I just evaluated a 40 yo female patient with a seizure disorder. She came in for coccyx pain and urinary incontinence but she is also struggling with a severe increase in migraines after hitting her head 2x during a cluster of seizures 3 years ago. Assessment of her cervical spine revealed upper cervical dysfunction and I strongly believe that dry needling and manual therapy to this area would be effective to address her migraines. I rarely work with people with seizure history and wondering if there is any issues with dry needling this population? I am going to call her neurologist to discuss this intervention option prior to using it on the patient as this was not why she was referred to me and I don't have a relationship with her neurologist. Thank you for any input/feedback!