Older man with glasses holding the back of his neck in pain
Services

Perineural Injection Therapy (P.I.T.) in Utah

When irritated nerves keep pain signals firing, P.I.T. uses gentle, shallow injections of a mild dextrose solution to help calm them, so your body can settle and heal.

Springville (435) 210-0184 Moab (435) 259-4466 HSA and FSA Eligible All of our services are HSA and FSA eligible.
Calm the Nerves, Ease the Pain

What Is Perineural Injection Therapy?

Perineural Injection Therapy, or P.I.T., is a gentle injection technique that targets the small sensory nerves that lie just beneath the skin.

When these nerves become irritated, they can keep sending pain signals and release substances that drive swelling and tenderness. This is often called neurogenic inflammation, and it can keep pain going long after an injury.

With P.I.T., we place tiny amounts of a low-dose (5%) dextrose solution just under the skin along the irritated nerves. The dextrose is thought to help quiet the overactive nerve, which may reduce pain and allow the tissue around it to recover.

P.I.T. was developed by Dr. John Lyftogt, a physician in New Zealand, and is also known as neural prolotherapy. It is different from Prolozone therapy, which places ozone and nutrients deeper into joints and tissues.

Clinician pressing on a seated woman's lower back while she holds the painful spot
Where It May Help

Pain We Commonly Treat With P.I.T.

01
Neck and Back Pain Including pain that radiates or comes with tight, tender areas.
02
Shoulder and Elbow Pain Such as rotator cuff irritation and tennis or golfer's elbow.
03
Knee and Hip Pain Joint pain where surrounding nerves have become sensitized.
04
Achilles and Foot Pain Including Achilles tendon pain and plantar fasciitis.
05
Nerve-Related Pain Sciatica-type pain and nerve irritation, including carpal tunnel symptoms.
06
Lingering Pain After Injury or Surgery Pain that has stayed longer than it should.
Quick and Gentle

What to Expect

Sessions are quick, and most people return to their normal activities the same day.

Step 01 Evaluation We examine the painful area and trace which nerves are involved.
Step 02 Tiny, Shallow Injections Using a very fine needle, we place small amounts of low-dose dextrose just under the skin along the irritated nerves.
Step 03 A Series of Sessions Most people need a series of treatments, often four to eight, spaced one to two weeks apart.
Step 04 Progress Checks We track your response and adjust your plan, combining P.I.T. with other therapies when it helps.
FAQs

Perineural Injection Therapy Questions

The needles are very fine and the injections are shallow. Most people feel a brief sting, and some notice temporary numbness or minor bruising.

P.I.T. uses a mild dextrose solution placed just under the skin along irritated nerves. Prolozone uses ozone and nutrients placed deeper into joints, ligaments, and tendons. Depending on your pain, we may recommend one or both.

It depends on your pain and how long you have had it. Many people need four to eight sessions, and long-standing pain may need more. We will set expectations at your evaluation.

Little to none. Most people go back to their normal activities right away.

Dextrose is a common medical solution, but its use for P.I.T. is considered off-label. Research is still growing, and results vary from person to person. We will talk with you honestly about whether it is a good fit.

Ready to Feel Better?

Find Out If P.I.T. Is Right for You

Tell us what is going on, and we will help you find the right next step. We see patients from all over Utah and across the United States at our offices in Springville and Moab.