I don't know, Sam. I don't have the pain from the migraines that you have. Keep pursuing any and all medical options, obviously.

I'm going to suggest something radical, though.

I'm guessing that you enjoy spending time with your dog, and walking with him.

Why not find a way to buy a scooter, or even a golf cart, so that you can take him out at 4AM, and get that quality time with your buddy? Use it just for that. Don't view it as defeat, view it as a powerful tool that permits you to be with your friend.

My wife just got home from a national dog show, and she was amazed that there were a lot of healthy people there who rented golf carts to walk their dogs. These people could walk just fine. THey just chose not to do so, for whatever reason.