Origins Physical Therapy

Full 1 on 1 sessions

You'll have 60-90 minute sessions dedicated entirely to you with the same therapist, every time.

PRI Certified

The Only Postural Restoration Certified Clinic in Downtown Chicago. Trained to balance your Feet, pelvis, ribcage, neck, bite, and vision to restore your body

Customized Programs

Not your typical therapy! Our out-of-the-box integrative approach combines neurology, breath, and movement to enhance your outcomes.

Longevity Focused

An emphasis on sleep, breath, and nervous system regulation to enhance your longevity.

Spine & Scoliosis

Foundation of movement excellence.

Orthopedic therapy utilizing Postural Restoration, dry needling, soft tissue mobilization, neuromuscular re-training, and advanced osteopathic manual techniques deliver optimal results for neck and back pain and scoliosis. Treatment plans are tailored to each specific patient's needs.

View our complete Physical Therapy Program

PELVIC FLOOR

Comprehensive pelvic health care.

Our West Loop clinic in Chicago offers personalized pelvic floor therapy. Pelvic floor physical therapy includes a comprehensive evaluation and patient-specific follow-up care for men and women experiencing pelvic pain, sacroiliac joint dysfunction, bowel/bladder issues, weakness, and coordination issues affecting daily life and performance.

We help prenatal and postpartum women regain their confidence and improve pain and function with their bodies. Techniques utilized include visceral mobilization, manual internal and external muscle releases, dry needling, scar massage, breathing re-training, and nutrition/supplement recommendations.

Specialty areas include:

- Prenatal & postpartum care

- Painful sex & vulvodynia

- Urinary frequency and incontinence

- Constipation & bowel dysfunction

- Diastasis recti

- Hypermobility-related pelvic pain

- Scar tissue complications

- Coccyx pain

View Pelvic Floor Services

Craniofacial

Restoring calm, coordination, and alignment.

Receive personalized craniofacial and jaw therapy in Chicago to relieve TMJ pain, headaches, neck pain, ear and nose congestion and breathing dysfunction. This often stems from or lead to nervous system imbalance and stress. Treatment focuses on restoring calm, coordination, and structural alignment utilizing craniosacral therapy, myofunctional therapy, Rocabado mobilizations, and Postural Restoration.

Goals are to restore cranio-cervical neutrality to improve nighttime clenching/grinding, sleep, and harness optimal airway functioning.

During her eight years in Northern Virginia, Noelle partnered with many dentists and oral surgeons to provide premier physical therapy treatment for pre/post tongue tie release, MARPE/SARPE treatment, ALF/DNA expanders, Myobrace, and flat plane occlusal splints.

She spent two years performing bi-weekly co-treatments with Dr. Lupita Roca, DDS, an accomplished Airway/TMJ dentist. Together they presented at Beyond Perio Ortho Limits Course in January 2026 on their work combining Physical Therapy and MARPE to treat TMJ pain and airway disorders.

VIEW MYOFUNCTIONAL THERAPY PROGRAMS

Kahlin N.

Hypermobility/ EDS

I have a complicated medical history and have been through just about every kind of treatment out there. Over the years, I have seen 9 different physical therapists, and Noelle is like no other. She is the first, and only, healthcare provider who understood how my various problems integrated through my whole body. Not only was her treatment more systematic and effective than other PT I’ve had, but she referred me to the very specific specialists I needed to pull everything together to get my body working. Between the treatment she gave me directly and the doctors she sent me to, I am not exaggerating when I say Noelle changed my life. I am more stable and functional than I ever dreamed I could be, and I owe that to Noelle. Go see her. You might not even be able to imagine how much she can help you.

Sarah K

Ehlers Danlos Syndrome

Noelle is a life-changing physical therapist. I have hypermobile Ehlers-Danlos Syndrome and suffer from chronic pain and fatigue. I worked with numerous providers for over a decade before finding Noelle. Her whole-body approach helped identify and break patterns that were keeping me in a cycle of chronic pain. She makes it safe to tell her when something isn't working and adapts quickly as my body changes in response to treatment. She is deeply committed to helping me heal and thrive.

Mark D.

Back/ hip pain/ Dental integration

I can’t recommend Noelle highly enough. As a Postural Restoration Institute–trained physical therapist, she brings an extraordinary level of precision and thoughtfulness to her work. From the very first session, it was clear that she wasn’t just treating a sore shoulder or a tight hip—she was evaluating an entire system.

Her attention to detail is exceptional. She looks at how your feet interact with the ground, how your pelvis is positioned, how your ribcage moves when you breathe, how your traps, shoulders, and neck compensate, and how all of it connects. She understands that pain or immobility in one area is often the downstream effect of something happening elsewhere. Rather than chasing symptoms, she identifies the true drivers.

What sets her apart is her integrated approach. She emphasizes that wellness is systemic—breathing mechanics influence posture; posture influences joint loading; joint loading influences muscle tone and movement patterns. She explains how proper diaphragmatic breathing supports rib positioning, spinal alignment, and pelvic stability. She even considers factors many practitioners overlook, like dental work, jaw alignment, and nasal airway function—recognizing how the mouth and nose affect breathing patterns, and therefore posture and overall biomechanics.

Her therapy programs are highly personalized. No cookie-cutter exercises. Every movement is tailored to your specific asymmetries and compensations. And remarkably, the adjustments are often subtle and accessible—small, intentional exercises you can do at home that create significant change. Within weeks, I noticed improvements not just in pain reduction, but in mobility, balance, and overall body awareness.

Equally impressive is her collaborative approach. She works closely with dentists, rehabilitation medicine physicians, and other healthcare professionals to ensure care is coordinated and comprehensive. She understands that complex biomechanical issues often benefit from a team-based strategy, and she communicates thoughtfully with other providers to align treatment plans for the best possible outcomes.

She empowers her patients with understanding. You leave not only feeling better, but knowing why you feel better—and what to do to maintain it.

If you want a physical therapist who sees the body as an integrated, intelligent system and who combines deep technical expertise with practical, life-changing strategies, she is exceptional.

Jacquie G

Hypermobility

When I learned about Postural Restoration Institute (PRI) concepts, I found Noelle. She had the three main knowledge, I felt would help me. She is a pelvic floor specialist, Pilates instructor, and a PRI certified practitioner.

Noelle has helped me with my recovery from my broken ankle and has helped me manage my chronic lower back pain and hyper mobility. She has also helped me with nutrition. With her help I have been able to get back to walking my 2 big dogs, play with my 1 year old grand-baby, and enjoy my work as a massage therapist. She is who I recommend first when asked for physical therapist recommendations. Massage therapy helps with body awareness. Learning to move better is what keeps you living without pain. Noelle can help you. I am grateful to have found her when I did. If you’re healing from an injury or you’ve been living with pain that limits you, I truly believe Noelle can help you. If you’re fortunate enough to have an in person session with her she has so much knowledge of manual therapy, cranial sacral therapy, dry needling.However with her skills in movement assessments she is able to work virtually as well. She can see movements done properly and able to help you alter movements that are not. She’s truly gifted.

Thank you Noelle for your service, your commitment to your continued education. It shows dedication to your craft and profession.

Darren G

Chronic Pain

Impossible to overstate how life-changing Noelle's treatment has been. So much more than the exercises...the insight and concern and thoughtfulness about my whole person, I now have my life back. Very lucky to have found her in the sea of sameness and charlatans out there.

David K.

Scoliosis Patient

Working with a physical therapist who truly understands the connection between breathing, posture, and chronic pain has been incredible. My scoliosis-related pain is finally manageable.

Jessica L.

Postpartum Patient

The postpartum pelvic floor rehabilitation was life-changing. Noelle's combination of PRI and pelvic floor expertise helped me return to CrossFit with confidence. I wish I had found her sooner.

Katie

Upper Cervical fusion & Tethered Spinal Cord

Noelle’s combination of PRI-based rigor, deep experience with manual techniques, and incredible intuition makes her a one-of-a-kind physical therapist. When I first started working with her, I could only walk 2,000 steps a day and I was in a lot of pain. Within 9 months, my pain was cut in half and I could walk 7,000 steps a day. I can’t say enough good things about her.

Sarah M.

TMJ Patient

After years of chronic jaw pain and headaches, I finally found relief. The PRI approach addressed issues I didn't even know were connected to my symptoms. Dr. Ekonomou's expertise in TMJ and airway disorders is unmatched.

Rachel D

hypermobility

I am hypermobile and I needed a Physical Therapist who could tailor strength training to my body, and when necessary, identify and treat acute issues. Noelle pulled together exercises that were specialized to my needs and were highly effective. They built over time and you could see and feel the results. She also has a very deep ‘toolbox’ of resources to draw upon for treating acute issues. She gets her treatment ‘right’ the first time without any kind of ‘backlash’ from other parts of your body. She listens, is encouraging, supportive, and she is innovative with her treatments. Highly, highly recommend!

Jay Y

Back Pain

I worked with Noelle for approximately six months in 2025. Noelle's focus was on my breathing, posture and flexibility. When we started working together, I was experiencing tightness in my shoulders, back and hips. With her patience and guidance, I was able to alleviate (or eliminate) most of the symptoms.

My breathing habits weren't something that I was even aware of when I started working with Noelle. I am still making adjustments, but I am now more mindful of my breathing and, thanks to Noelle's supply of colorful balloons, I have made progress.

Noelle's suggestion that she tape me as I did exercises in her studio was a game-changer. Being able to see and review the videos on my phone as I do exercises at home, has been very helpful. I still regularly review the videos for guidance.

Jennifer M

neck and jaw pain

I have worked with Noelle for years. She has helped me enormously with my neck, jaw, and back pain. Because of her, I experience less headaches and have an improved posture. Highly recommend!

What is Postural Restoration (PRI)?

PRI is a science-based approach that recognizes the asymmetrical nature of the human body. PRI therapists are trained to detect asymmetrical patterns, understanding that the left and right sides of our body and diaphragm, the lateralization of our brain hemispheres, and our environment can lead to neuromuscular patterns which become dysfunctional. These postural dysfunctions can lead to impingement, instabilities, scoliosis, chronic sprains/strains, neck/jaw pain, and pelvic pain. Treatment includes manual and non-manual techniques, neurosensory integration, and sometimes multidisciplinary intervention.

What should I expect at my first appointment?

Your initial consultation is 60-80 minutes and includes a comprehensive evaluation of posture, breathing patterns, movement quality, and specific areas of concern. We'll discuss your health history, goals, and create a personalized treatment plan. This session often includes ample time for treatment, including manual therapy. Please wear comfortable clothing that allows you to move freely.

Do you accept Insurance?

We are self pay, Out of Network clinic in Chicago’s West Loop, offering personalized physical therapy without the limitations of insurance coverage. This approach allows us to provide longer, individualized sessions for PRI, pelvic floor therapy, manual therapy, and Pilates.

We provide transparent pricing, superbills for insurance reimbursement, and flexible payment options to make care accessible and convenient. Choosing a cash-based model means you receive focused, high-quality treatment tailored to your unique needs, without the restrictions of insurance visits.

Evaluations are 60-90 minutes, follow ups are 60 minutes, and we also offer 30-minute short sessions for dry needling, cupping, and myofunctional therapy.

Do you offer virtual consultations?

Yes, we offer virtual consultations for initial evaluations, follow-up care, and exercise programming. Many PRI techniques and exercises can be effectively taught and monitored remotely. Virtual sessions are a great option for patients who travel frequently or live outside our immediate area.

Do you work with dentists for TMJ treatment?

Yes! Dr. Ekonomou has extensive experience collaborating with dentists and oral surgeons for comprehensive TMJ and airway treatment. She has worked alongside airway/TMJ specialists providing co-treatments for patients undergoing MARPE expansion, tongue/lip tie releases, splint therapy, and jaw surgery. This interdisciplinary approach ensures the best outcomes for complex cases.

What is dry needling and is it painful?

Dry needling uses a thin filament needle to target myofascial trigger points, reducing muscle tension and improving mobility. Most patients experience minimal discomfort—you may feel a brief muscle twitch or cramping sensation. The treatment is combined with movement retraining for lasting results. It's an effective tool for pain modulation and addressing chronic muscle tension.

How is pelvic floor PT different from traditional PT?

Pelvic floor physical therapy includes specialized internal and external assessment and treatment of the pelvic floor muscles. We address concerns like incontinence, pelvic pain, painful sex, and postpartum recovery using techniques including visceral mobilization, manual muscle releases, dry needling, scar massage, and breathing re-training. Our approach integrates pelvic floor work with PRI for comprehensive results.

Do I need an internal pelvic exam?

An internal exam is not required and is always discussed beforehand. Internal assessment or treatment may be recommended if appropriate, but consent is obtained at every visit. External techniques alone can be very effective, and your comfort level always guides the plan of care. It is so important to us that you know we respect your faith traditions and are happy to hold any boundaries that come with those. Some religions may restrict certain types of pelvic floor treatment you receive (i.e. they may not permit the use of a pelvic wand.) If any of this is true for you, this is a safe place for you.

Can Pelvic Floor Therapy help with painful sex?

Yes. Pelvic floor physical therapy is a highly effective treatment for painful sex (dyspareunia) and conditions such as vulvodynia. Therapy focuses on reducing muscle tension, improving mobility, addressing scar tissue, and retraining the pelvic floor to function without pain.

What are PRI custom orthotics?

PRI orthotics are specialized insoles designed using Postural Restoration principles. Unlike generic orthotics, they provide specific sensory input to help your brain and body recognize neutral alignment. They support proper weight distribution and address asymmetrical patterns from the ground up, complementing your treatment plan.

Can PRI help with hypermobility or Ehlers-Danlos Syndrome (EDS)?

Yes. Our physical therapy approach is tailored for patients with hypermobility or EDS, focusing on joint stability, core and pelvic floor strength, and safe movement. Techniques may include PRI exercises, osteropathy, kinesiotaping to address upper cervical instability, shoulder subluxations, and pelvic instability. Noelle also has extensive history treating patients with upper cervical fusions. All therapy is customized to reduce pain, improve function, and support daily activities. Pilates is also utilized to help improve proprioceptive control, balance, and core strengthening to support joint stability, injury prevention, and strengthening. You can find EDS and hypermobility treatment at Origins Physical Therapy in West Loop, Chicago.