Ｏｂｊｅｃｔｉｖｅ　To evaluate the clinical effects of small needle knives combined with silver needles on cervicogenic headache.　Methods　Sixty patients suffered from cervicogenic headache were randomly divided into A, B, C groups (n=20). Patients from group A were treated with small needle knife, those in group B were treated with silver needle, patients in group C were treated with the combination of small needle knife and silver needle. Clinical effects were measured before treatment and 1, 3, 7, 30 d and 90 d after treatment. Pain relief, represented with the decrease of VAS score, was used to evaluate the clinical efficacy.　Results　The treatment in group A, B and C had distinct clinical effects to alleviate cervicogenic headache. Additionally, the decrease in VAS scores in group C was more prominent than that in group A and group B (P<0.05).　Conclusions　The treatment of cervicogenic headache with the combination of small needle knife and silver needle is more effective in pain relief than that with small needle knife or silver needle alone.