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