Woman with Sinus Pressure


At South Florida ENT Associates (SFENTA), we specialize in diagnosing and treating sinuses, nose, and head conditions, helping patients find lasting relief from discomfort. One of the most common concerns we see is the confusion between sinus pressure and headaches. While these conditions share similar symptoms, they have different causes and require different treatments. Understanding the difference can help you seek the right care and improve your quality of life.

What Is Sinus Pressure?

Sinus pressure occurs when the sinus cavities around the nose and eyes become inflamed or blocked. This inflammation is often caused by sinus infections, allergies, or chronic sinusitis. 

Symptoms of sinus pressure include:

  • A deep, dull ache around the forehead, cheeks, or eyes
  • Congestion or nasal blockage
  • Increased discomfort when bending forward
  • Postnasal drip or throat irritation
  • Facial tenderness or swelling

Since sinus pressure is caused by fluid buildup in the sinuses, treatment often involves clearing nasal blockages, using medications, or, in some cases, undergoing procedures like balloon sinuplasty or nasal turbinate reduction.

What Is a Headache?

A headache is a broad term for pain occurring in the head or neck region, and there are many different types. Some of the most common include:

  • Tension headaches: Caused by stress, dehydration, or muscle strain, resulting in a tight, band-like pressure around the forehead.
  • Migraines: Often accompanied by nausea, sensitivity to light and sound, and throbbing pain, usually on one side of the head.
  • Cluster headaches: Severe headaches that occur in cycles, causing intense pain around one eye.
  • Sinus headaches: A type of headache caused by inflamed sinuses due to infection or allergies.

How to Tell the Difference

One of the most significant indicators that you have sinus pressure rather than a headache is the presence of nasal symptoms like congestion, postnasal drip, and facial tenderness. Headaches, especially migraines, tend to come with neurological symptoms like light sensitivity, nausea, or visual disturbances.

Here’s a simple comparison:

Symptom

Sinus Pressure

Headache (Migraine/Tension)

Facial pressure/pain

Yes Rare
Congestion/runny nose Yes No
Pain worsens when bending forward Yes No

Throbbing or pulsating pain
No Yes (migraines)
Nausea or vomiting No Yes (migraines)
Light or sound sensitivity No Yes (migraines)


When to See a Specialist

Occasional sinus pressure or headaches are common and may resolve with rest, hydration, and over-the-counter medications. However, you should schedule an appointment with an ENT specialist if you experience:  

  • Chronic or recurrent sinus infections
  • Severe or prolonged facial pressure
  • Headaches that don’t improve with standard treatments
  • Difficulty breathing through your nose
  • Frequent nasal congestion or postnasal drip
  • Vision problems or swelling around the eyes
  • Sinus-related sleep issues such as snoring, sleep apnea, or difficulty breathing at night

Don’t Wait for Symptoms to Worsen. Find Relief at SFENTA.

Whether you're struggling with chronic sinus pressure, recurring headaches, or sinus infections, our team of 50+ board-certified ENT specialists at South Florida ENT Associates can help. We use advanced diagnostic tools such as in-office CT imaging and nasal endoscopy to identify the root cause of your symptoms. Next, we create a personalized treatment plan, whether that includes medications, allergy management, or minimally invasive procedures like balloon sinuplasty, VivAer, or ClariFix to restore proper sinus function.

We’re here to help. Schedule a consultation with SFENTA today and take the first step toward lasting relief!


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