INCLUSION CRITERIA  Symptoms duration more than 6 months. Age 25 -60 The patient has confirm the diagnosis of Radiculopathy of cervical origin, VAS more than 5 A cluster of Wainner 3 positive out of 4 EXCLUSION CRITERIA Malignancy Infection (such as osteomyelitis or diskettes) Osteoporosis Inflammatory arthritis Fracture Pregnancy Uncontrolled hypertension or cardiovascular disease Carotid or vertebral artery disease. Trauma cases