Pain in the top of the head and forehead may be caused by tension headaches and can also be seen in patients with frontal sinusitis. Most tension headaches manifest as bilateral occipito-temporal, frontotemporal, or the entire top of the head can be distended, achy, or dull. The headache is usually persistent and can last for days, weeks, months, or years. Most of the headaches are felt as tightness and pressure. Treatment of the disease should be mainly symptomatic, and commonly used medications include acetaminophen, ibuprofen and indomethacin. Psychological treatment can also be given, mainly to relax the patient, reduce stress and improve sleep. Most patients with frontal sinusitis present with a headache in the morning, with a generally milder or no headache in the afternoon. Patients can be accompanied by nasal congestion and runny nose, most of which is caused by a long-term cold that does not heal. Clinically, it can be divided into two types: acute and chronic. Patients in the acute stage should be given timely treatment, mainly intravenous infusion of ceftriaxone sodium or cefoperazone sulbactam, with the addition of tinidazole or metronidazole to prevent transformation into chronic.