If the headaches are where you are describing and hurt when you bend,sit,lean or lie down cough,sneeze you might want to be checked for a sinus infection if you have not already been or rechecked if you were early on and it has continued.
I have a Sjogrens overlap and my sinuses give me fits literally.They will cause headaches that once they are full and cannot drain and start to get infected will stay constant.No headache meds will work.An aspirin will help with the sinus swelling (I have no idea why this was recommended by my rheumy and he is old school and it works)but if its an infection you need antibiotics.
Sinus issue and infections are common in Sjogrens because of the lack of mucous production and moisture in the nose and sinus doesnt allow for proper lubrication which allows problems to arise quicker.
There are 4 different sinus cavities and more than one at a time can be infected/full.
There is the Maxillary which is the largest and it is around your cheekbone area.
There is the Frontal in the low center of the forehead-this and the Maxillary are my worst ones it feels like brain matter and throbbing when you bend and the Frontal is the one with the issue.
There is the Ethmoid it is between eyes at the base of the bridge of the nose.
There is the Sphenoid in bones behind nasal cavity.
I currently have said sinus infection it is evidently located in the Ethmoid and Sphenoid region as I feel like I have been punched in my nose every time I touch it.It is miserable.I have went to bed every night with stopped up ears and a rice bag I have had in the freezer lying on my face.
Use a saline mist to cleanse them out,use a humidifier or if you dont have one put water in a stove pot and let it boil to put moisture in the air.Use the heat as little as you can as it will dry you out more.Take warm showers to help it drain and stay hydrated.
I would recommend a dr call as if you have progressed to the headache stage and OTC isnt relieving then you most likely need an antibiotic.
Hope you feel better soon its miserable and I am in the same row boat as you-just floating along as I seem to have dropped my oars
SLE w/Sjogrens Overlap and Raynaud's diagnosed in 2007.Fibro in 2009.
The Early Bird May Get The Worm But the Second Mouse Gets The Cheese.