Why Does My Face Hurt? Causes of Sinus Issues

The sinuses are air-filled cavities near your forehead, cheeks and nose; when they become inflamed or blocked, it can cause significant discomfort. Distressing as facial pain can be, taking the time to understand underlying sinus issues can help you address your pain and find much-needed relief.

Sinusitis

One of the most common causes of facial pain is sinusitis, which occurs when the sinuses become inflamed. Trapped mucus leads to more swelling, pressure and pain. Acute sinusitis may be triggered by a cold, flu, or allergies, while chronic sinusitis can last for months and may require medical intervention. Along with facial pain or pressure, especially around the forehead, cheeks or eyes, symptoms may include nasal congestion, thick nasal discharge, a reduced sense of smell and fatigue. Sinusitis can often be treated with decongestants, saline nasal sprays or prescription antibiotics in the case of a bacterial infection. Chronic sinusitis may require more advanced treatments like corticosteroids, sinus irrigation or even surgical options such as balloon sinuplasty.

Nasal Polyps

Nasal polyps are small, noncancerous growths that develop in the lining of your nasal passages or sinuses. While they are painless, they can lead to sinus blockages. Nasal polyps are often associated with chronic sinusitis, allergies, asthma or immune disorders. Facial pressure or pain, nasal congestion, difficulty breathing through the nose and a decreased sense of smell are telltale signs you may have polyps growing in your nose. Medications like nasal corticosteroid sprays can help reduce the size of nasal polyps and relieve symptoms. In more severe cases, surgery may be necessary to remove the polyps and restore proper sinus drainage.

Allergic Rhinitis

Allergies, particularly allergic rhinitis (known as hay fever) can lead to facial pain. When you’re exposed to allergens such as pollen, dust or pet dander, your body reacts by releasing histamines, which cause inflammation and swelling in the nasal passages and sinuses. This can lead to congestion, sinus pressure, sneezing, a runny nose, itchy eyes, nasal congestion and facial pain. Managing allergies often involves oral antihistamines, nasal sprays and decongestants. Avoiding allergens and using air purifiers can also help reduce symptoms.