Hey Cindy, for the Migraines I'm taking Topamax three times a day and for the break through headaches Amerge (Ahhh, my miracle pill!). As far as my back is concerned, I had to have the surgery, it was imperative and it's only been a month and a week. I see my surgeon next week to see if fusion has started but I'm still having sciatic pain. I think I waited too long for the surgery. I kept telling my doctor I wanted it done soon but he kept putting me off, he said that I wasn't that bad off. It wasn't until he got into my back and did the Lamenectomy to remove the bone spur did he find that my nerves were a mess and thanks to that I did suffer some minor nerve loss but I'm just glad it's minor. It just feels uncomfortable. You do what you feel you have to do for you and what's right for you. I rolled the dice and I'm going to deal with the outcome but it's better than what I was dealing with before. Best to you.