Hi Amy,

Can you clarify what you mean by neurologic HA- in my mind they are all neurologic HA's so want to understand what you are referring to specifically

Ok just did not want to miss an intracranial presentation or one that is the result of an Upper Motor neuron issue.  All peripherally based HA benefit from Trigeminal needling (3 points in the face done in foundation), Certainly the Greater Occipital Nerve Homeostatic.  Since she mentioned side of the head could be Lesser Occipital or Auriculotemporal (advanced course).  Address UT and any cervical paraspinals would be the starting points to see how she does- from a manual therapy standpoint check C1-2 rotation as well- 

Hope that helps

Frank

What is your experience with how long results last for HA or Migraine relief? and what are your thoughts on the timeline to needle the same points for HA/Migraine? For example, I needled a patient Thursday for migraine (greater occipitals, suboccipital, and 1 paravertebral) almost instant relief from an 8/10 down to a 2/10, say she comes back on Monday with another HA or Migraine, would you needle the same points? Thanks for any input. 

I don't have a lot of "real" answers for time line.  I think I would go more based on the patient's subjective information-

If HA is back on Monday- maybe needling again, but if she is still good I would wait until Thursday?