On September 7, 2007, my daughter was hit in the face, specifically on the jawline, while playing in a soccer game.  Her opponent attempted to kick a goal and miscalculated my daughter's height, hitting her in an upward motion at the jaw.  She has had a headache every moment since then. 

She is 16 and a Junior in high school.  She used to be an honor student and a standout athlete.  Basketball is/was her sport, she used to play yearround with only one season of soccer to keep up her speed during a break from basketball. That one soccer game has robbed her of so much.  Last year she was absent from school 42 days and tardy/dismissed 18 additional days.  She missed honor roll by 2 points, which was quite an accomplishment since her headache level hovers around a 7-8 out of 10.  She has learned to work through the pain. 

This school year she has already missed a dozen or more days and is barely passing. Most days her head feels like it's going to explode.  She's decided not to play basketball this year, because she needs to focus on her headache/migraine getting better.  She is unable to make it through a full day of school most days and is becoming more anxious and depressed by the day.  Last year, she had a reaction to a medication and started having suicidal thoughts.  I have her in therapy weekly and was recently switched to Zoloft by her Psychiatrist.  I am researching botox for her and would like to know if there are any other treatment options for her to try. 

She saw a Pediatric Neurologist in the beginning, who released her from services when she didn't do well on Topomax.  His words were that she is neurologically sound and needs to accept that she will have a headache everyday for the rest of her life.  Can you imagine telling a 13 year old that?  She has had CT scans, MRI, OMM, and accupuncture.  She had to have her braces removed early because of the headache, and couldn't wear her retainer anymore.  She wears a bite guard to bed so she doesn't clench or grind while sleeping.  The OMM (2 years) and accupuncture (1 year) showed limited improvement.  She is prone to panic attacks, which actually started prior to her injury.  She was diagnosed with a Concussion, then Post-Concussive Syndrome, then Chronic Daily Migraines.Can anyone offer any suggestions in managing her pain level, treatments options or doctor referrals?  I really could use some guidance.