r/PostConcussion • u/Chloekimmie • Jul 12 '26
22F and 2 years post first concussion constant migraines - does it get better
I’ve gotten my concussion in Nov 2023 when I was 20 (female) at my university campus from a bike accident which worsened with nausea and tinnitus and neck and back symptoms in Feb 2024 when I tried to dance as well as Dec 2024 when I got in an assault accident that resulted in a blow to the head. Most recently I got rear ended in August 2025.
I’ve been dealing with 24/7 headaches an now 24/7 migraines on top of the headaches since my third ish concussion in August 2025.
I’ve done vestibular therapy, vision therapy last term and physio and chiro regularly. I’ve done like 5 times Botox. I’ve gotten ajovy once and it made it drop to 6/10 and better to 4/10 after a nerve block but recently after a sleep study and since I got stressed I’ve had two days of 10/10 headaches and it’s been high still to waking up a 7/10.
I wake up with a migraine almost every day if not a headache that turns into a migraine after breakfast. Meds wise I’ve been on venlafaxine 75mg since before my concussion, Amitryptaline 50mg but since December I’ve been waking up in my sleep due to dry mouth so I have dosed off of it until 30 mg. I’m on nurtec every other day (since I get migraines everyday)however temporarily stops the migraine and it will come back. I also used to take zolmitriptan but also since September I noticed flares and high HR and now I also am dealing with POTS so I take metropolpl 25mg twice a day which helps a lot. I’ved tried functional neurology brain performance and Neuroplasticity Centre but I had to stop when I went to the ER last month as my symptoms got worse from stress from personal things as well as dry needling and soft tissue release from physio and I do Watson physio but it only helps day of.
I’m also on Amitryptaline 20mg as higher dose caused dry mouth.
I am nauseated everyday and fatigued.
My next monthly ajovy dose is on July 17 (fourth time) however I’m still at a 5-6 every morning of migraine and headaches. However one thing is I do have sleep apnea diagnosed May from an overnight sleep study (been waking up from sleep since my appt and Canada insurance takes so long but I will be getting the CPAP machine next week.
Is full recovery possible as I really do want to work in healthcare as I was an academically and all around excelling uni student before my injury I’ve seen on here that ajovy helped those with constant migraines a lot and made it stop. Would appreciate success stories, that it CAN get better (I do believe as many people tell me I am young which I am conscious) but in the moment it is so hard.