Sinus Headache or Migraine? Here’s What You Need to Know

Do you suffer from frequent “sinus headaches”? You’re not alone — but there’s a good chance your diagnosis might not be entirely accurate.

In fact, up to 80–90% of headaches labeled as “sinus headaches” are actually migraines. This common confusion often leads to delays in proper treatment and unnecessary use of antibiotics, decongestants, or nasal sprays that may not be effective.

Let’s break down the difference — and help you figure out what might really be behind your pain.

What Is a Sinus Migraine?

A sinus migraine is a migraine headache that causes pain and pressure in the face — often around the cheeks, forehead, and bridge of the nose. Because of the location of the discomfort, it can easily be mistaken for a sinus infection.

However, unlike a true sinus infection, a sinus migraine typically includes:

• Facial pain or pressure

• Sensitivity to light and/or sound

• Nausea or vomiting

• Possible dizziness or visual changes

• No fever, nasal congestion, or discolored mucus

These symptoms point more toward a migraine than an infection — especially if they come and go without cold-like symptoms.

What Is a True Sinus Infection?

A true sinus infection (sinusitis) involves inflammation of the sinus cavities, often caused by a virus, bacteria, or allergies. You’ll usually notice:

• Nasal congestion or blockage

• Thick, yellow or green nasal discharge

• Loss of smell

• Facial tenderness or swelling

• Fever or fatigue

• Cold symptoms lasting more than 7–10 days

Sinus infections tend to build up slowly after a cold or allergy flare-up and often require different treatment — such as antibiotics if bacterial, or steroid nasal sprays to reduce inflammation.

Why It Matters

Treating a migraine like a sinus infection won’t work — and it can lead to frustration and overuse of medications that aren’t helping. On the other hand, properly diagnosing a migraine can open the door to effective relief through migraine-specific therapies like:

• Prescription migraine medications

• Lifestyle changes and trigger management

• Preventive therapies for frequent attacks

An accurate diagnosis also helps you avoid unnecessary antibiotics, which can contribute to resistance and side effects.

When to See a Specialist

If you’ve been dealing with recurring “sinus headaches” that don’t seem to respond to typical sinus treatments — it’s time to take a closer look. A qualified ENT or headache specialist can help determine whether you’re dealing with migraines, sinusitis, or a combination of both.

At ENT & Allergy, Inc, our experienced team is here to evaluate your symptoms and provide the right treatment plan — so you can finally get lasting relief.

We’re conveniently located in East Providence and Warwick, Rhode Island.

📞 Schedule an Appointment Today

East Providence: 401-435-5644
Warwick: 401-921-5800
🌐 www.OceanStateENT.com

Don’t keep guessing — get the answers you need to breathe easier and feel better.