Inclusion Criteria:  Patients with mechanical neck pain with minimum duration of 4 weeks, Pain in the cervical region with moving or palpating the cervical spine, upper cervical involvement with or without headache and C1-C2 rotational deficits.  Exclusion Criteria:  Vertebrobasilar insufficiency. Any history of serious underlying pathology, cervical trauma, structural deformities, genetic spinal disorders or previous spinal surgery.