How can I distinguish a migraine from sinus pressure?

To distinguish a migraine from sinus pressure, you need to evaluate the specific characteristics of the pain and look for secondary symptoms. Both conditions can cause discomfort around the eyes because they share the same trigeminal nerve pathway, but they manifest differently . Sinus Pressure Movement-based pain: The most defining feature of sinus-related eye pain is that the headache or facial soreness worsens or changes when you shift your head position . Sensation and location: It is a form of "referred pain" that typically feels like a deep ache located behind the eyes . Physical appearance: The eye itself will usually look completely normal, though you may experience some physical swelling around the outside of the eye . Migraines Throbbing pain: Migraine discomfort is triggered by irritated nerve pathways and is often described specifically as a pounding or throbbing pain around the head and eyes . Sensitivity and nausea: Unlike sinus pressure, migraines frequently cause secondary symptoms like intense sensitivity to bright light and stomach issues, including nausea or vomiting . Visual auras: Migraines can sometimes be preceded by an aura, which includes visual disruptions like flashing lights or sudden changes in your physical sensation and balance . If either type of pain becomes severe, progressively worsens, or is accompanied by sudden vision changes, you should consult an eye doctor immediately .