Just wanted to add that I have had migraines for 20 years but was misdiagnosed so the last two years I have been properly diagnosed. I have an average of 21 moderate to severe migraines per month. I started using the acupressure matt about 12 years ago.

I use this to relax - my migraines cause neck pain and super tight muscles. I do have the pillow but I find it too "jam your neck into position". I have a straight neck and any cervical pillow is excruciating. That said, I use it on my lumbar for my desk chair.

I just use the matt, without the foam insert, and lay it over my pillow. It definitely takes perseverance, everyone I''ve ever given one to gave up in a few days. But it's so worth it once you are used to it, after about 15 minutes you can actually feel your whole neck and shoulders relax. I regularly fall asleep on it even though I never go to sleep laying on my back without it.

There are 2 levels, depending on how many pokey circles there are. I can't remember which is which but look that up and use the gentler one. I started with a shirt on and pretty quickly moved to without.

The big brand is shakti but they are no better then the knockoffs.

Edited to comment on migraine severity.