Combined Effect Of Cranial And Cervical Mobilization In Patients With CGH

Inclusion Criteria: pain originating at the neck and radiating to oculo-frontal-temporal regions. symptom unilaterally. symptom provocation through cervical movement and/or awkward cervical postural. symptom provocation through external pressure application through palpation to associated posterior cervical spine segments with resultant symptom reproduction. possible ipsilateral shoulder and/or arm pain of vague reference. 15 or more headache episodes per month No history of cervical operation or any disease that result in headache as colities -All patients will sign the informed consent before joining the study. Exclusion Criteria: Headache not of cervical origin Headache with autonomic involvement, dizziness, or visual disturbance Congenital conditions of the cervical spine It is of primary concern to exclude serious or life-threatening pathology such as : cranial tumors. Meningitis. sub-arachnoid hemorrhage. carotid artery,vertebral artery dissection. History of cervical operation or any disease that result in headache as colitis Age less than 18 or more than 40 years chronic maxillary sinusitis