"Additional Effects of Sternocleidomastoid Release Along With Suboccipital Muscle Release in Management of Cervicogenic Headache'

Cervicogenic headache is a common headache that causes disability and affects everyday activities. Headache related disorders are the second most common reason for years lived with disability all over the world. According to the latest International Headache Society model, cervicogenicheadache (CGH) is a secondary headache having C1-C2 dysfunction. There is marked limitation in cervical ROM specially rotation. Treatment indicated involves use of electrotherapy and thermal modalities. In addition, use of different manual therapy techniques are advocated to eliminate the root cause i.e. C1-C2 dysfunction treating. patients with cervicogenic headache are mostly presented with forward head posture and weak deep neck flexors which may excerbate the headache symptoms.Therefore The purpose of this study is to determine the ""Additional effects of sternocleidomastoid release along with suboccipital muscle release in management of cervicogenic headache

Inclusion criteria

• Participants will be included according to international classification of headache criteria which includes:
• Headache with neck stiffness
• Headache at least once a month in the last 3 months
• Headache with at least 4 score in Numeric Pain Rating Scale(NPRS)
• Unilateral headache with no shift of side
• Positive flexion rotation test (Rotation restriction is greater than 10 degrees)
• C1-C2 dysfunction
• Headache precipitated by sustained neck movements,myofacial trigger points palpation in neck
• Age group 18-45
• Both male and female

Exclusion criteria

• Cervical spondylosis
• Headache of non-cervical origin
• Dizziness or visual disturbance
• Cervical radiculopathy/ nerve root involvement/ disc herniation
• Cervical instability/ fracture
• Vertebrobasilar insufficiency
• Thoracic outlet syndrome
• Cervical spine surgery
• Cervical spondylolisthesis
• Spinal infection or tumors
• Osteoporosis
• meningitis
• subarachnoid hemorrhage