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Hey there. Being a survivor of neck surgery (removed 6 disc). I think I went through every medicine there was. Nothing seemed to work. What I tried seems to be very odd. 1) I got vicoprofen from my doctor. 2) I take ben gay on the back and then a cold rag on it for few minutes. 3) There is a new product called activ on. Works great. I did realize one thing. The tightness that I was having was coming from my shoulder being tight and coming up to the base of my skull. I know it sounds crazy but it helped me. It works good for my severe migraines if I catch them soon enough. Have a great day.