The aim of our study is to determine the effect of ELDOA in relieving pain, improving ROM and functional disability in patients with cervicogenic headache. This study will add to the growing body of knowledge that if this technique yields comparable outcomes, it would be the alternative therapy. Moreover, it would add to the society as no literature is available on the effect of ELDOA technique in the management of Cervicogenic headache.

Cervicogenic Headache (CEH) is mainly caused by neck or paravertebral soft tissue lesions. It is chronic headache that arises from the Atlanto-occipital and upper cervical joints and is perceived in one or more regions of the head or face. One of the known treatment options that create decompression at spinal segment level is called ELDOA it is described as a conditioning method involving a series of movements and body stretches to help correct body posture, rehabilitate people with injuries and prevent injuries

Inclusion Criteria:

• Age: 30-45 years
• Both male and female.
• Onset of pain > 4 weeks.
• Flexion rotation test positive with estimated rotation range reduced by more than 10 degrees from the anticipated normal range (44 degrees)
• Tenderness of upper three cervical joints.
• Presence of active trigger points in upper trapezius and sub occipital extensors.

Exclusion Criteria:

• Hypertension.
• Recent (<6 months) whiplash injury and other cervical soft tissue injuries.
• History of cervical spinal vertebrae fracture.
• Positive sharp purser test
• Acute disc protrusion • History of cancer.
• Previous surgical intervention of head, neck and thoracic spine