Retained Primitive Reflexes

Retained Primitive Reflexes are one of those quietly influential pieces of human development that most people have never heard of, yet many live with the effects every single day.

If you have ever wondered why some people struggle with coordination, focus, emotional regulation, posture, anxiety, chronic tension, or fatigue despite doing all the right things, this subject matters. A lot.

Primitive reflexes are not problems. They are ancient survival programs, beautifully designed to help us arrive safely into the world. Issues arise only when these reflexes do not integrate fully through development and instead remain active beneath the surface.

This blog explores what Retained Primitive Reflexes are, why they matter, common symptoms, key types of reflexes, and how they can still be shaping adult bodies and nervous systems long after childhood.

Retained Primitive Reflexes lead to many developmental problems and can be helped - for both children and adults.

What are Primitive Reflexes?

Primitive reflexes are automatic movement patterns governed by the brainstem and nervous system. They appear in utero and during infancy, supporting survival, birth, feeding, bonding, and early movement.

Examples include:

  • The startle response that helps a newborn inhale

  • Reflexes that support sucking and swallowing

  • Patterns that initiate rolling, crawling, and early postural control

These reflexes are meant to be temporary. As the brain develops, particularly the higher centres involved in voluntary movement, emotional regulation, and cognition, primitive reflexes naturally integrate.

Integration does not mean they disappear. It means they are inhibited and replaced by more refined, conscious control. They ‘grow up’.

Developmental Integration: The Missing Link

In an ideal developmental sequence, primitive reflexes:

  1. Appear at the right time

  2. Do their job

  3. Integrate as higher brain centres mature

This process is supported by:

  • Natural movement

  • Tummy time

  • Crawling and cross-patterning

  • Sensory input

  • Emotional safety

When development is interrupted or altered, reflexes may not fully integrate. Instead, they remain active in the background, quietly influencing posture, behaviour, learning, and stress responses.

Why Reflexes May Be Retained

Retained Primitive Reflexes are not a sign of failure or fault. They are adaptive responses to early stress or altered development.

Common contributing factors include:

  • Birth trauma or medical intervention

  • Premature birth

  • Limited movement opportunities in infancy

  • Chronic stress in early childhood

  • Illness or hospitalisation

  • Falls or head injuries

  • Ongoing nervous system overwhelm

The nervous system does its best with the information it has. If safety feels uncertain, reflexes stay switched on.

Altered gait, unsteadiness, hyperactivity, vision and movement pattern changes - just some of the signs of retained primitive reflexes.

Common Symptoms of Retained Primitive Reflexes

Symptoms vary widely and often look unrelated at first glance. This is why retained reflexes are frequently overlooked.

In babies and children

  • Delayed milestones

  • Poor coordination or balance

  • Difficulty crawling or skipping crawling altogether

  • Sensory sensitivities to sound, light, or touch

  • Emotional reactivity or frequent meltdowns

  • Feeding difficulties

  • Poor posture

  • Bedwetting beyond expected age

  • Challenges with focus, reading, or writing

In adults

Retained Primitive Reflexes can persist quietly into adulthood, often presenting as:

  • Chronic muscular tension or pain

  • Poor posture or asymmetry

  • Balance or coordination challenges

  • Anxiety or exaggerated stress response

  • Difficulty relaxing or sleeping

  • Fatigue despite rest

  • Brain fog

  • Digestive issues linked to stress

  • Emotional overwhelm

  • Feeling constantly on edge

Adults often assume these patterns are personality traits or consequences of ageing. In many cases, they are nervous system habits formed early in life. Sadly the TRUE reason why these symptoms occur will very rarely get understood or treated and resolved. They will be treated with medication, physical therapy, counselling etc. Don’t let that happen to you - be willing to investigate further!

Key Types of Retained Primitive Reflexes

There are several primitive reflexes. Below are some of the most commonly retained and their effects.

Moro Reflex

The Moro reflex is the infant startle reflex. It supports the first breath and alerts caregivers to danger.

When retained, it can lead to:

  • Heightened anxiety

  • Poor stress tolerance

  • Overreaction to noise or light

  • Emotional volatility

  • Adrenal fatigue patterns

  • Feeling unsafe in the world

Adults with a retained Moro reflex often live in a constant state of low-grade fight or flight.

Asymmetrical Tonic Neck Reflex (ATNR)

ATNR supports early hand eye coordination and rolling.

When retained, it may cause:

  • Poor coordination between left and right sides

  • Difficulty crossing the midline

  • Reading or writing challenges

  • Shoulder and neck tension

  • One sided posture or movement dominance

In adults, ATNR retention often shows up as asymmetrical posture, chronic neck pain, or difficulty with complex motor tasks.

Symmetrical Tonic Neck Reflex (STNR)

STNR assists the transition from crawling to standing.

If retained:

  • Poor posture when sitting

  • Slouching or collapsing through the spine

  • Difficulty with prolonged sitting or desk work

  • Restlessness

  • Poor upper and lower body coordination

STNR retention is common in adults who feel uncomfortable sitting still or struggle with sustained focus.

Spinal Galant Reflex

The Spinal Galant reflex supports hip movement and early crawling.

When retained:

  • Fidgeting or constant movement

  • Lower back pain

  • Pelvic instability

  • Sensory sensitivity around the waist

  • Bedwetting in children

In adults, this reflex can contribute to chronic lower back tension and difficulty relaxing fully.

The Body Keeps the Pattern

One of the most important truths about Retained Primitive Reflexes is this: the body remembers.

These reflexes are not stored in conscious memory. They live in the nervous system, shaping posture, muscle tone, breathing, and emotional responses automatically.

This is why talking about symptoms alone often does not resolve them. The nervous system needs a physical, sensory based invitation to reorganise.

Why This Matters in Later Life

As we age, the nervous system often has less capacity to compensate. Patterns that were manageable in younger years can become louder.

Retained Primitive Reflexes may contribute to:

  • Increased falls risk

  • Reduced balance and coordination

  • Heightened stress responses

  • Chronic pain patterns

  • Fatigue and reduced resilience

The good news is that the nervous system remains adaptable throughout life. With the right approach, integration is still possible.

Awareness is the First Step

Many adults experience deep relief simply understanding that their challenges are not character flaws, weaknesses, or irreversible decline.

They are patterns.

And patterns can change.

Working with Retained Primitive Reflexes is about meeting the nervous system where it is, with respect, patience, and the right kind of movement and support.

Final Thoughts

Retained Primitive Reflexes sit at the intersection of neurology, movement, emotion, and lived experience. They remind us that early life matters, but it does not define our limits.

Whether you are supporting a child, exploring your own health, or working with clients, understanding these reflexes opens a powerful doorway into nervous system resilience, regulation, and long term wellbeing.

The body is not broken. It is responding exactly as it learned to. And with the right signals, it can learn something new.

This is why OSTEOPATHY and the help of a cranial Osteopath in particular is such a useful tool - as our treatments, tools and experience sits AT THIS EXACT INTERSECTION!!

What to do next…

Everyone is different so a unique, bespoke treatment protocol needs to be developed.

It may develop over time and change with progress as well.

First of all make an appointment to see Gayle Palmer (BOOK HERE) for a full assessment

When working with retained primitive reflexes it is often imperative that the client is taken through a series of exercises and movements on a regular basis to reduce and stop the ‘old’ reflexes from occurring. These need to be done daily. They may not take long, but it is a commitment for the parent and child, though very worthwhile!

They will also benefit from regular osteopathic treatments during this time. Treatment is not necessarily quick and miraculous but a process over months and weeks. As it is tailor made for each client no average can be guessed at.

I hope you have found this stimulating and useful? DO get in touch for more information.

Your health IS my Priority! Place your healing in my hands.

Gayle Palmer D.O.

Osteopath and Master NLP Practitioner

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