Hi Noblember,

If your diagnosis is correct, Chronic Migraine, that means you are having more than 15 headaches (tension type or Migraine) which stinks. Botox has been approved by the FDA for Chronic Migraine. Are those the shots  you are talking about, or nerve blocks? 

In either case, you do have many other options if you've only been on the ones you've mentioned. There are over 100 medications and supplements that can be used for Migraine and headache prevention. The frustration of trying to find what works for us can make it seem as if we've tried it all, but with so many possible preventives, it's literally impossible to have tried them all. See Migraine preventive medications - too many options to give up! for more information. So you see, you still have many, many options.

If your doctor isn't able to help you, it may well be time to consult a Migraine and headache specialist. It's important to note that neurologists aren't necessarily Migraine and headache specialists. Take a look at the article Migraine and Headache Specialists - What's So Special? If you need help finding a Migraine specialist, check our listing of Patient Recommended Migraine and Headache Specialists. See the thing is that neurologists are fine doctors but it is difficult for them to be experts in one area because they treat so many different diseases like MS, stroke and epilepsy. A Migraine specialist is just that, an expert who treats one disease - ours- Migraines and headaches.

There are other abortives Migranal nasal spray and the triptans to try. Even if one triptan didn't work for you , that doesn't mean another won't. Here is some information on those medications, Preventive, Abortive, and Rescue Medications - What's the Difference?

I hope this helps,

Nancy