Inclusion Criteria:  Patients with unilateral upper extremity pain, parenthesis, or numbness. Neck Disability Index (NDI) score of 10/50 points or greater. Numeric pain rating scale scoring (moderate pain). Craniovertebral angle measured less than 49 with forward head posture. Positive distraction test, Upper limb tension test, spurling test.  Exclusion Criteria:  Any red flags (tumor, fracture, metabolic diseases, rheumatoid arthritis, osteoporosis etc. Central nervous system involvement. History of whiplash injury within the previous 6weeks. Prior surgery to the cervical or thoracic spine from 6 months ago.