I definitely get those kinds of migraines! My heart goes out to anyone suffering with migraines. I could rather get my double hernia surgery done over again than have a severe migraine! I am fortunate that I have greatly been able to cut down on my severe migraines, but my heart still hurts a lot and I have to be VERY cautious to not get them again.
Amitriptyline was mentioned.... I took something similar, nortryptiline. Unfortunately I was very sensitive to it and had the opposite reaction of what normally would happen. It's supposed to help you sleep and may make you a bit sleepy, which is why you usually take it at night. It made my heart race and pound and kept me awake! Since I'm tired a lot, I kind of liked that it woke me up, but lack of sleep is one of my migraine triggers. Eventually I started getting more migraines because I had much trouble sleeping! My doctor had me take half of my dosage in the morning and half at night, so I could sleep better. This worked much better with the side effects, but I didn't really get any improvement
my doctor originally wanted me to be at a higher dosage, so maybe if I made my way up to it, it would have worked. Who knows!
My cervical spine is involved with my migraines and headaches and physical therapy has done wonders! My head hurts often, but it's a much more manageable kind of pain. I feel like I hit the back of my head hard and feel sore and very tired and need to lay down a lot and do neck exercises. The good thing is that the pain stays mostly in that area and doesn't turn into a migraine! I get severe menstrual migraines and actually use my birth control pill to my advantage. I have no signs of the pill causing the migraines since they developed years after taking the pill... but I now use the pill to skip every other period! Soon I will try having my period only every three months. It's wonderful to have half as many severe migraines. I was worried I'd get in trouble by missing so many work days.
Stress plays a huuuuge part in migraines & headaches! I like doing Pilates or some kind of moderate exercise for my stress, as well as massages or just doing a hobby I enjoy. I don't recommend very vigorous exercise right now if you are sensitive to getting migraines! I also try to eat regular meals and even little snacks here and there. I also get a migraine if I go too long without food.
I hope things get better for you! I am considering acupuncture or seeing a chiropractor if I still have trouble down the road. I would have never considered alternative medicine in the past... but I guess after a while, you will try ANYTHING to feel good!