Subjective & History Jim presented with a history of chronic migraines and neck pain since age 15. Previous interventions include pharmaceuticals, chiropractic care (2-3 times per week), and pain management, which provided temporary symptom management but no reduction in migraine frequency. Jim received Botox injections every 3 months but only got relief for 2 weeks after the injections in the years 2021-2025. A 2-year course of functional dry needling successfully decreased