How can I tell if I have a migraine, sinus headache or tension headache?

May All Differ. Migraine headaches can be quite debilitating and usually are accompanied by nausea and vomiting. These headaches are usually localized and the pain is usually described as pulsating or throbbing. Tension headaches may be generalized to the whole head and are usually relieved with stress relief. On the other hand, sinus headaches present with pain on the front part of the face (maxilla).
Type of headache. The type of pain and severity of pain determine the type of headache. Most of the time, the diagnosis is made by history. Migraine - one sided / throbbing / nausea / light sensitivity / sick sinus headache - dull / teeth ache / stuffy nose / follows cold tension headache - both sides / temples / aching pain / later in day.