I was diagnosed with occipital migraines that were severe 24/7. Now before you read what has helped me, you have to understand that my migraines are extremely difficult to treat because they were caused by a stroke, so the treatments for you could be far less often and you may only need one of them.
I am being treated in a pain management clinic at one of the top university medical systems in the country. I get nerve block and trigger point injections every 4 weeks in my forehead, sides and back of head, neck, shoulders and back area. I get no steroids in these injections. I get more of them than any of their other patients and every 4 weeks, whereas some of the other patients only get them every 3 months. They have helped me enormously.
I didn't respond to any of the daily preventative migraine meds, so I responded very well to Botox injections which are most likely to help people who have not responded to these meds.
I wear Butrans patches which have kept me out of going to the ER about every 3 weeks and I can walk more than before.
I just started an off-label medication a couple months ago called Namenda which has helped me significantly.
I only use the abortive pain meds 2 or 3 times a week at the most because otherwise you risk rebound migraines. Many weeks I don't have to use any pain meds.
That's a far cry from the severe 24/7 migraines that I started with almost 5 years ago.
Any questions, post me back. I try to share what has helped me because migraine pain is terrible. I would greatly like to hear from anyone who is interested or who wants to try any of these.