Connect with others who understand.

  •   Learn from expert-reviewed resources
  •   Real advice from people who’ve been there
  •   People who understand what you’re going through
Sign Up Log In
All Resources Treatments A-Z Personal Assistant Help Center Crisis
Powered By
Real members of MyMigraineTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

So what do you do when medicine doesn't give you relief from migraine anymore. I'm also doing dry needling.

A MyMigraineTeam Member asked a question 💭
505 Ferguson Charles City IA

So I was diagnosed with chronic migraines in 2019 that had controlled for the most part. Then 2025 hit me hard I was diagnosed with breast cancer, pleural effusion, and then cardiac arrest from Prolong QT. That completely changed everything. My headaches and migraines changed and I had to start my medical journey again. I've failed everything. Plus there is so much that I can't take because of my heart now. I went from being able to take whatever I want to, to having list of things to avoid. I… read more

August 21
 · 
Reactions
A MyMigraineTeam Member

Oh forgot to say that I have an ICD so I have to be careful.

August 21
MyMigraineTeam

What options are available when current migraine treatments stop providing relief, especially with significant health restrictions?

First, it has to be said — what you've been through this year is genuinely overwhelming, and the fact that you're still advocating for yourself and seeking answers takes real strength. You Show Full Answer

What options are available when current migraine treatments stop providing relief, especially with significant health restrictions?

First, it has to be said — what you've been through this year is genuinely overwhelming, and the fact that you're still advocating for yourself and seeking answers takes real strength. You deserve proper relief.

Given your heart restrictions, many standard migraine medications may be off the table, but there are still some avenues worth exploring with your care team:

Non-medication approaches to discuss:
- Dry needling (already doing ✓)
- Neuromodulation devices — these deliver electrical or magnetic pulses to reduce nerve activity and have no cardiac drug interactions
- Cognitive behavioral therapy (CBT) for pain management
- Biofeedback therapy
- Botox (onabotulinumtoxinA) injections for chronic migraine prevention

Medication-related conversations to have:
- Ask specifically whether Botox injections are safe given your cardiac history, as they work locally
- Ask if your current combination is optimized — you're on both Qulipta and Nurtec, which are both CGRP treatments, and your doctor may want to reassess that combination

The constant pressure and "air" sensation you're describing really warrants a direct conversation with your neurologist, as your migraine pattern has clearly changed significantly and may need a fresh evaluation.

You are absolutely not at the end of the road — sometimes it just takes finding the right specialist who understands your full picture.

August 21
A MyMigraineTeam Member

Thanks so much!

9 hours ago
A MyMigraineTeam Member

Thank you I do ice a lot and am going to be trying Be Koool something my parent's found for me. So I will definitely check out the ice cap. I haven't tried one yet. Praying for pain free days for you my friend.

2 days ago
A MyMigraineTeam Member

Get the ice caps they help a lot if you use them when you start to feel one coming on. 2:30 in the morning etc. I feel so sorry for all of you who have Vestibular migraines. I have had 2 and I don’t ever want another. I pray a lot!

2 days ago

Related Questions

View All

Does any one else have a really painful neck when a migraine hits?

A MyMigraineTeam Member asked a question 💭
Cortez, CO
December 7, 2016

Has anyone had neck issues that would cause a daily persistent headache?

A MyMigraineTeam Member asked a question 💭
Souderton, PA
February 17, 2024

Migraine Relief Sticks: Do They Help?
Migraine and Tinnitus: Why Do You Hear Ringing?
Benadryl for Migraine Relief: What You Should Know
Continue with Facebook
Continue with Google
By joining, you accept our Terms of Use, and acknowledge our collection, sharing, and use of your data in accordance with our Health Data and Privacy policies.
Already a member? Log In