I bought a cooling pillow that helps some. Since I'm not sure what you've tried here's a few of my tricks: aroma therapy; Gatorade (Powerade,Pedialyte) for hydration and nutrients, relaxing sounds, low light, ice packs, heating pad, tens unit(shoulders area), head massage if you can stand it; sleep f you can, food if nausea not present. Sunglasses if I need to inside or out. Breathing/meditation exercises to help you through the pain. If you tried all that: ER is my suggestion as much as you may not want to go.