Available PRRT Appointment Options and Durations
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Choose 30, 60, or 90-minute sessions tailored to assessment and treatment needs.
PRRT 60-Minute Appointment
$120.00The PRRT treatment is done clothed. Please wear comfortable clothing.
Primal Reflex Release Technique (PRRT) is a manual therapy that uses gentle movements to "reboot" the nervous system by down-regulating overstimulated primal reflexes, such as the startle and withdrawal reflexes. Developed by physical therapist John Iams, it treats pain by addressing the root cause—a protective, heightened state of the nervous system—rather than just the symptoms. Treatment involves a therapist assessing for overactive reflexes and then applying gentle pressure or movements to the area to trigger a release.
How it works
Assessment: A therapist will perform an evaluation, sometimes called a 1-Minute Nociceptive Exam (1MNE), to identify which reflexes are overactive by noting reactions like gasps or grimaces to light touch in certain areas.
Treatment: The therapist then uses specific, gentle manual movements, such as light tapping or pulling, to stimulate the reflexes. This prompts the nervous system to "reset" the reflex, decreasing the heightened sympathetic response.
Muscle Activation: The technique may also incorporate muscle activations to help the body release the tension and integrate the new neural pathways.
PRRT 90-Minute Appointment
$160.00PRRT is done clothed. Please wear something comfortable.
Primal Reflex Release Technique (PRRT) is a manual therapy that uses gentle movements to "reboot" the nervous system by down-regulating overstimulated primal reflexes, such as the startle and withdrawal reflexes. Developed by physical therapist John Iams, it treats pain by addressing the root cause—a protective, heightened state of the nervous system—rather than just the symptoms. Treatment involves a therapist assessing for overactive reflexes and then applying gentle pressure or movements to the area to trigger a release.
How it works
Assessment: A therapist will perform an evaluation, sometimes called a 1-Minute Nociceptive Exam (1MNE), to identify which reflexes are overactive by noting reactions like gasps or grimaces to light touch in certain areas.
Treatment: The therapist then uses specific, gentle manual movements, such as light tapping or pulling, to stimulate the reflexes. This prompts the nervous system to "reset" the reflex, decreasing the heightened sympathetic response.
Muscle Activation: The technique may also incorporate muscle activations to help the body release the tension and integrate the new neural pathways.
PRRT 30 Minute Appointment
$80.00A 30-minute Primal-Reflex-Release-Therapy (PRRT) session is a fast-acting, specialized treatment designed to reset your nervous system and rapidly alleviate chronic pain. Unlike traditional bodywork that focuses solely on muscles, PRRT targets the body's hardwired defensive software to give you quick, lasting relief.
The Process: Assess, Treat, Reassess
Because PRRT is highly efficient, a 30-minute session is incredibly focused and dynamic, moving through three distinct phases:
Advanced Assessment: The session begins with an advanced evaluation of your movement and pain. The therapist guides you through gentle neural checks to pinpoint exactly where your system is locked up. This assessment is designed to be a deeply relaxing and therapeutic experience in its own right, calming your body from the start.
Mapping Pain Patterns: The therapist maps your unique, interconnected patterns of pain. Instead of just chasing symptoms where it hurts, they locate the root neural triggers keeping those areas tight.
Targeted Release & Pivot: The therapist applies brief, gentle stimulus to reset overactive reflexes. Immediately after, the therapist reassesses your movement to ensure the treatment is perfectly appropriate, dynamically adjusting the techniques on the fly to best suit your body.
Why You Should Receive PRRT
When you experience stress, injury, or poor posture, your primal withdrawal reflexes can get stuck "on," keeping your muscles in a perpetual state of painful guarding.
PRRT works by treating these global pain patterns and releasing the reflex pain that has become wired into your nervous system. By resetting these overactive neural switches, PRRT bypasses the need for deep, painful pressure. It offers a soothing, entirely customized experience that restores freedom of movement and delivers rapid relief in just 30 minutes.
Why Choose PRRT at Pavlov
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Personalized reflex assessment and gentle releases to address root causes of tension.
Root-Cause Focused Care
Targets nervous-system reflex patterns rather than superficial muscles, reducing recurring pain and chronic tension long-term.
Fully Clothed Sessions
Comfortable, fully clothed treatments allow easy assessment and gentle movement without the need for disrobing.
Tailored Session Lengths
Choose 30, 60, or 90-minute appointments so assessment and treatment match your specific needs.
Experienced PRRT Therapist
Our therapist uses precise, evidence-informed movements to safely reset reflexes and reduce persistent musculoskeletal discomfort.
What Our Clients Say
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Helped relieve so much tension I had throughout my neck, shoulders, and back especially! R...more
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PRRT Primal Reflex FAQ and Answers
Common questions about PRRT sessions, what to expect, and how it helps.
PRRT is a manual nervous-system therapy that resets overactive primal reflexes driving chronic tension. The therapist assesses reflex patterns, then uses gentle, targeted movements to release those patterns. Sessions are performed fully clothed and can reduce persistent pain by addressing root causes.
PRRT differs by focusing on resetting neural reflex patterns rather than directly kneading sore muscles. Treatments use assessments and subtle movements to change nervous-system responses. Sessions are gentler, usually fully clothed, and aim to reduce the source of recurring tension rather than only symptom relief.
PRRT is generally gentle and not painful. Clients may notice release sensations or temporary mild soreness as reflexes reset. Your therapist monitors comfort and adjusts pressure. Any brief discomfort typically settles quickly and often leads to reduced pain and improved movement within days.
Session count varies by individual: some clients feel meaningful change after a single treatment, while chronic or complex patterns may require several sessions over weeks. Your therapist will recommend an individualized plan based on assessment, response to treatment, and your goals.
Yes. Because PRRT targets the nervous-system reflexes that perpetuate tension, many clients with long-term pain experience measurable relief. Results depend on individual factors; combining PRRT with movement, posture work, or other therapies can enhance and maintain improvements.
Wear comfortable, loose-fitting clothing that allows easy movement—leggings, shorts, or a t-shirt are ideal. PRRT is performed fully clothed, so avoid bulky belts or accessories. If you have specific concerns, contact us and we’ll guide appropriate attire.
Read more about PRRT Primal Reflex Release Technique
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Published On: September 21, 2026

