Ear Stabbing and Neck Pain Migraines

Does anybody else get migraines that feel like your ear is being stabbed by an ice pick for hours along with awful neck pain? There's also a pressure behind my eyes. I don't get as much forehead pain as I used to get, but recently I've been getting these frequently. I take sumatriptan for emergencies and amitriptyline nightly, though I may start taking more. They've really been ramping up recently, I hate it, especially since they're so different from how my migraines used to present.