Hi chelbella,   Certainly some people experience ear pain when having a Migraine attack. The important thing is to let her doctor know the symptoms are changing. Our article Anatomy of a Migraine discusses the four phases of a Migraine with detailed descriptions of the symptoms. Not every Migraineur gets each phase or each symptom. I usually don't get the aura phase of a Migraine attack.  Migraine without Aura - The Basics will be helpful too.   Care needs to be taken with certain OTC and prescription medications so we don't get  Medication Overuse Headache, MOH . This happens when we use, let's say, Imitrex or ibuprofen or lortab more than two to three days a week.  If we have MOH, there isn't a Migraine prevention medication on earth that will work. Follow this link to read more: Medication Overuse Headache - When the Remedy Backfires.   Good luck Nancy