Mangement of Cervicogenic Headache by Maual Therapy

Inclusion Criteria Each patient will be included in our study if only he/she meets all of the following criteria: * Age between 20- 40 year. * No physiotherapy intervention at least for the last three months (Mohamed et al., 2019). * Neck pain elicited and disturbed by neck movement or maintained position pain produced by pressure over upper cervical (Dunning et al.,2021). * Limited neck motion with flexion and rotation test less than or equal 32 degree on both right and left side (Dunning et al.,2021). * Patients suffered from intermittent headaches of varying duration and pain level at least once every week through the last 3 months (Hall et al., 2010; Khalil., et al 2019). The patient will be excluded if he /she meets one of the following criteria: * Physical therapy intervention during last three months (Mohamed et al., 2019). * Primary headaches such as migraine or tension type headache (Mohammadi et al.,2021). * Cervical radiculopathy, history of neck trauma and previous surgery at neck or shoulder, spondylosis (Mohammadi et al.,2021). * Vertebrobasilar insufficiency or vestibular dysfunctions (Mohamed et al., 2019). * Any degenerative vertebral lesion (Shabbir et al., 2021). * Concomitant medical diagnosis of any primary headache (tension type or migraine) (Shabbir et al., 2021).