Headache is an important health problem. It is the commonest type of all signs of illness in the people worldwide. Cervicogenic Headache is commonest musculoskeletal condition in physiotherapy practice. This study's main objective was to evaluate effectiveness of Dry Needle with exercise in decreasing pain and improving function in patients with Cervicogenic Headache.

50 patients were included and assigned randomly to group A and B. Group-A received Dry Needle plus exercise and group-B received Dry Needle alone. Baseline assessment was taken before and after treatment; treatment was given for four weeks twice a week. Outcome indicators were measured by Visual analog scale, Neck Disability Index and Cervical Range Of Motion.

The study findings indicate that both groups improve the symptoms of a headache. Clinically better improvement was indicated by Dry Needle plus exercise group than Dry Needle alone group. As per our results, Dry Needle plus exercise should be preferred for the management of cervicogenic headache over Dry Needle alone.

Inclusion Criteria:

• Age between 20-50 years.
• Male and female both gender
• Worker in the Office.
• Employed permanently.
• Self-motivated for working continuously for rehab.
• Persistent or regular pain in the neck over a span of at least 6 months.

Exclusion Criteria:

• Cervical spine injury or surgery.
• Congenital spinal deformity.
• Participants having age less than 20 or elder than 50 years.
• Cervical radiculopathy,
• The participants had experienced any recent trauma or suffering from dizzy spells, any vascular neurological disorders.