Sinus and tension headache: what to know

A tension-type headache often feels like steady pressure or a band around the head. Tightness in the scalp, jaw, neck or shoulders may accompany it, and prolonged screen use, stress, poor sleep or an awkward posture can contribute.

Sinus inflammation or congestion can cause pressure around the cheeks, forehead or eyes, with a blocked nose, reduced sense of smell or thick nasal discharge. Facial pressure alone does not establish sinusitis; migraine and tension headache can also be felt in the face.

Rest in a quiet space, drink fluids and try a warm compress over the face or neck. Gentle neck and shoulder movement, regular screen breaks and unclenching the jaw may ease muscle-related pressure.

If nasal congestion is present, saline rinsing may help some people when performed with sterile or previously boiled and cooled water. Use pain medicine only as directed on its label, and avoid frequent self-treatment because repeated use can itself sustain headaches.

Seek urgent medical help for a sudden, unusually severe headache, new weakness or numbness, confusion, fainting, seizure, stiff neck with fever, or a new headache after a significant head injury.

Arrange a GP assessment if headaches keep returning, change pattern, affect daily activities, occur with vision changes or vomiting, or do not improve with sensible self-care. A GP can assess your nose, nerves, eyes, jaw and neck.

Ask whether your pattern fits tension-type headache, migraine or a sinus condition; whether nasal treatment is appropriate; and which pain medicines are suitable with your other conditions or medicines.