Last night I had aura which usually means the start of a migraine. I went to bed very early thinking I could sleep it off and be fine the next day. I woke up at 3.30am with a cracker headache and back pain. So I took Imigran and Tramadol and thought I don't have to be up until 8am at the latest there is still time to sleep it off. I woke up at 7am still headachy and a bit nauseous. Not a good combination for Physio or work. I decided to have a sick day at work and still go to Physio. I went to Physio and they worked on my back and shoulder muscles crunched my ribs and T4 into place and agreed a cortisone injection is a good idea when I visit the pain clinic next week. I came home still with a pounding head and took another Imigran which is my limit for the day. I have closed all the blinds to keep the rooms dark. Anyway it seems to me when I work Monday plus Physio, Tuesday, Wednesday, I'm a wreck by Thursday. The only difference this week is that Monday was a public holiday so no work or Physio. My work team although supportive can predict that Thursday is not a good day and i either go home early or don't make it in at all. I make myself go to Physio to stay mobile and only skip it if I'm too nauseous. I have increased my work hours voluntarily but I'm starting to realise it's not working for me. It's 18 months since my back injury and I want to be back at work full time leading a normal life. I have an appt with the psych on Saturday who I'm sure will help me rationalise that working 4 days is not a good idea. Sorry for raving on today it helps me work out what to do. If you have any comments or opinions please share. I'm open to suggestions, ideas and general chit chat about how everyone gets through the work week, particularly for those that don't "look" disabled or injured as having invisible injury tends to get glossed over at the workplace as being "fixed" after a period of time.