I have always have had a tendency of getting headaches but after a bad car accident I have chronic daily headaches. From the car accident, I have a lot of neck and shoulder tightness and pain. I am currently using non-medicinal treatments that include chiropractic and message therapy. Without prophylaxis medications I have a headache every day with about 10 migraines per month. I have tried the 2 triptylines with success and then had to change because of increase of headaches after about 5-6 years of using triptylines. I then tried Topamax with no success because it didn't help the daily headaches (my largest concern). I then was prescribed trazodone and am currently at the maximum dose and it worked great for about 3 years. I am now having more headaches so I have been prescribed gabapentin to the current trazodone regimen. I am having several rare side effects from the gabapentin at a very low dose. So the neurologist wants to try Depakote now. I was wondering how other people have handled Depakote with regarding side effects and the efficacy of this treatment coarse. I was also wondering if anyone who has a lot of chronic neck and shoulder pain have used any fibromyalgia drugs to help with the chronic pain and if you have has it helped with your headaches/migraines. I also read that Namenda might have benefits also. Have any used Namenda with success?


I hope this info about my experience might be helpful:
In my twenties I started getting chronic neck and shoulder pain from a work-related repetative motion injury. It took a long time, but with some chiropratic treatment and change of job duties, the pain eventually subsided and then I would only get neck and shoulder pain when a migraine was coming on. In my forties, the neck and shoulder pain gradually became constant again, until I started using a low-dose estrogen patch to help manage my migraines and daily headache, and I noticed the neck and shoulder pain went away completely. Now I am 49 and nearing menopause (I hope!) and for some reason I can no longer tolerate any supplemental estrogen at all without tirggering a migraine (the very opposite of what I had experienced before!) So I stopped the patch and I soon noticed the neck and shoulder pain returned.
Now my doctor has me on Cymbalta (a fibro med) as a migraine preventive and for peri-menopausal depression, and I'm back to only getting the neck and shoulder pain when I'm coming up on a migraine. I've been taking the Cymbalta for three months now, and I am still getting the same number of migraines I had before, 3 or 4 a month, but they are less severe than before and because my mood is more stable, I can cope with them better.