I have had intractible migraines for years. I have malformations of the spine and spinal cord, as well. Working with them was difficult but not impossible. The one thing that I can say is that personally I never stopped trying to find the cause, due to the fact that they have gotten worse over the years. I recently found out that due to having celiacs, I had a severe B12 and D deficiencies. I started getting B12 shots and D and have not had a migraine since. (I was taking just about everything for the migraines: antiepileptics, BP meds, antidepressants, and the list goes on...Now, I am off of everything.) I found the best thing for me was to sleep when I needed to, be active when I could, and practice as much acceptance of the issue as my mind could accomplish. I stopped beating myself up when I could not do everything. It's much easier now to look back and say these things, but please hang in there. It is worth it if you can do it. If you have to do things slower than others, that's OK, too. (My memory was affected, so this was a big issue for me.) Just do the best that you can.