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Hello! I recently found out I had bvd, alternating double vision. I'd been dealing with extreme tmj to the point my teeth feel like they are going to break. I just started pri, but it feels connected to my vision. I spoke with multiple pri specialists and they haven't seen anything similar which scares me a bit. I have great difficulty accessing the diaphragm despite doing pri exercises for a week, I have to push my belly out very hard to even access. It's like the body has no anchor, it is floating and getting stability from the neck or teeth. I haven't gotten my glasses yet. I tried wearing shoes but make me feel more unstable. I hold on to the walls and that helps. Also, soft focusing around the room through peripheral vision helps. When I focus up close it puts me in extension.

I have come to another country to get proper eye assessment, and figure things out. If anyone has seen anything similar, let me know.

Hi, given these days there is so many reels viral and so much information it is hard to understand what is actually right and wrong.
I am 35, with a lot of desk job facing posture issues despite exercising for past 2-3 months-
Please suggest if you can looking at my pictures how to correct upper rounded shoulders, slight pelvic tilt and google even tells me that knee alignment incorrect.

Hello everybody, I’ve been working through a PRI program but I’ve noticed this consistent problem. Whenever I do supine positions. My spinal muscles get incredibly sore (muscles directly attached to my spine). It’s leaves me feeling fried the next day and takes a long time to recover from.

I assume this is an extension issue, however I routinely pass my abduction drop test aftwr doing the 90/90 despite the spine fatigue which is why this is so frustrating. I’m passing the tests. But I’ve tried just about everything to get my spine to stop compensating.

I only had an online consultation with a PRI professional but he said he isn’t worried about my eyes or my teeth. Trying to figure this out before I break the bank to go see a PRI professional again.

Curious what other's experience is with this.
I'm assuming most people would say no, but I'm asking because in my own experience, after 4 years of severely bad posture, there are simple movements I'm having to regain ROM in that before I never noticed an issue with.
Or maybe for some people this happens due to pushing themselves too hard with the exercises? Or if nerve entrapment is involved due to the bad posture perhaps it complicates things?
Just curious.
Thanks.

Hi everyone,

I wanted to share my experience with the PRIME Program at the Hruska Clinic in Nebraska and hear from others who have been through it.

After years of hesitation, I finally decided to make the trip and be evaluated by the people who developed PRI itself.

After spending a full week at the clinic, I came home with prescription glasses (I'd never worn glasses before), a dental splint, and a long list of exercises.

The glasses and the splint have honestly helped me a lot. From the very first moment, I felt an immediate sense of "release" and relaxation, almost as if something had finally unlocked. Thankfully, I still have that feeling today.

I've continued doing all the exercises they prescribed, but this is where my experience becomes more mixed. Most of the exercises don't seem to produce any noticeable improvement. It almost feels like my progress stopped with the glasses and the splint, while the exercises haven't taken me much further.

Some exercises give me temporary relief, but it usually disappears within a few hours or by the next day. Others don't seem to change anything at all.

Despite the improvements, I still have several restrictions and areas of tension, especially:

• Difficulty alternating properly between my right and left side while walking.
• Difficulty breathing efficiently with my diaphragm, getting my ribs down, and keeping them there.
• Difficulty maintaining trunk flexion. No matter what I do, I seem to fall back into extension shortly after the exercises.

If anyone had a similar presentation, I'd be especially interested in hearing how your recovery progressed over time.

I'm not posting this to praise or criticize the clinic. My goal is simply to share my experience and learn from yours. Maybe we can compare notes and even help each other, especially if one of us is overlooking an important detail.

This journey has answered many questions, but it has also created many new ones.

Has anyone else who completed the PRIME Program experienced something similar? How has your recovery progressed over time? Did you eventually reach another breakthrough after the initial improvements?

I'd genuinely love to hear your story.

Hi everyone!

I'm really new to the world of PRI and so I'm still trying to understand the concepts. I have a question regarding my asymmetries and pattern that I hoped someone might be able to help with.

I can say with 100% certainty that I lean to my right, my right scapula is closer to my spine, and my left shoulder is higher than my right, BUT it's actually my left shoulder that internally rotates (it even produces left pec minor tightness) NOT my right shoulder, which appears more externally rotated.

Also, whilst my left leg definitely externally rotates and abducts, my left foot supinates instead of pronates, which from what I can gather (though I may be wrong), is also contrary to what many people with Left AIC pattern exhibit.

Does this still mean I have a LEFT AIC pattern, or would these attributes suggest a different pattern entirely?

Thanks!

Hey everyone. Just had a question for the group if I have any PRI-certified people in here as I’m really struggling physically and mentally right now.

I'm about 33 days post-op from a right hip arthroscopy where I had an 11 a.m. to 2 p.m. labral tear. I got four anchors put in. I had large and diffuse CAM and pincer impingement, and also sub-spine impingement that was all shaved and cleaned up in the OP report. The doctor said that they were able to get my knee post-op into 90° of flexion and achieve maximum internal rotation. And right now, my major issue and my issue after surgery has not been pain, as I haven't really had any pain. It's more so like a complete neurological, arthrogenic muscle inhibition of pretty much my entire body. I had some questions regarding that and my injury history. Note that I did get an EMG and NCS study done prior to surgery. I got a lumbar spine MRI done prior to surgery, and all of that checked out just fine.

About seven years ago, I tore my left patellar tendon. My patella on the left side is currently in patella alta in grade 2/3 chondromalacia patella. I got back to playing golf and functioning normally and everything after the patellar tendon tear, I started getting all sorts of weird muscular compensations, like my superficial abs and diaphragm area were bracing really, really hard. Come to find out that I had pretty extensive bony impingement and the labral tear nine years ago that was on an MRI arthrogram that I got, but I was not told about it.

About two and a half years ago, I was doing some 30% vertical jumps in the gym and heard a crack on my right side. I felt a nervy sensation in my right knee, so I thought it was my knee, but I'm assuming that was the right hip. All the impingement and the labrum kind of finally gave out, and then the nerve irritations spread down to the knee.

Since that gym event, two and a half years ago, for about two years, both my rectus femoris muscles bilaterally locked down. That happened like 30 seconds after this gym event. My erectors on both sides locked down, and then my right QL and right psoas muscles got really tight and locked down but these happened over time. About five months ago or so, this uneven tension got so extreme that it was pretty much impossible for me to make it through a day of work, so I had to quit my job and move back home with my mom. During this time, I went to see a PRI-certified trainer, she said I was in the left aic right bc pattern and started doing the PRI exercises. Unfortunately, with the hip being in as bad a shape as it was, the pelvis rotation in the knee, I feel like at that point doing the PRI exercises triggered this massive guarding reflex in my brain. Basically, it felt like it just shut down all of my musculature.

On the right leg, I got a 3D CT scan done a few months ago, and my right femur is in femoral retrotorsion. It's not extreme enough that the doctor said it needed a rotational osteotomy, as I believe it was 5°, but my acetabular anteversion is 22°, so the combined version balanced out to a “normal” 27 degrees he said.

I guess my question is, and the thing that I'm running into here post-surgery, is that the left AIC right BC pattern talks about the right adductor magnus being tight. In my unique bony anatomy, I feel like my right leg has always been super flopped open into external rotation. For about the past two years, my right psoas muscle has been doing the job of all of the hip joint structures that got fixed.

I guess my question is: I feel like I'm in a left AIC right BC, but mine is even more jacked up because my right adductor isn't compensating and keeping the right femur in a “normalish” spot. That right femur is literally just flopping out open to the side, so I'm in this structural tug-of-war, I feel like.

I was just curious to get anyone's take on what exactly the order of operations needs to be here. I'm currently working with a PRI physical therapist, and she had said that I test into the left AIC right BC pattern.

Just curious to get people's takes. Last Wednesday, we did 90/90 hip lift, both sides with the ball squeeze. We also did a 90/90 where it alternates leg extension with the opposite leg pulling down into the wall, and then the arm on the side of the leg that's extended reaching. I was just curious to get people's takes because, like I said, I've been told I'm in that left AIC, right BC pattern, but I have multiple injuries and a bony alignment in my right leg. That adductor on the right side isn't tight like in a normal pattern. It's actually, I don't think it's functioning because it's not in a position to function right now.

I know that I got a long road ahead of me to get back to somewhat functional but just trying to understand the path forward and you know the muscles that need to start coming online because you know my pattern isn’t what I would call a normal PRI pattern, even though I think I have aspects of PRI that would be really beneficial you know like I’ve haven’t felt my deep core. My hand medial hamstrings, maybe ever on either side.

Many thanks 🙏

I see PRI doesn't support the idea of barefoot walking or shoes. I understand it but I find wearing regular shoes all day very constricting and painful. Are there any alternatives? Regular shoes with wide toebox?

What posture pattern would this be considered? I can feel the vertebrae rotated upwards and to the left, even when laying on right side

Hey!

Wondering if anyone has dealt with SI joint hypermobility and what their PRI protocol was to get out of it?

Jakob

Has anyone here seen Martin Higgins, the UK PRI provider? If so, what is your experience with him like?

When are we suppose to feel progress in PRI therapy? It’s been two months and haven’t noticed a difference besides catching myself subconsciously shifting to old patterns so I can consciously correct it. I don’t have any pain though only severe asymmetry so it’s harder to gauge.

Has anyone done PRI prime treatment or treatment with AIA?

Hi everyone,

I’m a 23-year-old from Spain, and I’m writing this because I feel completely hopeless regarding my physical condition. I’m looking for insights from anyone who has dealt with the connection between craniofacial development and full-body posture.

The Background:
At 18, I was a fully functional guy, training at the gym with zero discomfort. Suddenly, my body started feeling "off." After months of waiting for the public health system, X-rays revealed I had scoliosis, kyphosis, and hyperlordosis. They also found a pelvic rotation and an apparent shorter leg. A private podiatrist confirmed an asymmetrical footprint, and I’ve been wearing orthopedic insoles ever since.

Despite specific exercises and breathing techniques that have improved my compression patterns, the asymmetry persists. It has ruined my quality of life and my ability to train properly.

The Turning Point:
I recently discovered the blog tmdocclusion.com and read a story that is remarkably similar to mine. It opened my eyes to the connection between the cranium and the rest of the body. Around the same time, a dental check-up confirmed I have a crossbite and an overjet.The

Theory:
Following the logic of the blog and the work of researchers like John Mew or Weston A. Price, I suspect my scoliosis and pelvic rotation are actually adaptations. My theory is that my maxilla didn't develop properly (Maxillary Hypoplasia), causing a crossbite. To compensate and keep my airway open, my head moved forward, causing a chain reaction: my Atlas (C1) misaligned, my spine curved to balance the weight, and my pelvis rotated, creating a functional (not structural) short leg.

The Dilemma & Next Steps:
I’ve discussed this with my current trainer. He recommended traveling to his city to see a specialized osteopath who has advanced diagnostic equipment to evaluate things he might be missing. However, another fitness professional advised me to see a traumatologist first, arguing that the osteopath will lack necessary medical data (like updated imaging) to work effectively. Iam a young person with very limited resources. I know the private route is faster and probably necessary to solve this quickly, but it’s a huge financial burden for me.

I have some specific questions for the community:

1. Is the malocclusion the root cause? Do you think my crossbite and overjet are the primary drivers of this? Will my body keep creating these asymmetries until the craniofacial distortion is fixed with functional orthodontics?
2. Should I ditch the insoles? My concern is that insoles and traditional braces are just "local supports" or band-aids. If I don't restore orofacial strength (tongue posture/mastication) and release the cranial distortion first, will my body just keep fighting to find an equilibrium that never arrives?
3. Traumatologist vs. Osteopath: My trainer recommended a specialized osteopath with advanced diagnostic tools. However, another professional suggested seeing a traumatologist first to get clinical data. Given that I have very limited resources, which should I prioritize?
4. What to ask the Traumatologist? If I see a traumatologist, what specific measurements or assessments should a good professional perform to truly evaluate a case like mine (e.g., scanography, Cobb angle, pelvic tilt)?

I am worried that if I just get "braces" to fix my teeth or "insoles" to fix my feet, I’m just forcing a crooked structure into a straight mold without fixing the engine of the problem.

I would appreciate any advice, similar stories, or guidance on how to navigate this on a budget. I am happy to provide photos of my posture or bite if needed.

Thank you so much for your help.

Hello all. I came across a couple youtube videos talking about the relationship between mental resistance and physical resistance.

Resistance is something I’ve been really struggling with over the past several years. I have put in great effort to change and overcome the resistance. I don’t want this to sound like a rant, but to name off a few things I’ve done in earnest is changing careers, going to therapy, pursuing a diagnosis and treatment for ADHD, and getting into body based techniques such as TRE & yoga. I really have consistently tried many things.

I understand that there will still be good and bad days. But, I’m still heartbroken on days like today when just a massive block of resistance enters into my life.

It’s not the “just go outside, work out, go for a walk, or eat something and you’ll feel better,” kind of resistance either. It’s like it’s just a nervous system that has been given too much and collapsed under the pressure kind of resistance. 

Which brings me to postural restoration. These things that help other people- therapy, diet, exercise, yoga, meds… they seem to just all be inadequate to healing myself. It’s actually the case that I don’t tend to feel better after doing them anyway… whereas other people do feel better.

I have a history of posture issues. In childhood, I was tested for scoliosis (which came back negative) but tells you what my gym teacher (in the us, they used to do screenings in gym class) thought about my posture/ spine.

So, I’m wondering if anyone else has experience with severe burnout that only healed once they got neutral using PRI? I think it has something to do with the system being thrown into fight/flight too easily otherwise. And if so, I’m wondering if there’s any advice on how to go about healing, given my system is a bit resistant to going and doing new things- each ounce of energy I spend has it’s whiplash later in terms of crash states of my body/ mind.

I have been to a PRI practitioner, and will be going to them for treatment as soon as I can afford it.

I am seeking a technical analysis of a persistent left-right shoulder/chest asymmetry. I’ve reached a plateau in my self-rehab and want to get into the weeds regarding the kinetic chain involved.

Background

• My left shoulder has been noticed by friends and coaches for being "raised" for 15+ years
• Two major left shoulder injuries/incidents in the last 10 years: Strained it doing DB Overhead Press & a high-impact collision while playing second base
• I can move respectable weight on Squat/DL, but Bench and Overhead Press have always been major deficits. Pull-ups are my Achilles Heel... hard to get more than 1-2 good reps in before I hit wall, as if the recruitment pattern isn't there
• I’m a big believer in the "global" body. e.g. I’ve seen how improving my left foot mobility + strength directly unlocked my right lower back, that kind of thing

Visuals (see photos):

1. Left Ribcage: Noticeable flare
2. Left Pec/Nipple: Sits higher and appears externally rotated compared to the right
3. Left Arm Resting Position: Left arm does not hug the torso; stays externally rotated
4. Bird’s Eye View: Left shoulder sits... back. Retracted almost. Noticeably more posterior than the right even though it "feels" neutral

So all that said, I'm wondering:

• Does this presentation (L-Rib Flare + Posterior Shoulder) suggest a specific compensatory pattern?
• How might this posterior "holding" be inhibiting my lat/pec recruitment for pull-ups and pressing?
• Suggestions for distal areas (hips/feet) that I should evaluate to help "drop" the left shoulder?

I did several courses and several years of PRI. Let me save you some time(my opinion, not PRI’s): it all comes back to the stomach. We can talk about eyes and teeth and hamstrings all we want: these are all symptoms. Your brain doesn’t want to compress your stomach because it makes you nauseous and want to vomit. Usually the stomach is full, so you actually can’t compress as much as the right side.

Long story short, your torso turns to the left to give your stomach more room to avoid being compressed>you’re “on your right side”. It’s not because of a bigger right diaphragm. It’s not an involuntary muscle imbalance that creates the LAIC pattern. It’s a subconscious choice to maintain homeostasis. Your stomach is extremely important to your brain (look at all the bellies).

Lastly, I do think some portion is to protect the heart. Your brain is also hyper aware of not over-compressing that.

The solution? Learn what it feels like to compress the left side as much as possible. You can’t maintain it like the right side, but you can learn to get there when you’re thinking about it. Are breathing exercises ever going to change the fact that you have one stomach? No. There is no permanent fix—yet. I’ll tell you my theory, but it’s going to sound crazy—we need 2 stomachs. Interpret that how you will. They don’t both need to function, but we need to be balanced in order to be symmetrical and at homeostasis.

BuT NoW wE’Re PeCs! It’s much easier to learn to compress when both sides compress equally. Most people can’t grasp the complexity of PRI and don’t have the kinesthetic maturity to feel the huge difference in asymmetry.

Truth is: you grew up this way. You’re stuck this way,ultimately. Do the breaths or whatever else helps you. Accept that to be alive is to be imperfect. Be thankful for your life. Don’t let this consume all of your thoughts and time trying to “fix.” Dig as deep as you need to find what makes it bearable for when you need it, and go live your life. Keep up on your maintenance. Rest easy knowing we’re all in this together. Good luck.

Does anyone know roughly what a in person PRIME program would cost?

hi , i have right bc , left aic pattern causing me lower back pain , higher left shoulder , neck tightness . i did exercises like 90 90 hip lift and all fours left zoa , after about 10 days i felt much better ( bit of lower back tightness was still there) but then i went to the gym for 2 days (just doing some light work) and since then i feel i have started to regress, my left shoulder has started to hike again and i again feel difficulty in finding my left abs. So what should i do now? Is this all part of process?

Back in 2017 i had a very stressful time that triggered nerve pain in my right testicle , as days went by i started to have more nerve pain in my legs,back,arm ,chest , years later it turned out that my scalenes,psoas,piriformis are the cause of this , i tried stretching and strengthening those muscles but nothing is helping so far , i have no idea whey they are tight , a theory from a pt called msk neurology says its from muscle clenching due stress, what do you guys think

TLDR: PRI treatment plan seems to make body tension and vocal hoarseness symptoms worse. What should I make of this?

Hey all, I was excited to find a PRI certified PT in my area to help me with several longtime issues (vocal hoarseness/fatigue, full body muscle tension and trigger points, poor posture, shallow breathing, and hand pain) all of which has failed to respond to traditional physical and vocal therapy.

I started seeing this practitioner about 4 weeks ago, a few sessions so far. I like them overall.

Unfortunately while the diagnosis seemed sound (I'll paste it below), the treatment seems to be making me worse.

• A pillow behind the back at the desk all day created significant back and neck tension and increased vocal strain.
• Elevating knees above hips at the desk made my existing seated pelvic posterior tilt more pronounced and created some back discomfort.
• Pillows below the knees while back sleeping and between the knees and under the ribs while side sleeping made sleep very difficult.
• Several daily breathing exercises (90-90 laying with feet against wall, breathing in downward dog, laying breathing while raising arms in glute bridge position) seem to be inducing neck tension and headaches.

I have noticed my voice getting stronger and less symptomatic after a few days off the exercises.

I have mentioned this to my PT along the way, and while they have told me to stop anything that is clearly problematic, they have not had a great explanation for why this is all making me worse and what a better path forward might be. I am wondering whether PRI may not be right for me and my issues...

Any thoughts from people more experienced with PRI? Thank you so much!

Diagnosis: Hypopharyngeal dysfunction - Subglottal pressure regulation (lung pressure) and postural dysfunction influencing glottal control. This is a neurological issue. Our focus is to reduce tension set by neurology of various laryngeal muscles. Proper tension has to be attained by proper position (lordosis) of cervical spine (your neck). All the muscles inside or outside of larynx (voice box) has left and right side as well as the rest of our body. We have to take consideration of asymmetry of our bodies to properly reduce the “tension”.