I have been treated for tension headaches and migraines since 2009. I have tried antimigraines, analgesics, muscle relaxants, nonsteroidal-anti-inflammatory and steroids, ssnri antidepressants and obviously acetaminophen and aspirin. I have had Botox, never block injections and sphenocath. My MRI CT scan and blood work are all clean. I often have to go to the ER for pain. They give me Benadryl cocktail among other IV meds. They end with Diludid which helps but when is wears off the headache immediately comes back. Nothing has ever fully relieved my headache. I’ve tied massage, acupuncture, diet change and exercise. I just got out of the hospital after 3 weeks. My neurologist is out of ideas. He referred me to Mayo and even they said there was nothing they could do. My neurologist is doing another round of Botox and referring me to a headache center. I have had Epilepsy since I was 13. I didn’t know if that could possibly contribute? I would really appreciate any help or advice anyone has to offer.