Lightweight (1/8-3/8oz) thrown up stream tends to work best for me. A lot of line watching is involved and any reeling is to pick up the slack. Pop the lure up off the bottom and let it drift and sink, reel up slack, watch for movement and repeat.
If this fails, I will upsize (3/8-3/4oz) and drag the bottom with a slow retrieve crawled across the rocks etc. This will get you hung up quite a bit, but if your not catching desperate times call for desperate measures. While I might upsize the jighead, I keep the trailer small, we're pulling teeth for bites at this point.