Inclusion Criteria:  Their age ranged from 30 to 40 years. BMI ranged from 18 to 25 kg /m2. TTH criteria according to the Headache Classification Committee of the International Headache Society has at least two of the following characteristics: Bilateral location. Pressing/tightening quality (non-pulsating). Mild or moderate intensity. Not aggravated by routine physical activity such as walking or climbing stairs. Patients have Trigger points in suboccipital muscle and trigger points 1 trapezius muscle. The presence of MTrPs will be determined using the diagnostic criteria described by Simons 1990, in which five major criteria and at least one of three minor criteria are needed for a clinical diagnosis of MPS.  Exclusion Criteria:  Patients with a history of malignancy. Patients who had a history of cervical and cranial Surgery. Patients with major psychiatric disorders (major Depression). Patients with uncontrolled hypertension Patient with other causes of headache. Dysfunctions in the temporomandibular joint. Headaches associated with high fever, stiff neck, or rash, problems with vision, or profound dizziness.