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.
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.

Pain We Commonly Treat With P.I.T.
What to Expect
Sessions are quick, and most people return to their normal activities the same day.
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.
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.

