Combined Effect Of Cranial And Cervical Mobilization In Patients With CGH

The purposes of this study are:To investigate the combined effect of cranial and cervical mobilization in patient with cervicogenic headache and there effect on :Perceptive neck pain intensityPerceptive headache intensitypain by pressurefrequency of headache episodesduration of headache episodesMedications uptakes

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 monthNo 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 originHeadache with autonomic involvement, dizziness, or visual disturbanceCongenital conditions of the cervical spineIt 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 colitisAge less than 18 or more than 40 yearschronic maxillary sinusitis