Question 1

What is Postural Restoration (PRI)?

Accepted Answer

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.

Question 2

What should I expect at my first appointment?

Accepted Answer

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.

Question 3

Do you accept Insurance?

Accepted Answer

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.

Question 4

Do you offer virtual consultations?

Accepted Answer

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.

Question 5

Do you work with dentists for TMJ treatment?

Accepted Answer

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.

Question 6

What is dry needling and is it painful?

Accepted Answer

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.

Question 7

How is pelvic floor PT different from traditional PT?

Accepted Answer

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.

Question 8

Do I need an internal pelvic exam?

Accepted Answer

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.

Question 9

Can Pelvic Floor Therapy help with painful sex?

Accepted Answer

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.

Question 10

What are PRI custom orthotics?

Accepted Answer

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.

Question 11

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

Accepted Answer

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.

Question 12

What are your Prices?

Accepted Answer

**Virtual Myofunctional Therapy Prices**

**Online Evaluation:**

- 60-minutes: $175

**Online Follow ups:**

- 30 minute: $85
- 40 min: $135
- 60 min: $170

**In person sessions:**

- $225 60 min eval, $265 90 min eval
- $185 follow ups

Question 13

Can we do myofunctional therapy in person?

Accepted Answer

If you are a Chicago local , you have the option to do in-person sessions at our West Loop location. In person visits are 60 minutes, $185.

In person visits include manual therapy: craniosacral therapy, osteopathic mobilizations, and dry needling

Question 14

Does insurance cover myofunctional therapy?

Accepted Answer

Myofunctional Therapy services are private- pay. We accept credit cards, HSA, and FSA funds.

If you live in Illinois we can also provide you with a Superbill to submit to insurance for potential reimbursement.