Tension Headache Physical Therapy in Washington, D.C.

Natural Tension Headache Relief

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What is a tension headache?


Tension headaches are constant, achy headaches that usually occur across the forehead, around the temple and/or in to the back of the head. These headaches are usually caused by muscle tightness or tension/stress, but the causes are somewhat unclear. These differ from a migraine as migraines are typically pulsing or throbbing in nature, but sometimes people confuse them or have both. Migraines also sometimes have other symptoms concurrently like nausea, vomiting or sensitivity to sound and light.

Tension Headaches

What are the common symptoms of tension headaches?


Tension headaches present as dull or aching pain around the forehead and around the back of the head; they may also result in muscle tightness in the musculature around the head and neck and radiating down towards the shoulders.

How To Relieve Tension Headaches


Stress is one of the biggest contributing factors to tension headaches. Stress management is one of the best ways to treat tension headaches. If your stress is physical in nature, physical therapy can help mitigate your symptoms. Your physical therapist at Release Physical Therapy can help determine the cause of your tension, help promote good stress management techniques and provide exercises, manual therapy techniques and other modalities to help reduce symptoms, including dry needling, therapeutic cupping and more. Call Release Physical Therapy today to schedule your evaluation and help rid these tension headaches.

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Tension Headache FAQs


Tension headaches are sometimes divided into two different categories: episodic and chronic. Episodic tension headaches tend to last less than 15 days per month, and usually are shorter in duration, while chronic tension headaches occur more than 15 days per month and tend to last for months. Contact Release Physical Therapy today if you are experiencing tension headaches and your expert physical therapist can help reduce the length of your headaches by helping you manage the tension and stress in your muscles.

Tension headaches are usually dull or achy pain and can present in a variety of areas in the head, neck, and shoulders. Often people experience this tension or pain in the forehead, around the top of the ears to the base of the skull, and down the neck into the shoulders. Everyone experiences this tension differently and some people may only have pain in one of these areas, and some people may have pain radiating to all of these areas.

Typically a tension headache does not cause nausea. Nausea is often present in a migraine. Although some people confuse tension headaches and migraines, typically nausea is only present in the latter. Physical Therapists can help with both tension headaches and migraines, so if you are experiencing a headache, reach out to Release Physical Therapy today to get started in reducing your headache.

Physical Therapists are experts in the musculoskeletal system. If you are experiencing a tension headache, you probably have some muscular involvement. Your physical therapist at Release Physical Therapy can do a thorough evaluation and help you determine the cause of your tension headache. They can provide manual therapy, modalities, exercises, and a home exercise program and plan of care to help you reduce your tension headaches.

Stress management is the biggest way to improve your tension headaches. Sometimes tips on managing stress include improving sleep habits, reducing smoking, caffeine, alcohol, or sugar, increasing water intake, increasing exercise, and improving diet. Additionally, checking in on your physical and mental health can help improve your symptoms, along with physical therapy.

Anytime you are experiencing pain that is musculoskeletal in nature (tension headache included), you should contact a physical therapist for a full evaluation of your musculoskeletal system. Your expert physical therapist at Release Physical Therapy can help assess your posture, joint mobility, range of motion, and strength, and additionally help refer you to other medical providers if you need additional treatment.

Typically a tension headache does not cause dizziness. Dizziness is often present in a migraine. Although some people confuse tension headaches and migraines, typically dizziness is only present in the latter. Physical Therapists can help with both tension headaches and migraines, so if you are experiencing a headache, reach out to Release Physical Therapy today to get started in reducing your headaches.

Similar to all musculoskeletal injuries, physical therapy for tension headaches can vary in severity and this will change the length of time it takes to see results. Usually, people see some symptom relief in their first few visits, but it may take multiple weeks or months to truly address the underlying cause and see long-term improvement. Schedule your evaluation with Release Physical Therapy to get started today and reduce your symptoms, and improve your long-term function.

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About Release Physical Therapy


Release Physical Therapy is an award-winning physical therapy clinic, offering the best-in-class physical therapy to the Washington, D.C. area and surrounding communities. We work one-on-one with our patients to develop an individualized treatment plan that meets their unique needs, conditions, wellness goals and fitness levels.

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Release Physical Therapy Washington DC

Our Approach


At Release Physical Therapy, we use evidence-based therapies to target the root cause of a condition, not just the symptoms. We offer a full range of treatments, including manual modalities, technology-assisted therapies, and both traditional and non-traditional techniques. We work one-on-one with our patients to develop an individualized treatment plan that meets their unique needs, conditions, wellness goals and fitness levels. Common conditions we treat include:

  • Achilles tendonitis
  • AC joint injury
  • ankle sprains
  • ankle fracture
  • ACL injuries
  • arthritis
  • back injury
  • back pain
  • bursitis
  • carpal tunnel syndrome
  • cervical radiculopathy
  • cervical strains
  • chronic pelvic pain
  • CL inuries
  • compartment syndrome
  • degenerative joint disease
  • herniated disk
  • de Quervain tenosynovitis
  • fibromyalgia
  • frozen shoulder
  • golfer’s elbow
  • headaches / migrains
  • hip replacements
  • ITB syndrome
  • impingement syndrome
  • knee replacement
  • neck pain
  • nerve entrapment
  • osteoporosis
  • osteoarthritis
  • overuse injuries
  • knee cap pain syndrome
  • knee tendinitis
  • plantar fasciitis
  • rotator cuff tear
  • runner's knee
  • scoliosis
  • sciatica
  • shoulder tendinitis
  • spinal stenosis
  • spondylolisthesis
  • shin splints
  • tennis elbow
  • thoracic outlet syndrome
  • TMJ dysfunction
  • wrist fracture
  • and several others...

What Patients Are Saying


Physical therapy is about results. Too often, patients discontinue therapy because of a bad experience. At Release Physical Therapy, we are committed to providing the highest quality care through patient education, on-going clinician training, and personalized approach to treatment. We believe that everyone should live pain-free and healthy. But don’t take it from us, read what our patients have to say about their experience with Release Physical Therapy.

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Our Physical Therapists


Release Physical Therapy staffs the top physical therapists in Washington, DC. Our experienced and highly trained physical therapists specialize in treating the outpatient orthopedic population, including sports therapy, chronic pain management, orthopedic/spinal therapy, pre/post-surgical therapy, as well as wellness and prevention. Our PTs utilize a wide range of therapies and technologies to deliver a personalized care plan. All of our physical therapists are accepting new patients.

Dr. Cari Simon PT, DPT, CMTPT, ART

Owner & Physical Therapist, Release Physical Therapy Washington, D.C.

Dr. Cari Simon received her Doctorate degree in Physical Therapy from the University of Hartford. A former All-New England and All-State soccer player, she was part of the U.S. Women’s Soccer National Team pool, but ultimately decided to redirect her career in pursuit of her true passion: care. She is now one of the top physical therapists in Washington, DC. As one of the most highly regarded physical therapists in Washington, DC, Dr. Cari Simon’s treatment approach combines manual mobilization and manipulation techniques with individualized therapeutic exercise. She is a full body Active Release Technique (ART) provider. Additionally, Dr. Simon utilizes McConnell, athletic, and Kinesio Taping methods, as well as Trigger Point Dry Needle Therapy. When she is not helping her patients meet their physical goals, Dr. Simon enjoys networking with other physical therapists in Washington, DC, outdoor activities and spending time with her family.

Ethan Gramstad PT, DPT, CMTPT

Physical Therapist, Release Physical Therapy Washington, D.C.

Dr. Ethan Gramstad is the newest addition to the staff at Release Physical Therapy. A native of Virginia, he has recently relocated to Washington, DC following the last two years of practicing PT in Denver, Colorado. He received his Bachelor’s degree from the University of Virginia where he was a member of the UVA Men’s Rowing team for three years. It was that experience that ignited his interest in the science of exercise, as well as physiology and anatomy. He went on to obtain his Doctorate of Physical Therapy from Old Dominion University from Norfolk, Virginia in 2017.

Dr. Gramstad uses manual therapy and mobilization techniques to obtain optimal patient outcomes and places a high priority on establishing a strong patient-therapist relationship. He focuses on assisting his patients in meeting their physical goals and finds satisfaction in the application of individualized exercise programs, as well as dry needling to achieve success. He has previous experience in providing pre and post-operative therapy protocols and treating the outpatient orthopedic population. Besides his rowing days, Dr. Gramstad has personally participated in endurance sports; running Cross Country and multiple marathons and continues to maintain a devotion to a rigorous gym regimen.

Dr. Stephanie Lam PT, DPT, CMTPT

Physical Therapist, Release Physical Therapy Washington, D.C.

Dr. Stephanie Lam received her Doctorate of Physical Therapy from the School of Health Technology and Management at Stony Brook University, after attaining dual degrees in Biology and Psychology from the University of Virginia. She is highly experienced in several fields of adult orthopedics, including post-surgical recovery, acute sports injury rehabilitation, athletic performance improvement, and chronic pain management. She also has a passion for pediatrics and has treated kids of all ages for congenital and developmental issues.

Dr. Lam uses her patient’s individual goals to guide treatment, addressing her patient’s symptomatic impairments while considering their day-to-day ability to function and perform athletic and recreational activities. Dr. Lam incorporates manual therapy throughout her treatments, specializing in extensive deep soft tissue manipulation and mobilizations of the spine and peripheral joints, as well as dry needling.

Deborah Ajala PT, DPT, COMT, CMTPT

Physical Therapist, Release Physical Therapy Washington, D.C.

Dr. Deborah Ajala is an astute physical therapist who takes her time to get to know her patients in order to provide the best possible care. Dr. Ajala’s lifelong passion for caregiving led her to a career in physical therapy. She received a Bachelors degree in Health Sciences with a minor in Exercise Science and Wellness Management from the University of Sciences in Philadelphia, where she obtained a Doctorate in Physical Therapy thereafter. Dr. Ajala holds certifications in Orthopedic Manual Therapy (COMT) and Trigger Point Dry Needling (CMTPT). Her goal with each patient is to optimize their return to function.

Dr. Ajala previously worked at an Outpatient Physical Therapy Clinic in Maryland as a staff clinician. There, she served a diverse patient population treating a wide range of orthopedic conditions including sports medicine, pre/post operative rehabilitation, overuse injuries and several others.

In her free time, Dr. Ajala enjoys spending time with her family and friends, reading, and sports. She also enjoys exploring new DC neighborhoods and is a restaurant enthusiast.

Mia Smyser PT, DPT, COMT, CIDN

Physical Therapist, Pelvic Floor Therapist, Release Physical Therapy Tysons and Washington, D.C.

Dr. Mia Smyser is a native of the DMV. She received her Doctorate in Physical Therapy from the University of Miami, after receiving her Bachelors of Science in Exercise Science from the University of South Carolina. She thinks movement is of foundational importance and is dedicated to improving people’s mobility and function and helping them achieve their optimal physical well-being.

She is passionate about continuing to learn and grow in the profession. She is a Certified Orthopedic Manual Therapist (COMT), certified in Integrative Dry Needling and is continuing her coursework with Herman & Wallace as a pelvic health therapist.

Dr. Smyser previously worked at outpatient physical therapy clinics in Washington, DC and Falls Church, VA, treating a wide variety of conditions including sports medicine, pelvic health, pre/post-operative rehabilitation, and pediatrics, among others.

In her free time, she prioritizes spending time with her husband, son & dog; playing soccer and running; coaching HIIT and checking out new restaurants.

Sally Sroge, PT, DPT, OCS, COMT, MDNC

Physical Therapist, Release Physical Therapy Washington, DC

Sally earned her Doctorate in Physical Therapy from Radford University. Originally from Boulder, Colorado, she grew up immersed in sports and the outdoors, and her experience as a collegiate basketball player fueled her passion for movement and rehabilitation.
For the past three years, Sally has practiced in Washington, D.C., specializing in manual therapy, therapeutic exercise, and individualized treatment plans. In 2025, she completed her clinical orthopedic residency with the North American Institute of Manual Therapy (NAIOMT) and earned her Certified Orthopedic Manual Therapist (COMT) credential. She is also trained in Trigger Point Dry Needling and holds certification through the Barbell Rehab Method, allowing her to bridge the gap between rehab and strength training.
Outside the clinic, Sally enjoys powerlifting, exploring D.C.’s vibrant food scene, and spending time with her partner and their two cats.

Elliott Place, PT, DPT

Physical Therapist, Release Physical Therapy Washington, DC

Elliott Place is a Doctor of Physical Therapy who earned his Doctor of Physical Therapy degree from Ithaca College. His clinical approach is grounded in evidence-based practice and combines a strong foundation in manual therapy and dry needling with individualized exercise and movement-based rehabilitation.

During his undergraduate education, Elliott was a competitive sprinter, an experience that provided him with a firsthand understanding of athletic performance, training demands, injury recovery, and the mental aspects of returning to sport. He also completed a minor in Sport Psychology, further developing his understanding of the relationship between physical performance, motivation, confidence, and the psychological factors that can influence rehabilitation.

Elliott enjoys treating a wide range of orthopedic and sports-related conditions, with a particular interest in helping patients return to the activities and sports they enjoy. His clinical interests also extend beyond traditional orthopedic care to include temporomandibular joint (TMJ) disorders, benign paroxysmal positional vertigo (BPPV), and vestibular hypofunction.

He believes effective physical therapy should be individualized, collaborative, and supported by current research. By combining hands-on techniques, dry needling, targeted exercise, and patient education, Elliott works to address the underlying contributors to injury while helping patients build confidence and long-term physical resilience.

Keith Hughes LMT

Massage Therapist, Release Physical Therapy Washington, D.C.

Prior to joining Release, Keith worked with athletes at the University of Maryland, supporting the men’s soccer, cross country, and lacrosse programs as well as women’s soccer, preparing athletes for competition and guiding recovery between training blocks. He has also delivered sports massage at Equinox, working alongside trainers to build treatment plans around each client’s goals.

His toolkit includes myofascial manipulation, trigger point therapy, Graston/IASTM, myofascial decompression (cupping), PNF, and assisted stretching. Keith believes recovery works best when clients understand their own bodies, so every session includes education on what he’s finding and how to prevent it from coming back.

His mission: functional mobility.

Release Physical Therapy Treatments


Our experienced physical therapists have advanced training in outpatient orthopedic physical therapy. Our physical therapy services include sports therapy, injury rehabilitation, pre-surgical therapy, post-surgical therapy, chronic pain management, as well as wellness and prevention. Specialized treatments at Release Physical Therapy include:

Shockwave Therapy

A non-invasive medical treatment that utilizes acoustic waves to treat various musculoskeletal conditions and promote healing.

K-Laser Therapy

The use of specific wavelengths of light to improve healing time, pain reduction, increase circulation and decrease swelling.

Dry Needling Washington DC

Needle treatment that decreases pain, increases range of motion and improves strength by inactivating myofascial trigger points.

Active Release Technique in Washington, D.C.

Massage and movement-based technique that treats problems with muscles, tendons, ligaments, fascia and nerves.

Therapeutic Medical Massage

Reduces muscular pain and inflammation, relaxes overused muscles, improves posture and movement awareness, and enhances performance.

BFR Training Washington DC

Rehabilitation therapy and performance training technique using a personalized tourniquet system to reduce atrophy and increase strength.

Kineseo® Taping Method

Reduces muscular pain and inflammation, relaxes overused muscles, improves posture and movement awareness, and enhances performance.

Running Assessment Washington DC

Individualized analysis designed to identify strength, gait, and alignment imbalances to prevent injury and improve your current training program.

Running Assessment Washington DC

Functional Training

Exercise regimens that integrate multiple muscle groups, joints and the brain to assist in everyday movement, physical activities and athletics.

Graston Technique

Instrument-assisted soft tissue mobilization used to address soft tissue lesions and fascial restrictions resulting in improved patient outcomes.

Release Physical Therapy Services


At Release Physical Therapy, we treat you with our hands, not just machines. We offer a full range of manual therapies, as well as both traditional and non-traditional techniques for the best in comprehensive care. We work one-on-one with our patients to develop an individualized treatment plan that meets their unique needs, conditions, wellness goals and fitness levels.

Physical Therapy Treatment for Pelvic Floor Issues

At Release Physical Therapy, our experienced therapists conduct a thorough assessment to identify the underlying causes of your pelvic floor issues and create a personalized treatment plan to promote healing and alleviate the problems you’re experiencing.


Physical Therapy Treatment for Upper Back/Shoulder Pain

At Release Physical Therapy, our experienced therapists perform comprehensive assessments to see how they can help with your upper back pain. We then design individualized treatment plans aimed at promoting healing and relieving your specific issues.


Physical Therapy Treatment for Lower Back Pain

At Release Physical Therapy, our seasoned therapists perform comprehensive assessments to pinpoint the root causes of your lower back pain problems. We then design individualized treatment plans aimed at promoting healing and relieving your specific issues.


Physical Therapy Treatment for Knee Pain

At Release Physical Therapy, our seasoned therapists perform comprehensive assessments to pinpoint the root causes of your knee pain problems. We then design individualized treatment plans aimed at promoting healing and relieving your specific issues.


Physical Therapy Treatment for Ankle Pain

At Release Physical Therapy, our experienced therapists conduct thorough assessments to identify the underlying causes of your ankle discomfort. From there, we craft personalized treatment strategies tailored to foster healing and alleviate your unique concerns.

Physical Therapy Treatment for Tennis Elbow Pain

At Release Physical Therapy, our seasoned therapists perform comprehensive assessments to pinpoint the root causes of your tennis elbow pain problems. We then design individualized treatment plans aimed at promoting healing and relieving your specific issues.


Physical Therapy Treatment for Arthritis

At Release Physical Therapy, our expert therapists conduct thorough assessments to gain insight into your arthritis symptoms. With this understanding, we craft personalized treatment strategies aimed at promoting healing and addressing your unique requirements.

Release Physical Therapy Location & Hours

Visit us at our convenient West End Washington DC location. We pride ourselves on providing the highest level of care and convenience to our patients. Our appointment times flexible – let us know how we can best accommodate you.

Release Physical Therapy - Washington DC

2134 L St NW
Washington, DC 20037
Get Directions

Location Hours

Mon - Thurs: 6:00am - 8:00pm
Fri: 6:00am - 5:00pm
Sat - Sun: Closed

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Joseph Forcier
10 October 2026
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Mia Smyser is absolutely top notch! She genuinely cares for her clients and possesses a vast knowledge of the treatment of musculoskeletal issues as well as its impact on the nervous system. She is highly skilled at manual therapy, therapeutic ultrasound, dry needling and exercise to increase motion and relieve pain. Release Physical Therapy has played a key role in my recuperation journey after major surgery and I couldn’t be more pleased with where I am today after a few months of weekly treatments.
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Kristy Smith
10 October 2026
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I came to Release PT with a painful debilitating knee— So much I had to use crutches. I was feeling pretty down. Elliot has been a superstar doing a combination of needling (which he’s very intuitive with), laser, and Shockwave. He encouraged me to start walking, do a few key strengthening exercises, and pool work. In a little over 2 weeks I’m walking without crutches and getting stronger little by little… Very happy to have found him and this place!
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Judy Billings-Mapondera
29 September 2026
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I have had about 6 visits with Mia and my improvement has been better and certainly more consequential than with any PT I have gone to before.My pain is reduced and I can now do some things that had escaped me. This time I have the hope and expectation that with “Mia and her machine” I am working my way back to a normal life.
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Allison Larson
21 September 2026
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I’ve really enjoyed my time working with Mia over the past several months. When I sought a psychical therapist my past experiences made me think there wasn’t much they were going to be able to do to help me but send me home with some exercises, but my ideas were outdated. Every session is a full hour long spent treating my injury with new technology and massage therapy, stretching and exercise. My therapist clearly explains all she’s doing to treat me, what to expect and what she’s seeing in my body. I leave every session feeling worlds better and I’m slowly making good progress toward recovery. I thought I would be stuck managing pain forever but now feel like I am making some progress towards healing.
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Emily H
17 September 2026
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Deborah has been fantastic! I've been going for almost a month, and I've already seen a lot of improvement. She's been great at identifying ways that I had been unintentionally compensating for underdeveloped muscles post-op and using different techniques to target those areas. Release PT in general has been great, too, with great hours, a simple app interface for at-home exercises, and an easy waitlist process for sessions if a week is otherwise booked.

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Feel Your Very Best

Whether you’re an athlete that plays hard on the field, or a weekend warrior that plays hard in life, committing to a physical therapy program can help to keep you moving forward.
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