I had migraine-like headaches pretty much solid for the first six months after my concussion. Medications during this time were vicodin with tylenol (can anyone say rebound headache) and tramadol. Other non-medication solutions I found were ice packs on head and neck alone or accompanied by (for a really bad headache) putting feet in hot water.

The first preventive medication I tried was elavil (amitriptyline). This helped quite a bit but made me very groggy and sleepy. When I started becoming accustomed to it and we tried to raise the dose, it made me too dizzy and I had to back off it.

I had vision therapy, which also helped reduce frequency and intensity of headaches.

After amitriptyline, I started on topamax, which greatly reduced the headaches. I still had imitrex for breakthrough headaches.

The headaches finally stopped when I stopped taking imitrex (which can also cause rebound headaches), and reduced inflammation throughout my body by switching to a whole foods vegan diet, doing hydrotherapy, and taking algal DHA/EPA.

I still take the topamax daily at bedtime. I have tried to taper off it once, but the headaches started to come back. I do also get headaches if I get loose with my diet and eat too much eggs, dairy, or junky processed/sugary foods.

Hope this helps! Follow-up questions are welcome.