<s>[INST]I have some cervical spinal stenosis, but every morning I wake up with moderate to severe pain behind my eyes ,sinus passages and sometimes even lower back. The pain is lessened with ibuprophen but sometimes progresses to a full blown migraine. With a 3 year old I am desperate to focus completely on her instead of seeing the world through a cage of pain. Any suggestions?[/INST]Hi, Thank you for posting your query. You have three distinct problems contributing to pain, and each of them needs to be tackled to make you pain-free. For cervical stenosis, please consult a neurosurgeon to decide whether you need surgery or epidural injections. If not, then, physiotherapy and medications (such as pregabalin) would help. For sinus, show to an ENT surgeon, and take a course of antibiotics if needed. In addition, steam inhalation and nasal decongestants are beneficial. For migraine, please use preventive medications such as topiramate. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/</s>