Abstract: Objectives: To determine the effect of a C1-C2 sustained natural apophyseal glide (SNAG) as compare to posterior anterior (PA) vertebral mobilization on cervicogenic headache.

Study Design: Randomized Control Trial.

Method: The study was conducted on 60 patients with CGH. In this study, patients were divided into two groups, group A and group B equally. Group A of 30 patients received SNAG and at the same time Group B of 30 patients were treated with PAVMs. A pre tested and structured questionnaire was used to collect data. Data was entered and analyzed by using SPSS 19.

Outcome Measures: Pain and disability was measured on Visual Analog Scale (VAS) (0-10) and Neck Disability Index (NDI) before and after the treatment.

Results: The study showed significant results for both the interventions in the treatment of CGH but SNAG mobilization has been more effective in reducing pain in CGH patients.

Conclusions: On the basis of this study, it is proved that cervical SNAGS is more effective for the treatment of cervicegenic headaches as compared to PAVMs.

Keywords: Cervicogenic Headache, Sustained Natural Apophyseal Glide, Posterior Anterior Vertebral Mobilization, Mulligan Mobilization.