Perineural Injection Therapy (previously called Neural Prolotherapy) is a cutting-edge treatment for chronic or acute pain. Treatment involves the injection of dextrose into the subcutaneous tissues to induce healing. This easy and relatively painless therapy, developed by Dr. John Lyftogt, MD, of New Zealand, is an effective method for helping patients get out of pain quickly.

What types of conditions does Perineural Injection Therapy help?

Published studies clearly show that Perineural Injection Therapy helps decrease the pain of Achilles tendinopathy, chronic low back pain, pain from shoulder or rotator cuff injuries, knee pain, and elbow pain. The dextrose acts to decrease inflammation along the nerves and allows the body to come out of a chronic cycle of pain.

Conditions treated with Perineural Injection Therapy include:

• Osteoarthritis
• Degenerative Joint Disease
• Tendinopathy
• Ligament Sprain
• Neurogenic Pain
• Chronic Musculoskeletal Pain
• Degenerative Disc Disease
• Sciatica
• Trigeminal Neuralgia
• Fibromyalgia

What to expect from treatment:

The treatment consists of a series of small injections immediately under the skin, targeting painful and sensitive nerves with dextrose (medical-grade glucose). Every treatment aims to extinguish the pain, and the initial relief may last for a period of approximately four hours to four days. After this, the pain often returns, but usually in a diminished form. Repeated weekly treatments steadily reduce the overall pain and allow for the return of full function. The average number of treatments required for most conditions is 6 to 8, and success rates vary between 80 and 100 percent, depending on the condition. There are no major side effects, other than occasional localized bruising around the injection sites. No allergic reactions have yet been observed.

“I’ve had pain in both of my feet from gymnastics injuries from over 30 years ago. Any long walks/hikes, hours on my feet working, working around the house, etc., will make my feet hurt. I’ve tried many different treatments, but the prolozone & perineural injection therapy (P.I.T.) has by far worked miracles for me! By the time I get home from the treatment, I walk into my house, and it feels like I have brand new feet. No aches, no pain, new, young feet! I also decided to do the therapy on my neck and shoulder as I have a very tense spot there that often turns into a horrible headache. I went months without a single headache after the treatments! I did get one headache about 4 months after the last treatment- I decided to go back in for another treatment and I haven’t had a headache since! I highly recommend both treatments (prolotherapy & P.I.T.) with Steelsmith Natural Health Center for pain management. I feel so grateful that I found something that works for me!”

-Nina B., Haliewa, HI