Have you seen a headache specialist? I realize that might be a problem with Medicaid, but I'm really concerned that you might be getting sidetracked with the jaw situation. They can exacerbate migraines so frequently, it's really common, and your overall pain won't be fully addressed.
I hope you're able to find a good resolution to the problem and enjoy a pain free life. Good luck!!!!
Medication questions are difficult to answer because migraine treatments can be so individual. Be sure to run any changes past your doc, including herbs and supplements. Opioids don't always work well with migraines, but they are good with the secondary pain.
For neck pain have you tried any of the rubs? I've recently found FibroCream and like it. No smell to trigger any migraine problems. How about a light massage, or alternating ice and warmth? Maybe your doc can recommend physical therapy to learn some neck exercises to gently stretch those muscles. PT can be incredible for managing neck pain.
Butterbur (herbal) in Petadolex form only has been very helpful to me. It must be Petadolex to avoid toxicity problems. Taking 600mg/day of magnesium will help, but build up slowly as it can cause diarrhea. Look at the labels of all your vits/supplements for magnesium because it all counts. CoQ10 at 100-200/mg per day is also good.
Sorry your pain returned. Did the icepicks continue into other days? If they were for just that one day I'd say just watch and wait for now. Like you said, there's nothing you can take to treat the acute situation. A lot of us get those stabbing jolts here and there, terrible when they happen, and then they're gone again.
However, if they are continuing then an appointment with your headache doc is probably a good idea. Since it's a definitive change from your normal pattern, at least a phone call to check in would be good.
I'm curious about your popping/locking jaw diagnosis, how did you learn about that? TMJ can be miserable, but I'm not familiar with it mimicking migraine symptoms, although it certainly does sound plausible. Could it be possible that your jaw problems might be causing you to have migraines, meaning that you have found the root of your migraines?
I'm kind of convinced that you really do have migraines. But if you have untreated jaw trouble, that constant irritation might override or diminish some migraine treatments. Does that make sense? I have neck problems that work that way with mine sometimes.
Well anyway, that's something for doctors to diagnose. Perhaps if the jaw is related to migraine it will be covered by insurance? That is probably a sticky topic.
Having no experience with Medicaid, my best guess would be to see if a reputable dental school were nearby. Often they'll have student clinics available that might be able to help you.
Regarding butterbur, I've had very good experience with it. My neurologist recommended I take it, only Petadolex version to avoid toxicity problems, Weber brand is good. It is readily available at larger health food and vitamin/supplement stores and Amazon. When I ran out my migraines quickly returned with a vengeance and it took awhile to regain some control.
I'm so sorry you're in so much pain. I hope the propranolol has helped you but now and you're enjoying time with your children.
At this point I'd strongly recommend that you get an appointment with a headache specialist, which would most often be a neurologist. Depending on how your insurance works you might need a referral from your primary care, please phone your insurance to verify that.
Your primary care might know a good one in your area. If you have a medical school, or teaching hospital, those are also good sources to call for recommendations.
Your NP has prescribed good meds, they take time to work. There are many others that might also work. Migraines are very difficult to treat and it takes time to find the right treatment plan for you.
In the meantime, try cutting down the amount of OTC meds you're taking like aspirin, Tylenol, excedrin, ibuprofen, Aleve. They can and do cause medication overuse migraines, google that for more info.
Also eat good clean food, eliminate artificial sweeteners which are notorious triggers. Start cutting down diet pop (or diet soda) and try to only drink plain water or good teas. Don't just drop caffeine abruptly or that will give you headaches.
Another website with very good info is migraine.com. You can learn a lot there about triggers, medications, treatments, etc. It's a more vibrant community than here. The moderators are incredible.
Okay, I hope I've given you some things to start. I'll keep watch if you have questions. Good luck
If his pain is so unsettling, then yes you should take him to a doctor, always. Get an appointment with your family physician, who you can probably talk with more easily anyway. I don't think anybody here would be able to do more than guess at what's going on. My guess is it's a virus but I'm an accountant, do you want to rely on me? Plus your doc may be able to prescribe for his symptoms like nausea to help him feel better.
Don't worry about looking silly, you're dealing with an illness that is frightening and could be dangerous, you should get help from a professional.
Please let us know what you find out. In the meantime you're in my prayers.
Go to another doctor, there is no reason you should be treated like that. Migraine meds aren't narcotics. Best would be to go to a headache specialist, maybe check with your insurance to see if they have a list. Migraine.com is also a good source.
Have you been seeing a doctor since 2013? Are you on any medication, the tingling in your hands is a common side effect of one of the migraine meds, and other meds as well. Dizziness can be from any number of things.
I guess what I'm getting at is you should get to a medical professional. What you've given us is a little too vague for us to discuss. It doesn't sound like anything serious to me, but I'm sure you want to get it checked out.