Inclusion Criteria:  Both genders. Symptoms duration more than 6 months. Age 18 -60 Patient has confirmed the diagnosis of cervicogenic headache  Exclusion Criteria:  Rule out cervical malignancy infection (such as osteomyelitis or diskitis) osteoporosis, inflammatory arthritis. fracture, pregnancy cord compression, uncontrolled hypertension cardiovascular disease in the setting of carotid or vertebral artery disease. Trauma cases