Cases with “sinus headaches” but negative workup were found to respond to tripans used for migraines 82% of time. 31% cases didn’t by into idea migraine and refused to be part of the study from the start – maybe, however, there is a middle ground…
Laryngoscope. 2008 Oct 22.
Treatment of Sinus Headache as Migraine: The Diagnostic Utility of Triptans. Kari E, Delgaudio JM
Comment – There is growing evidence that even bad cold induced headaches respond to anti-migraine medications. I believe that sinus infections leave a segmental hypersensitivity (leave things sore) so that migraines have free roam. Under the circumstances, even trivial sinus inflammation can assist triggering migraines. I have seen cases with a known past history of Xray apparent sinus infection develop symptoms with normal imaging but still respond to antibiotics. I suspect the infection is trivial and anti-migraine medications would have worked equally as well. Having said that, who would want to take a potentially allergic antibiotic when a migraine med would work as well?
My first choice is just to use finger pressure to get rid of the vascular headache documented in my blog