Mulligan Technique Versus Proprioceptive Training in Cervicogenic Headache

This study will be conducted to compare the effectiveness of mulligan versus proprioceptive training on pain severity, headache disability, flexion rotation test, pain threshold, cervical joint position error in patients with cervicogenic headache.

Inclusion Criteria: * CGH pain intensity between 3 and 8 on 10-point pain scale. * CGH due to cervical spine dysfunction. * Reduced cervical motion. * Neck pain followed by headache. * Unilateral pain starting in the neck and radiating to the frontotemporal region. * Reproduction of the headache on palpation of the upper cervical spine (C0 to C3). Exclusion Criteria: * Participants with other types of headache (migraine). * Headache due to other causes (sinus, tumor, neural, or temporomandibular joint issues), and any type of physical therapy treatment in the past three months. * Any contraindications to manual and manipulative therapy (fracture, instability, osteoporosis, arthropathy, or neural symptoms). * Using analgesics or corticosteroids. * Metastasis. * Cardiac conditions (stroke, hypertension, or syncope). * Neurological conditions (radiculopathy, myelopathy, or disc problems). * Spinal cord problem. * Previous brain and spinal cord surgery.