Sinus headaches or migraines??

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I've had severe headaches since puberty. The worst pain is behind my eyes, under my brow bone, cheek bone, and all around the nose, my ears ache and sometimes my jaw bone hurts, but almost always I feel pain in the back of my neck too. I was recently diagnosed as being highly allergic to mold which is wonderful because I've lived in Florida my whole life. Despite always treating it as a migraine, no medications seem to really work. I dont get any congestion though, just fatigue and anxiety about how much the pain will escalate. The only things that sometimes help is hot compress with benadryl or q mix of aleve and excedrin . whenever I press down really hard on my sinuses it hurts and sends shooting pain but it also feels relieving. I'm so confused, please help! should I also consider seeing a neurologist?

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