My migraines are getting out of control. i have tried every non narcotic there is and nothing works. i take topamax (topiramate). and been treated for tmj ?

See pain specialist: and ask him to examine you, and about occipital nerve blocks or medial branch nerve blocks in the upper neck to see if they improve your migraines in addition to evaluation for TMJ problems.

TMJ expert: Many "migraines" in TMJ patients are headaches secondary to TMJ problems. See a TMJ specialist. Any dentist can be a TMJ expert with the proper training and experience. Most commonly, oral surgeons, prosthodontists, and orofacial pain specialists. Ask your MD, your dentist and your dental society for referrals.

Migraine treatment: Once a diagnosis of migraine has been made, effective management of migraine involves three specific strategies: 1) patient education, 2) nonpharmacological management, and 3) pharmacological (medical) management. See an Orofacial Pain or headache specialist for evaluation and professional management.