Does sinus pressure always come with congestion?

Not necessarily. If you are having an acute episode of sinusitis, a viral upper respiratory tract infection, or allergies, you may have nasal congestion and sinus pressure. You can get sinus pressure without the nasal symptoms if you have a chronic infection or blockage with changes in pressure.
No. The two symptoms do not always occur together. If you have sinus pressure without congestion, you still may have some issue with the nose or sinuses that can be treated.

Related Questions

Sinus pressure and congestion for more than seven days, do I need to go to dr?

Probably yes. A virus usually works it way out over the course of seven days, i tell my patients if they are not over their "head cold" in seven days youneed to see a health care provider to ensure that it is not something that may need medical attention. Read more...
Can't Hurt. Most recommendations call for 7-10 days of what we call conservative treatment (over the counter medicines, nasal saline, fluids, rest) before initiating any further treatment for possible bacterial sinus infection (mainly because they're actually pretty rare). Since you've waited 7 days, you're at the point where seeing a physician may be useful, but don't expect antibiotics, as they may not help. Read more...

I have severe sinus pressure/pain/congestion. What can I do to take care of it? Phenylephrine hci 10mg?

Sinus pain/Pressure. Greetings. The first thing I recommend would be 800 mg of ibuprofen 3x/day with food. Add Afrin nasal spray 2x/day for 5 days with the OTC decongestant. This should make you feel better quickly. See your doctor if the symptoms worsen or a fever develops. An antibiotic may be needed. Read more...

I have had sinus pressure on nose for a week w/ out congestion. What could this be?

Facial discomfort. Headache with facial pressure or pain are common. Stress, poor or lack of sleep are the usual causative factors. See your primary care doctor. Read more...
Sinus pressure. Sounds like sinus pressure. That is the problem it is not coming out! Read more...
Sinuses or other. Sinuses can be blocked without nasal congestion. Allergies or viruses can be a cause, but other symptoms frequently are present, including nasal congestion or nasal discharge or cough or sore throat or malaise. Many cases of "sinus headaches" are actually a form of migraine headache. Read more...

I've been taking azithromycin since 5/31. Sinus pressure is bad along with congestion. Is this normal?

Try taking OTC cold. Meds, vitamins c, apply warm compress & vicks vaporub to your nose and cheeks, chew cough drops etc. If u don't feel better, consider having an imaging study of your sinuses. Take care ! Read more...