Cervicogenic headache is one of the most common musculoskeletal conditions in physical therapy practice. Almost 2-4% of the global population suffer from Cervicogenic headache . Mobilization and manipulation is the common intervention for the management of Cervicogenic headache . Although it is a musculoskeletal disorder but very little importance given on muscular system. Total 75 patients participated in this study and were divided into two groups first group-manual therapy group who were given C1-C2 SNAGs and second group- who were given a combination of dry needling and C1-C2 SNAGs. The parameters used for measurement were numeric pain rating scale(NPRS) and range of motion(ROM) measurement using universal goniometry. Both the groups showed improvement however, the second group availing combination therapy showed significant improvement. The study results suggest that C1-C2 SNAGs when combined with dry needling is more effective for the management of patients with CGH.

Keywords : Cervicogenic Headaches, Dry Needling, NPRS, ROM.