Background. Cervicogenic Headache (CGH) is a common type of secondary headaches which has a great socioeconomic impact. Several therapeutic approaches have been used for treatment of CGH. Objective. To investigate the effect of Fascial Manipulation (FM) on CGH, cervical range of motion and CGH associated dizziness. Design. Single blinded, parallel randomized controlled trial. Settings. Out-Patient department at Al-Wakra Hospital, Hamad Medical Corporation, Qatar. Participants. 48 patients with Cervicogenic Headache associated with dizziness. Intervention. Patients were randomized to a study (A) (n = 24) and control (B) (n = 24) groups. Over two successive weeks, patients in group (A) received two sessions of FM as one session/week, while group (B) performed low load cervico-scapular endurance training for two weeks as a three sessions/week. Outcomes measures. The six items Headache Impact Test (HIT-6), Neck Disability Index (NDI), Flexion rotation test (FRT) and Dizziness Handicap Inventory (DHI). Results. There was a statistically significant improvement in the HIT-6, NDI, FRT and DHI within and between groups after treatment in favor for the study group (P < 0.05). Correlation between FRT, HIT-6 and DHI post treatment revealed a negative moderate (r = -0.3) to weak (r = -0.24) correlations respectively. Conclusion. Fascial manipulation is an effective therapeutic approach in comparison to exercise program in treating CGH associated with dizziness.