Hi Rachel, I don't like the way the migraine meds made me feel, I usually can lessen the pain with a 800 mg Motrin, sometimes I have to take another a few hours later, and I use a heating pad under the base of my neck, this is where I feel most of my pain. I just started PT yesterday, I hope that maybe this will help, the therapist said that he could feel the tighntess and spasms on the left side beneath the skull base, that is where the pain is located. I also watch what I eat, mainly I have hormonal headaches that are brought on near ovulation or menstration. Take care