Since a car accident, I don't like to lay very long on my back with a pillow, so I typically don't use one except on my side. And I can give myself a headache just by laying on my side too long in one position. I have TMJ osteoarthritis and muscle problems. Have they ever run an MRA/MRV on your head? When was the last time you had a regular brain scan? Have you had your eyes checked lately to make sure eye strain is not part of the problem with reading?
Reading triggers my migraines too, especially when I am looking down at the book to read. It's really frustrating.
I have to use a cervical pillow (the kind that fits the shape of the neck) or else I wake up with migraines. If I fall asleep in a chair or even lying down on the couch, I will always get a migraine! But, if my head is cradled properly, then sleeping doesn't tend to trigger my migraines.
When I wake up from a migraine, they are usually the most painful migraines that I get. I normally use Zomig Nasal Spray (a triptan) for my headaches, and sometimes I will also use Naproxen (NSAID), Metoclopramide (antiemetic), and Hydromorphone (pain killer) depending on the severity of the migraine; but for my morning migraines, I have to use Imitrex Injection (triptan) and I always have to use the Hydromorphone (pain killer). Depending on what medications you have already tried, you may want to speak to your doctor about a faster-acting triptan or a stronger pain killer for your extreme headaches that don't respond to your regular medications.
Since your migraines are so often triggered by head/neck/back position, I agree with SurgiMenopause that you should have some scans done to make sure that there is nothing structurally wrong (it is possible for malformations or injuries to cause symptoms like this). Try to get an appointment with a neurologist and ask if you should have a CT Scan or an MRI on your brain and upper spine.
Keep in touch! Let us know if you find anything that helps you with these position related migraines. Thanks!
I have migraines and headaches and the position of the pillow sets it off. Its either to high and it puts pain in my neck or to low and its uncomfortable. Light and music set them off also. Laying on my back helps but its uncomfortable. I feel that laying on your strong side helps the migraine that's why I lay on my right side. Its confortable fetal position and it helps