Introduction: Temporomandibular disorders (TMD) related headaches is very common in the global population these days.77% of patients with TMD often complains of headache and orofacial pain. The Cartilage surrounding the joint is also affected and also the surrounding structures, clinically showing pain, stiffness, tenderness, trigger points due to bruxism, over loading due to one sided chewing, genetic factors that leads to flattening of the concavity, osteophytes and erosion of the joint margins. Aim and Objective: The aim of the study is to see the effectiveness of dry needling technique on orofacial muscles and suboccipital muscles in TMD related headache. Method: 30 patients with TMD related headache who visited the physiotherapy department and dental OPD were included in the study with patient consent. Patients were divided randomly into two groups; Group A received dry needling technique with occlusal splint at night, and Group B received medication with occlusal splint. Pain was evaluated by Visual Analogue Scale (VAS), active myofascial trigger point (AMTrP) was assessed by palpating tenderness and Functional Disability evaluation was done by Headache Index (HI). Pre-and post-intervention in both groups. Independent t-tests were used to compare the pre-and post-intervention results in both groups. Results: Experimental group who were treated with dry needling exhibited significant improvement as compared to the control group. Conclusion: Dry needling is an effective technique for reducing headache in TMD without any adverse reaction. we commend it to be a good technique for such patients.