What are you taking for the migraines? I used to get them really bad, and for very similar reasons to yours. Surgery helped immensely, but before that I had an Imitrix auto-injector that I could inject in my shoulder. It worked well if I caught it in time, basically as the migraine was coming on. If it was already there though it didn't do much.
Gravel for the nausea? I realize these are just stop-gap ideas until you can have the problem addressed, but got to start somewhere.
I feel your pain brother. Literally.
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