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Perineural Injection Therapy (PIT)

July 21, 2025

Clipboard with spine sketch, anatomy drawings background.

Using the Lyftogt Technique for Chronic Pain Relief

What is PIT?

Perineural Injection Therapy (PIT), developed by Dr. John Lyftogt, is a groundbreaking, non-surgical treatment for chronic pain and inflammation caused by nerve irritation. This technique targets small nerves just under the skin—called cutaneous peptidergic sensory nerves—which often become inflamed or “entrapped” due to injury, overuse, or chronic stress.

PIT uses a series of micro-injections of a buffered glucose solution (5% dextrose) placed just beneath the skin to calm these nerves, reduce inflammation, and restore normal function.

Benefits of PIT:

  • Reduces chronic nerve pain and inflammation
  • Restores mobility and function
  • Supports tissue healing without steroids or drugs
  • Safe, effective, and virtually side-effect free
  • Ideal for overuse injuries, neuropathic pain, and post-surgical pain

Common Conditions Treated:

  • Chronic pain syndromes
  • Peripheral neuropathy
  • Carpal tunnel syndrome
  • Rotator cuff pain
  • Sciatica
  • Plantar fasciitis
  • Achilles tendinitis
  • Osteoarthritis-related pain
  • Post-surgical scar pain
  • Migraine and occipital headaches
  • Sports injuries and repetitive strain conditions

How the Lyftogt Technique Works

Dr. John Lyftogt discovered that many chronic pain syndromes are caused by neurogenic inflammation of small nerves rather than damage to muscles, joints, or bones.

With this technique, injections are placed along specific nerve pathways where the inflammation is present. The 5% dextrose solution acts as a calming agent, restoring nerve membrane function and improving pain within minutes in most cases.

Patients often feel immediate relief after their first session.

What to Expect:

During your PIT session:

  • A comprehensive assessment is done to identify inflamed nerve pathways
  • A series of tiny injections are placed along these pathways
  • Most patients report a 20–100% improvement after the first treatment
  • A typical treatment plan may include 3–6 sessions over several weeks

No downtime. You can resume normal activities immediately.

Is PIT Safe?

Yes! PIT is extremely safe. It uses a natural solution—5% dextrose in sterile water—with no steroids, anesthetics, or pharmaceuticals. There’s no risk of tissue damage, making it ideal for sensitive areas like the spine, hands, and feet.

Who is a Candidate?

PIT is ideal for people who:

  • Experience chronic pain unresponsive to traditional therapies
  • Have been told their pain is “in their head” or have no clear diagnosis
  • Want to avoid steroid injections or surgery
  • Are recovering from injury but still have lingering pain
  • Have conditions like EDS, fibromyalgia, or CRPS

Ready to Feel Relief?

We offer Perineural Injection Therapy using the original Lyftogt Technique as part of our integrative pain and healing programs.

📅 Book your consultation to see if PIT is right for you.

Restore your body’s natural healing through gentle, targeted nerve support.

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