I am a 33yr old female. I have had severe migraines since 2004 when i was stationed in Korea, I was told my headaches were female problems, in Feb 2006 I had a complete hystorectomy. The headaches did not stop. They get worse and worse. In october of this year i finally got an appointment with a VA Neurologist. Before I get into that please let me give you some insite...I have migraines so bad that i take the imitrex injections, and phenogran on a regular basis. I get migraines at least 2-3 times a week and I usually end up at the emergency room with an iv for fluids and pain meds to make it so that i can go to sleep and usually i wake up still having a headache. There is also a terrible burning sensation from my sholders to the middle of my head on the right side. I tell the dr and they prescribe me elavil-(amitryptoline) it makes to tired to function. Sleep is something i used to do alot but not lately, the burning is too much when i sleep. I've tried changing pillows to sleeping in different positions. And my headaches most usually make me vomit. On 23 Oct 07 I got to see a dr at the Cleveland VA he read my MRI and said that i had a 3mm tonsillar herniation. He said that it was normal but the information he pulled up on the computer in his office said that 3mm-5mm was operable. All he did for me was give me a headache chart to fill out and gave me 50mg of phenagran and my imitrex shots. I've read everything there is to read on this tonsillar hernitation. I am in misery daily. My neck burns, my head hurts and nothing really seems to work for me. They have tried to put me on meds but alot of them i cant take because my blood pressure runs low normally. Can any one give some advice??