Fifteen years on why chronic pain doesn't resolve where it hurts. Three patents on the method behind the work.

Dr. Alex Atiakshev

Dr. Atiakshev works with clinicians on chronic pain that doesn't resolve where it hurts. Fifteen years of clinical practice. Trained directly under Dr. José Palomar, the clinician who developed P-DTR (Proprioceptive Deep Tendon Reflex) in the 1990s and teaches a small certified faculty worldwide. Founder of Pro Prio Lab. Three granted patents in receptor-based methods - postural-disorder diagnostics, long-lever muscle testing, and somatic-dysfunction diagnostics. Co-teaches the P-DTR Foundation course in Germany.

Dr. Alex Atiakshev
Pro Prio Lab

His practice asks one question: what sensory input is driving the problem.

Dr. Atiakshev's clinical practice runs through Pro Prio Lab, the clinic he founded. He works with chronic pain that doesn't resolve where it hurts - finding the upstream driver rather than working at the site of complaint. Trained directly under Dr. José Palomar, the clinician who developed P-DTR. Named inventor on three granted patents in receptor-based methods - postural-disorder diagnostics, long-lever muscle testing, and somatic-dysfunction diagnostics. Co-teaches the P-DTR Foundation course in Germany.

Clinical logic first. Cause, then symptom.

The tissue where it hurts is almost never the tissue driving the problem.

Caseload 5,000+
patients seen cumulative, in clinic
15+ years in clinical practice
200+ clinicians trained
3 granted patents in receptor-based methods
Working frame

The practice

Across every case, the practice runs on a single order of operations.

Find the primary dysfunction, follow the clinical logic back to the sensory input driving it, and correct there - not where it hurts. Dr. Atiakshev trained in osteopathy between 2010 and 2014, began training in the P-DTR method directly under Dr. José Palomar in 2017, and has taught with P-DTR Global since 2023.

Scope

Professional profile

  1. Diagnosis

    Functional
    diagnosis

    Identifying the primary dysfunction behind chronic symptoms through clinical reasoning, not protocol.

  2. Neurophysiology

    Sensorimotor
    integration

    Reading how the nervous system interprets afferent input and writes posture, load, and motor output.

  3. Method

    Clinical application
    of P-DTR

    Receptor-based assessment and correction grounded in physiology - applied in clinic since 2017.

  4. Teaching

    Case-based
    mentorship

    Teaching clinicians to find the upstream input behind downstream symptoms - in seminars and supervision.

Certified
P-DTR teacher with P-DTR Global, practicing in receptor-based diagnostics since 2017.
Faculty
P-DTR Global teaching faculty, co-teaches the Foundation seminar in Germany.
Path

Three decades, one clinical question

  1. Medical degree

    Six-year program in general medicine.

  2. Postgraduate training

    Four-year specialization in osteopathy and manual therapy.

  3. P-DTR training begins

    Began training in the P-DTR method directly under Dr. José Palomar, the method's founder.

  4. P-DTR teacher with P-DTR Global

    Teaching the method as one of a small number of teachers worldwide.

Frequently asked

Who is Dr. Alex Atiakshev?

Dr. Alex Atiakshev is a P-DTR teacher with P-DTR Global and the founder of Pro Prio Lab, with 15+ years of clinical practice in receptor-based diagnostics. He trained directly under Dr. José Palomar, the developer of P-DTR, and co-teaches the P-DTR Foundation course in Germany.

What are his credentials and patents?

He is a certified P-DTR teacher recognized by P-DTR Global and the named inventor on three granted patents in receptor-based methods (Russian and Eurasian jurisdictions; these are not US, EU, or international patents).

Does Dr. Atiakshev see patients in the United States?

No. "Dr." is an honorific tied to his role as a teacher. He does not hold a US medical, osteopathic, or chiropractic license and does not provide clinical care to patients in the United States. The site is educational and is not medical advice.