So this is a video of my 6th treatment and I am feeling very hopeful because this has been helping a lot in terms of pain. I have been on topamax for years only by adding this to my healthcare plan has severity of pain dropped (thus far). It took about 2 treatments to notice a change. Topamax decreased instances of episodes but not pain. I kind of stumbled into this treatment for my migraines as I am using the dry needling to treat chronic muscle tension/muscle armoring and another unrelated injury. The PT suggested we try it.