Sinus headaches are often pictured alongside a stuffy nose and watery eyes. But pressure, facial pain, and a throbbing head can all show up without any nasal congestion at all. That disconnect leaves many people wondering what they are actually dealing with and how to feel better fast. A sinus headache without congestion is possible and often caused by sinus inflammation, barometric pressure changes, or conditions like migraines that mimic sinus pain. Relief strategies include ...