Hello @cl24, welcome to Connect. Living with head pressure and chronic migraine is not pleasant, I'm sorry you're having such difficulties finding relief from pain. To be honest, I pretty much walked down the same path you've described with various attempts at treatment which just didn't work well enough or last long enough. After a few years of that, I finally took a different approach which was self-help management methods. Have you considered lifestyle changes that might help with management?

I can relate to your experience having suffered from migraines myself since the age of 12. I am now 64 and I have literally been on every medication that there is known to the medical profession. My Nurologist suggested a coattail of drugs, which worked for years. It was a monthly injection of Aimovig 70 mg, I had to go to 140 mg. (Now Aimovig doesn't work for everyone, but it was fine for me. At the very onset of a migraine, I would take a combination of Frovatripan & 500 mg of Naproxen. My migraines would stop immediately. This worked for 4 yrs. which was amazing me me because my migraines were chronic, 3 to 4x a week, so disabling that after year's as a Mental Health professional, I had to apply for SS Disability. That all ended abruptly, after a severe car accident in 2022, I had heart problems and a mild stroke. I've since recovered, but the migraines have come back 3 to 4x a week, when I could no longer take anything but one baby aspirin a day. Nurologist recently have been just tried Vyepti Infusion, works for about two to 3 days. All I can is, here we go again.......