New Patient Information
Q. What is the PRI Vision Program?
Answer: The PRI Vision Program is new medical model that uses the combination of Postural Restoration Institute ® physical therapy principals, and neuro-optometry principals, to achieve changes in how the brain and body communicate. This eliminates or minimizes over-active muscle use, and stimulates under-active muscles to create situations that allow for pain free function in any part of the body. Vision has a tremendous influence in body posture and how the muscles and joints of the body move and function. Over 70% of all the connections in our brain relate in some way to our vision, but only part of these connections are concerned with how clearly we see. As an example, a significant portion of nerve fibers that leave the eye go to the part of the brain that sends signals to the posturing muscles in our back and neck. The PRI Vision Program looks at this interaction and addresses how this can influence chronic pain problems, poor sleep patterns, dizziness, and poor balance to name a few. We can help you turn “off” over active muscles, and turn “on” lazy muscles so that your body works as it should. This helps eliminate stress to the joints, muscles, head and neck.
Q. Are PRI Vision services covered by insurance?
Answer: These services are not presently covered by insurance due to absence of insurance procedural codes that reflect this type of service. PRI Vision’s science and services can’t be found anywhere else in the world, and since this is a proprietary new service that is an integrated process between two medical professions, there is no insurance procedure code that exists within the scope of optometric or physical therapy practice that describes this type of integrative service. Furthermore, insurance companies make payment based on diagnosis codes as well. There are no existing diagnosis codes for PRI Vision integrated services, which describe the PRI Vision reason for your evaluation. The physical nature of the underlying problem does not relate to any diagnosis code available within the optometric or physical therapy scope of practice. Insurance companies only cover what is ‘usual and customary’ in the world of health care, and the groundbreaking services that are provided at PRI Vision are anything but, ‘usual and customary’.
You will most likely be required to purchase PRI Vision program eyewear to guide your healing process, or at least lenses if you have a usable frame. If you have vision insurance, this portion may be covered, depending on your eligibility, and you will work with the office making your PRI Vision program eyewear for that determination. We do not sell frames or lenses at PRI Vision.
Q: Why is there a Self Assessment Form?
A: To help us determine if you are a candidate for the services provided at PRI Vision and to help us determine what other considerations should be made prior to making an appointment. We don’t want you to waste your time or money if you are not a good candidate for our treatments.
Q: Who is the Self Assessment Form for?
A: Anyone who may have chronic back pain/tension, neck pain/tension, fibromyalgia, headaches/migraines, dizziness, Temporal-Mandibular Dysfunction (TMD).
—If you have seen an ENT for treatment and still have unresolved issues/symptoms.
—If you feel you would personally benefit from our services based on any information/research you have gained about back pain, neck pain, fibromyalgia, headaches/migraines, dizziness, TMD, or based on our input you received from reading our website.
—If you have vestibular or balance issues (or any other issues for that matter) you feel may be related to your vision.
Q: Why would it be helpful for you to fill out the Self Assessment Form ?
A: There is very specific information in the Self Assessment Form that we are looking for to determine if our services would be beneficial to you in any way to help minimize and/or eliminate the symptoms you may be experiencing. This form also helps us in determining what level of services will be required and if additional input will be required prior to your appointment.
Q: What do I need to bring to my Appointment?
–Another person. We recommend a spouse, significant other, or a parent accompany all PRI Vision patients to see our process and be there to learn along with the patient. We have found that having support after our time together is an important part of the healing process.
–Complete and current prescription for contacts and glasses
–Any glasses and/or contacts you wear
–Copies of the last 3 eye exam records. The last exam MUST have been within the last 18 months. We must have the entire record. including the eye health exam and NOT JUST THE PRESCRIPTIONS
–Any dental appliance worn at ANY time during the day or night
–The tennis shoes your health care provider may have recommended you wear with any orthotics you use in your shoes. If you have not had such recommendation, please bring good, supportive tennis shoes with you, along with any orthotics you may currently use.
–Comfortable, non-restrictive clothing to wear for your exam
What you need to know about your PRI Vision Program Eyewear
Q. How is a prescription from a PRI Vision Optometrist different than one from another eye doctor?
Answer: First, you will have your prescription determined while you are standing and with a specialized trial frame on, instead of being in a seated position and looking through two small holes in a machine. This allows us to evaluate you in a more natural and common functional position. Secondly, we have found that in many cases, the lens that allows the patient to see the most clearly is different in a standing position than in a seated position. Also, the prescription that allows for perfect clarity at distance often times will “lock” parts of your body into a dysfunctional way of working, and make the pain and problems worse. This is precisely what we are trying to change. Only a PRI Physical Therapist working with a PRI Vision Optometrist can assess what prescription will allow you to function without pain or other symptoms, while seeing as well as you can. This is a science and process that is exclusive to PRI Vision, and only professionals trained in the PRI Vision process can do what we do.
Q. Why is my vision sometimes more clear with my old contacts or glasses?
Answer: Although how clearly you see is important, the purpose of your new prescription is primarily to train your brain to use your vision differently. This often requires a change in your prescription that may slightly change the way you see, at least temporarily, when you compare your vision to your old glasses. “Perfect 20/20” vision is often what most of us are used to when we wear our glasses. However, the prescription that creates the absolute clearest vision, is often NOT the right one to help you utilize all your visual functions in the best way. This is probably a big reason why you came to us in the first place! It’s all about finding a balance between best possible sight, and functional vision. During your Dynamic Integrated Vision Assessment (DIVA), we frequently ask how you feel about how your sight as we test you. This is to gauge how easily you will adjust to your new PRI Vision Eyewear. IT WILL GET BETTER WITH TIME AND PATIENCE. Some adjustment is necessary, although each patient is different in how long that process will take.
Q. How long will it take for me to get used to my new glasses?
Answer: Everyone’s brain and visual perception is different. Several factors may increase the amount of time it takes for your brain to adjust. These factors may include: an aggressive change in prescription from your current glasses, whether you are used to wearing contact lenses or not, lack of previous or prolonged time without eyeglass wear, poor compliance with prescribed wearing schedule, and whether you use bifocals or not (either lined or unlined). Keep in mind the PRI Vision Program is focused on making neurological changes for your long term, whole body well-being. Although changing how your brain uses your visual information may not be an easy adjustment, our methods provide consistent success when our patients show committed effort and patience. The benefits FAR outweigh the temporary adjustments that you may go through, as our patient testimonials show.
Q. Why do my PRI Vision Eyewear sometimes quit working?
Answer: The most important thing to not lose sight of is that PRI Vision is a process. In some cases, the effect you first experience with your glasses may seem to “wear off”. This is due to a very natural process, called adaptation. As humans, it is natural to try to avoid discomfort. Changing how your brain, joints, and muscles communicate and work for the better isn’t always 100% comfortable. There may be times when your brain may try to go back to the old way by figuring out how to stop using the new prescription the way we want it to. Often, your PRI physical therapist (if you were we referred to us by one) may have noted your tendency to adapt as they have worked with you. If so, this will be a big consideration as changes in your eyewear prescription are trialed during your evaluation, and also when your treatment plan is developed. Ultimately, there is no way to know for sure which patients will experience this, or how quickly it may happen. If adaptation occurs, you will be re-evaluated to determine if eyewear is still needed as part of the treatment program, or if adjustments need to be made to help you continue on your way to feeling healed and rejuvenated.
Q. Will I always need glasses to continue feeling better?
Answer: In most cases, no, and this is part of the beauty of the PRI Vision process. As you continue working through your PRI Vision Program, the physical activities you are prescribed are reinforcing your new brain/body function, as well as your brain’s ability to adopt and maintain these changes. The longer the incorrect posture or patterns have been present, the longer it will likely take to achieve and maintain the desired changes. Our goal is to help patients learn and maintain their new pattern so well, that it no longer matters if they have on a PRI Vision prescription or not.
Guidelines for filling your PRI Vision Program Eyewear Prescription:
—When choosing a frame, keep in mind when your eyewear will need to be worn. If for active times, including working out at the gym or running, you want something that will not easily move out of adjustment or possibly a sport sunglass/goggle style to which a strap can be attached.
—A change in prescription is often needed before your treatment is complete. For some, their “normal” prescription, which makes them see most clear, may change. Also, if progress halts due to the adaptation process or less prescription is needed to achieve the same effect, a lens change will be required. In the interest of keeping the cost of your lenses down, a frame that has a full frame around the lens is the best choice. Frames that are called “rimless” or “drill mount/frameless” are often light and attractive, but the materials needed for those styles of frames are more expensive.
—The frame should fit your face well. The bridge (if it has no nose pads) should follow the shape of the bridge of your nose closely. As you look at the frame on your face in the mirror, the temples (arms) should go relatively straight back toward your ears; they should not be angled noticeably inward or outward.
—The bottom of the lens opening should be close to the bony area under the middle of your eye. This keeps the frame from being too high or too narrow to achieve the desired effect.
—Unless the glasses are indicated for full-time wear or sports, a basic plastic lens will generally serve the purpose best while keeping the cost down. Lens materials that are commonly sold as thinner and lighter are often optically not as good, which can diminish or even negate the lenses’ desired effect.
—Patients needing bifocals may have difficulty achieving the same effect with those lens types over using a single focus distance-only lens. We realize this presents a challenge for many patients, but there is no way to trial the effect of a bifocal during the evaluation. Since bifocals have different powers in different areas, this can complicate the treatment program and ultimately contribute to its failure.
—If specific conditions warrant tints or coatings, those will be indicated on the prescription. Otherwise, to control the cost of possible lens changes and treatment program eyewear, nothing more than a basic scratch coating is recommended, and that is strictly optional, as is an anti-reflective coating. The length of time that a patient will need eyewear as part of their treatment program is difficult to estimate and varies based on many individual factors, so coatings that extend warranty on the lenses are generally not recommended.
3.Where do I get my glasses made?
—It is ultimately the patient’s choice where to have their eyewear prescription filled. We encourage taking your prescription to somewhere you trust and in which you can have confidence. The standards we are placing on the amount the prescription can be incorrect is much stricter than national industry standards. We want you to feel confident that your prescription is handled with attention to those details. If not, the desired effect from the lenses may not take place and could even be worse than before the lenses were worn.
—If you are having difficulty with your new eyewear, you may bring it in to the PRI Vision office to have it verified if you live in the Lincoln area. For those that do not live close, ask the person verifying the prescription to check the lenses manually rather than on a machine.