressure.
- #1 Sinus Headache? The Cause Might Surprise You | Tufts Medicinehttps://www.tuftsmedicine.org/about-us/news/sinus-headache-cause-might-surprise-you
With warmer weather often comes dreaded seasonal allergies and what is often referred to as sinus headaches. But, would you be surprised to learn that what we feel as sinus headaches arenât always caused by sinus problems? […] A sinus headache is a term used by patients to describe a pressure sensation around the eyes, forehead and cheeks that worsens with bending over or lying down. Although these symptoms can be caused by sinusitis or inflammation of the lining of the sinuses, they can also be caused by tension or migraine headaches. In fact, a number of studies have shown that the majority of patients coming to see a doctor for „sinus headaches” end up being diagnosed with migraines. […] The pattern of symptoms can help differentiate if the sinus headache is caused by sinusitis or a migraine headache masquerading as a sinus infection. If the symptoms follow a cold and are associated with thick, cloudy nasal drainage, it is likely to be a sinus infection. If the sinus headache comes with nausea or a sensitivity to light or sound, it is more likely to be a migraine. […] If the sinuses look healthy, then the sinus headache is unlikely to be caused by sinusitis.
- #1 Sinus Headaches | Naugatuck Valley ENThttps://naugatuckvalleyent.com/patient-education/sinus-headaches/
Not every headache is the result of sinus and nasal passage problems. […] Sinus headache is a common term used by patients and some healthcare providers to describe pain or pressure in the face, over the cheeks or forehead, or between or behind the eyes (where the sinuses are located). […] Studies of patients who have self-diagnosed or been diagnosed with sinus headaches were found to have migraines or tension headaches in more than 80 percent of cases; only three to five percent of these patients had sinusitis. […] Sinus headaches are most likely due to migraines or tension headaches. […] Other causes of facial pain and pressure can include temporomandibular joint (TMJ) syndrome, clenching or grinding your teeth, trigeminal nerve pain, temporal arteritis, dental infection, or other neurologic causes of facial pain.
- #1 Etiology of âSinus HeadacheââMoving the Focus from Rhinology to Neurology. A Systematic Reviewhttps://www.mdpi.com/2076-3425/11/1/79
Migraine and TTH are the most prevalent causes of complaints in patients reporting to a physician for treatment of âsinus headache and facial painâ. […] Medications effective in migraine and tension-type headache also decrease âsinus headacheâ symptoms. Although this finding cannot be treated as diagnosis confirmation, it supports observations that âsinus headacheâ is mostly misdiagnosed primary headache. […] Multidisciplinary evaluation of patients with âsinus headacheâ should be introduced at an early stage. The team should include a headache specialist and rhinologist, as this would allow for the correct classification of headache type and avoidance of unnecessary surgical procedures.
- #1 What Causes Sinus Headaches? – Consensus: AI Search Engine for Researchhttps://consensus.app/home/blog/what-causes-sinus-headaches/
Sinus headaches are often misdiagnosed, with many cases actually being migraines or tension-type headaches. […] Understanding the true etiology of sinus headaches can help avoid unnecessary treatments and improve patient outcomes. […] However, the true etiology of these headaches is frequently misunderstood, leading to misdiagnosis and inappropriate treatment. […] Inflammation or infection of these sinuses can lead to pain and pressure, commonly referred to as sinus headaches. […] Many patients and primary care physicians incorrectly attribute headaches to sinus disease. […] Studies have shown that a significant number of patients diagnosed with sinus headaches actually suffer from migraines or tension-type headaches. […] Accurate diagnosis of sinus headaches requires a thorough clinical evaluation, including a detailed patient history and physical examination. […] Treatment for sinus headaches depends on the underlying cause.
- #1 Sinus headache: Not what you think – Mayo Clinic Health Systemhttps://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/your-sinus-headache-may-not-be-what-you-think
Nearly everyone experiences a headache at some point, and the pain can range from mild to debilitating. […] Sometimes, headaches are accompanied by pain and pressure in your brow and forehead and cause nasal symptoms. Many people associate sinus and nasal symptoms with a sinus infection, also called sinusitis, or with an upper respiratory infection, such as a cold. Someone may say that theyâre experiencing a sinus headache. But sinus and nasal symptoms often can signal something else: a migraine headache. […] The term „sinus headache” isnât an actual medical diagnosis. Studies show that 90% of people with sinus headache symptoms are experiencing migraine headaches. […] Migraines and headaches from sinusitis are easy to confuse because the signs and symptoms of the two types of headaches may overlap.
- #2 Sinus Headaches: Symptoms Causes Treatments Houston The Woodlands TXhttps://premiersinus.com/services/sinus-headaches/
Sinus headaches are an uncomfortable symptom of conditions such as sinusitis, rhinosinusitis, or allergic rhinitis that resolve when sinus congestion is effectively treated. […] Research shows that sinus headaches are often inappropriately diagnosed, leading to insufficient or unnecessary treatments that may be harmful, costly, and frustrating for patients. […] In fact, up to 90% of patients who report symptoms of a sinus headache are actually experiencing migraines, tension headaches, or other causes of discomfort unrelated to their sinuses. […] Sinus headaches caused by sinus infections are improved by effectively treating the underlying sinus and nasal problems with proper medications and surgical procedures when necessary. Other causes of headaches such as migraines are more common than sinus problems, and appropriate workup and testing can identify the precise causes and most appropriate treatments without going through unnecessary medications or procedures that are unlikely to provide relief.
- #2 Sinus headache: Not what you think – Mayo Clinic Health Systemhttps://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/your-sinus-headache-may-not-be-what-you-think
Nearly everyone experiences a headache at some point, and the pain can range from mild to debilitating. […] Sometimes, headaches are accompanied by pain and pressure in your brow and forehead and cause nasal symptoms. Many people associate sinus and nasal symptoms with a sinus infection, also called sinusitis, or with an upper respiratory infection, such as a cold. Someone may say that theyâre experiencing a sinus headache. But sinus and nasal symptoms often can signal something else: a migraine headache. […] The term „sinus headache” isnât an actual medical diagnosis. Studies show that 90% of people with sinus headache symptoms are experiencing migraine headaches. […] Migraines and headaches from sinusitis are easy to confuse because the signs and symptoms of the two types of headaches may overlap.
- #2 Etiology of âSinus HeadacheââMoving the Focus from Rhinology to Neurology. A Systematic Reviewhttps://www.mdpi.com/2076-3425/11/1/79
Migraine and TTH are the most prevalent causes of complaints in patients reporting to a physician for treatment of âsinus headache and facial painâ. […] Medications effective in migraine and tension-type headache also decrease âsinus headacheâ symptoms. Although this finding cannot be treated as diagnosis confirmation, it supports observations that âsinus headacheâ is mostly misdiagnosed primary headache. […] Multidisciplinary evaluation of patients with âsinus headacheâ should be introduced at an early stage. The team should include a headache specialist and rhinologist, as this would allow for the correct classification of headache type and avoidance of unnecessary surgical procedures.
- #2 Sinus headaches – Symptoms & causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/sinus-headaches/symptoms-causes/syc-20377580
Sinus headaches are usually associated with migraines or other forms of headaches. […] Sinus headaches are associated with pain and pressure in the face and sinuses and can cause nasal symptoms. Most of these headaches are not caused by sinus infections and generally should not be treated with antibiotics.
- #2 How to get rid of a sinus headache – Harvard Healthhttps://www.health.harvard.edu/diseases-and-conditions/how-to-get-rid-of-a-sinus-headache
Sinus headaches cause pain and pressure that’s typically felt behind your eyes, nose, cheeks, or forehead. […] The most common cause of sinusitis is a viral infection, but both bacteria and fungi can be the culprits. Allergies can also cause sinus inflammation. […] Less often, sinus pain and pressure are triggered by exposure to secondhand smoke, perfume, or other inhaled chemicals. Structural issues, like nasal polyps or a deviated septum, can prevent the sinuses from draining properly and allow inflammation to take hold. Sudden changes in air pressure can also cause pain without inflammation.
- #2 Sinus Headache: Symptoms, Causes, Treatment & Remedieshttps://www.emedicinehealth.com/sinus_headache/article_em.htm
A sinus headache results from inflammation and pressure within the sinus cavities of the skull. […] Inflammation of the lining tissues of the sinuses due to infections, allergies, or other irritants causes fluid secretion that can block drainage from the sinuses, causing the sinus pressure within to increase. […] Inflammation of the tissues lining the sinuses is the primary cause of a sinus headache. The inflamed tissues swell and produce secretions that clog the normal drainage system of the sinuses, causing a build-up of fluid and secretions. The pressure of this fluid build-up causes the pain of a sinus headache. Inflammation of the sinuses is known as sinusitis. The inflammation may arise due to: Infection, Allergic reactions such as hay fever, Irritation. […] Most commonly, infectious sinusitis (sinus infection) is due to a viral infection, but bacterial and fungal infections of the sinuses can also occur.
- #2 Sinus Headache: Causes, Symptoms, and Treatmenthttps://skinsight.com/skin-conditions/sinus-headache/
Sinus headache involves head pain caused by irritation of the sinuses (the air-filled chambers in several bones in the face). The irritation can be due to sinus infection from viruses, bacteria, fungi, or other organisms, or it may be due to allergies. […] Infection of the sinuses is possible in anyone, but it can be more common or more serious in people with compromised immune systems (eg, people with AIDS, cancer, diabetes, or older adults). Certain medical conditions may also make people prone to sinus infections, for example Sjgren syndrome, due to abnormal tissue lining of the sinuses. Injury to nasal passages and sinuses may also predispose a person to sinus infections and headaches. […] Many sinus infections are caused by viruses that the body can effectively eliminate with time, though, and viral infections do not require antibiotics. If fungal or other organisms are causing your sinus headache, your medical professional will treat the infection appropriately.
- #2 Allergy Headaches | Causes, Symptoms & Treatment | ACAAI Public Websitehttps://acaai.org/allergies/symptoms/headaches/
Sinus headaches and migraines â are linked to allergies. […] A sinus headache is caused by swelling in the sinuses that blocks the openings, preventing drainage and causing pressure to build up. Common seasonal and year-round allergens like pollen, mold and pet dander can cause your bodyâs immune system to react with a sinus headache, even if you have no other allergy symptoms. […] The pain is often located around the blocked sinus. If a sinus cavity in your cheek is blocked, your cheeks may be tender to the touch and pain may extend to your jaw and teeth. Blockage in other sinuses can cause pain on the top of your head or elsewhere. […] Your allergist can help you determine whether they are caused by allergies.
- #2 Sinus Headaches – Symptoms, Causes, and Treatmenthttps://www.webmd.com/migraines-headaches/sinus-headaches
The reason behind your sinus headaches can vary from person to person. Generally, it is because your sinuses get blocked or inflamed. Some causes for this include: […] Sinus headaches happen when your sinuses get blocked or inflamed, causing pain in areas such as your forehead, cheekbones, or nose. They can be triggered by infections, allergies, nasal issues, or even things such as smoke or changes in air pressure. […] Sinus infections and headaches can be triggered by viral or bacterial infections, allergies, polyps in your nose, a deviated septum, or dental problems. Secondhand smoke or even changes in air pressure can also be triggers for some people.
- #2 Sinus Headaches | Cedars-Sinaihttps://www.cedars-sinai.org/health-library/diseases-and-conditions/s/sinus-headaches.html
Pressure around the eyes, forehead and cheeks usually means a sinus headache, but other conditions may be causing the discomfort. […] Sinusitis, whether allergic, nonallergic or fungal, can cause changes in the pressure in the sinuses that can then cause headaches. […] Allergies, a weak immune system, nasal growths (polyps) or asthma can increase the risk of sinus headaches and sinusitis.
- #2 Sinus Headaches: Causes, Symptoms and Reliefhttps://greatist.com/health/sinus-headache
Struggling with a sinus headache? They might be due to sinusitis, causing pressure and pain. […] Sinus headaches happen when your sinuses basically the cavities behind your eyes, nose, cheeks, and forehead become congested or inflamed. This puts pressure on these areas, causing a headache. […] The most common cause of sinus headaches is sinusitis. Sinusitis happens when something triggers inflammation in your sinuses and nasal passages. […] Common causes of sinusitis include: seasonal allergies, sinus infections, other bacterial or viral infections, sinus blockages. […] Sinus headaches dont care who you are they can affect anyone. However, you run a higher risk of getting one if: You have a history of headaches or migraine. Migraine or headaches run in your family. You experience headaches during hormonal fluctuations.
- #2 What Is a Sinus Headache? | Therafluhttps://www.theraflu.com/treating-cold-flu/what-is-a-sinus-headache/
Sinus headaches are caused by changes in the pressure of the sinuses that happen when the cavities around the nasal passages are inflamed. Sinus headaches typically present themselves in the aftermath of a cold or viral upper respiratory infection and are also associated with allergies. Nasal growths, a weak immune system, hormonal changes, and having a personal or family history of migraines or headaches may increase your likelihood of getting sinus headaches. […] Sinus headaches are often confused with migraine headaches both worsen when you bend forward and can be accompanied by various nasal signs and symptoms including congestion, facial pressure, and a clear nasal discharge.
- #2 Why Are My Sinus Headaches Worse in the Winter? – Lakeside Allergy ENThttps://lakesideallergyent.com/2023/02/14/why-are-my-sinus-headaches-worse-in-the-winter/
Stress. The holidays can be a stressful time for many people even those who see it as the best time of the year can still be stressed out by it! Stress weakens the immune system and makes it harder to fight off colds and flu. […] Allergens. Pollenating plants are still active during the winter. You may also be allergic to mold and dust in your home, and there may be excess pet dander in the air from your pets staying inside and out of the cold.
- #2 Sinus Headache? The Cause Might Surprise You | Tufts Medicinehttps://www.tuftsmedicine.org/about-us/news/sinus-headache-cause-might-surprise-you
With warmer weather often comes dreaded seasonal allergies and what is often referred to as sinus headaches. But, would you be surprised to learn that what we feel as sinus headaches arenât always caused by sinus problems? […] A sinus headache is a term used by patients to describe a pressure sensation around the eyes, forehead and cheeks that worsens with bending over or lying down. Although these symptoms can be caused by sinusitis or inflammation of the lining of the sinuses, they can also be caused by tension or migraine headaches. In fact, a number of studies have shown that the majority of patients coming to see a doctor for „sinus headaches” end up being diagnosed with migraines. […] The pattern of symptoms can help differentiate if the sinus headache is caused by sinusitis or a migraine headache masquerading as a sinus infection. If the symptoms follow a cold and are associated with thick, cloudy nasal drainage, it is likely to be a sinus infection. If the sinus headache comes with nausea or a sensitivity to light or sound, it is more likely to be a migraine. […] If the sinuses look healthy, then the sinus headache is unlikely to be caused by sinusitis.
- #2 Sinus Headache Symptoms, Causes, Diagnosis, & Treatmenthttps://www.emedicinehealth.com/what_does_a_sinus_headache_feel_like/article_em.htm
Sinus headache is not a medical diagnosis but a description of symptoms of headaches, and studies have found that more than 80% of people who have self-diagnosed or been diagnosed with sinus headaches actually had migraines or tension headaches. Only 3% to 5% had inflammation of the sinuses (sinusitis). […] What is called a sinus headache is usually not caused by sinus inflammation (sinusitis) but by migraines or tension headaches. Only about 3% to 5% of sinus headaches are actually caused by inflammation of the sinuses. […] Other causes of sinus headache pain may include: Temporomandibular joint (TMJ) syndrome, Tooth clenching or grinding, Trigeminal nerve pain, Temporal arteritis (associated with scalp pain, pain in the temple, jaw pain, and vision changes on one side), Dental infection, Other neurologic causes of facial pain.