Thanks for your information. I saw my nuroligist on Thurday and he again felt that the cause of my migraines are my back disc and neck that triggers most of my headaches. I agree as again today my back is hurting really bad and the pain has traveled up to my neck and head. I have noticed that when my back does not hurt I don't get a migraine. The pain medication overuse can be a problem because of my RA but the headache is different from a migraine. My doctor told me I could safely take six Imitrex a week which I never use that much so I feel better. I think I now need to work on my back and neck problems to control my migraine.