I also recommend you speak with a neurologist. My rheumy sent me to my neurologist because I was experiencing peripheal neuropathy. I was also having daily headaches, which I called "lower end of the spectrum migraines". My neurologist ruled out other causes for both the headaches and the neuropathy, but we have not confirmed an answer yet. He has put me on 25 mg of Amitriptyline every night for the headaches. This has helped while we try to determine the cause. I do take Arava daily to prevent joint damage to my hands, and headaches and peripheal neuropathy are some of the side effects. I will be discussing this with my rheumy at my next appointment to get her thoughts on whether these two symptoms are caused by the lupus or drug side-effects, from there my neuro and I can make decisions.View Thread