Inclusion Criteria:  • Both Genders  Age between 20 to 75 Years Neck pain referring the unilateral pain to the sub-occipital region and head. Headache intensifying upon manual pressure to upper cervical joints and muscles With the cranio-cervical Flexion rotation exam, neck pain and ipsilateral headache and restriction of C1 and C2 rotation.  Exclusion Criteria:  • Tension headache (Headache on both sides)  If the patient not tolerate the cranio-cervical Flexion rotation test. Patients presents with autonomic symptoms like visual disturbance, vertigo, dizziness. If the physiotherapeutic modalities used for head pain in the last 6 months. Headache other than cervical origins. Clinically diagnosed as case of cervical radiculopathy or myelopathy. Extreme cervical discomfort due to disk herniation, stenosis of the spinal canal and cervical arthritis. Each other disorder that may be contraindicated in the upper cervical area of myofascial release.