• The purposes of this study are:

• To investigate the combined effect of cranial and cervical mobilization in patient with cervicogenic headache and there effect on :

  1. Perceptive neck pain intensity
  2. Perceptive headache intensity
  3. pain by pressure
  4. frequency of headache episodes
  5. duration of headache episodes
  6. Medications uptakes

Inclusion Criteria:

• pain originating at the neck and radiating to oculo-frontal-temporal regions.
• symptom unilaterally.
• symptom provocation through cervical movement and/or awkward cervical postural.
• symptom provocation through external pressure application through palpation to associated posterior cervical spine segments with resultant symptom reproduction.
• possible ipsilateral shoulder and/or arm pain of vague reference.
• 15 or more headache episodes per month
• No history of cervical operation or any disease that result in headache as colities -All patients will sign the informed consent before joining the study.

Exclusion Criteria:

• Headache not of cervical origin
• Headache with autonomic involvement, dizziness, or visual disturbance
• Congenital conditions of the cervical spine
• It is of primary concern to exclude serious or life-threatening pathology such as :
• cranial tumors.
• Meningitis.
• sub-arachnoid hemorrhage.
• carotid artery,vertebral artery dissection.
• History of cervical operation or any disease that result in headache as colitis
• Age less than 18 or more than 40 years
• chronic maxillary sinusitis