P-DTR instructor and clinician educator

Dr. Alex Atiakshev

I teach clinicians how to make reassessment more controlled and clinical reasoning more explicit. I have 15+ years in manual and osteopathic practice, began P-DTR training in 2017, and trained directly under Dr. José Palomar, who developed P-DTR (Proprioceptive Deep Tendon Reflex)

Dr. Alex Atiakshev
Pro Prio Lab

My teaching asks one question: what sensory input could change the working hypothesis

My educational work grew from a long manual practice and a repeated clinical problem: the site of a complaint does not always explain the pattern. I trained directly under Dr. José Palomar, the clinician who developed P-DTR, and have taught with P-DTR Global since 2023. My focus is the quality of the comparison - baseline, challenge, reassessment, and interpretation

Clinical logic first. Cause, then symptom

The symptom location is part of the case, not the whole explanation

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

Define a repeatable baseline, examine the relevant sensory inputs, change one variable, and reassess the same output before interpreting the result. I completed postgraduate training in osteopathy and manual therapy between 2010 and 2014, began P-DTR training directly under Dr. José Palomar in 2017, and have 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

Training
Completed P-DTR Basic and Intermediate certification (225 hours) directly under Dr. José Palomar, P-DTR Global - 2018
Certified
P-DTR instructor with P-DTR Global. P-DTR training began in 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 instructor with P-DTR Global

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

Frequently asked

Who am I?

I am a P-DTR instructor and clinician educator. I have 15+ years in manual and osteopathic practice, began P-DTR training in 2017, and trained directly under Dr. José Palomar, the developer of P-DTR

What are my credentials and patents?

I am a P-DTR instructor who trained directly under Dr. José Palomar and have taught with P-DTR Global since 2023. I am also named as an inventor on granted patents in receptor-based assessment methods

Do I see patients in the United States?

No. I do not hold a US medical, osteopathic, or chiropractic license and do not provide clinical care to patients in the United States. This site is for clinician education and is not medical advice