Lyftogt Perineural Injection Treatment®

An injection treatment for painful conditions due to sport and occupation or other chronic non-malignant pain related issues


D5W is used as an IV solution in hospitals worldwide. Being mostly a subcutaneous treatment and using only a 1/2 inch needle, harm is minimised


Every treatment aims to extinguish the pain. After the first treatment pain relief may last for a period of 4 hours to 4 days. Repeated treatments (6-8 sessions) usually done weekly, result in a gradual reduction of the overall pain, with the aim of complete resolution

Drug free

The treatment consists of a series of small injections immediately under the skin targeting painful areas where the nerves are sensitive, with non-pharmacological ingredients. The substance Dr Lyftogt uses is a buffered D5W (dextrose 5% in sterile water) with a neutral pH of 7.4

Forget managing your patients pain; Treat it

In 1906 the importance of small unmyelinated C-fibres in the pain experience was discovered by Prof. Charles Sherrington in England.

In 2010 an effective treatment for pain caused by C-fibres was discovered by John Lyftogt, MD, in New Zealand. Dr Lyftogt was the first person to use D5W (dextrose 5% in sterile water) to treat painful nerves and inhibit chronic neuropathic pain.

Over 3,500 Practitioners throughout the world have learned Lyftogt PIT®. Join them, and become the Practitioner you want to be.  

More about PIT

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What practitioners say
“ I started using PIT in the emergency departments where I worked at the time. The results were remarkable. A new way of approaching pain and dysfunction was borne in my mind. John helped me to swallow the big pill of adopting a new paradigm, and unlearning a lot of what I had absorbed in my conventional medicine training. Thanks to the teaching, encouragement and mentorship of Dr. Lyftogt, I now have two integrative and regenerative practices and have helped countless people using PIT. ”
Allison Mulcahy,
MD, Boost Integrative & Regenerative Medicine, Utah & Idaho, USA.

“ Lyftogt Perineural Injection Treatment is an essential part of my musculoskeletal medicine practice. It is a remarkable treatment that provides immediate and sustained pain relief and restored function in both acute and chronic musculoskeletal pain settings. The technique is simple and effective and can provide outstanding results.  ”
Dr. Ramona Chryssidis,
Musculoskeletal Medicine Doctor, Adelaide, Australia

“ I use PIT as my initial go-to method for treating most musculoskeletal pain because it is safe, rapidly effective, well-tolerated, and gives immediate feedback. ”
Dr. David Bowler,
MSK Pain Management,Victoria, BC. Canada

“ Yo amo PIT porque es un tratamiento simple, seguro, accesible,pero sobre todo MUY efectivo. Ha cambiado mi forma de ver a las personas con dolor, siento que realmente los puedo ayudar.  ”
Ricardo Frusso,
MD, Hospital Italiano de Buenos Aires, Argentina

“ PIT is a fast and effective tool for removing and healing people of acute and chronic pain. A simple procedure that dramatically improves pain levels immediately in the office builds over time to support regeneration of nerves and proper function of joints and muscles. I personally will never practice again without this tool. ”
Brenden Cochran,
ND, Interactive Health Clinic, Lynnwood, WA, USA

“ I today wouldn't have had the success that I am having in many patients suffering with chronic pain without PIT. I love to treat patients and I am addicted to the smile and success. Thanks to PIT, I am able to help thousands of people. I have an average of 40 patients a week with chronic pain, so I needed this excellent treatment option. ”
Dr. Stephen Cavallino,
M.D. Regenerative Medicine and Pain Management, Ferrara, Italy

"I love the patient's face when they are pain free with P.I.T."

Irene Briceño Felix
Musculoskeletal Medicine Doctor, Rehabilitation Medicina,
Zapopan, Jalisco, Mexico

“ I like PIT  because it is steroid-free, lidocaine-free and pain-free.  PIT helps the patients to feel the sweet of life!”
Chikai You, MD
Elite Clinic, Taipei, Taiwan

“ I find Peri-neural glucose injections a powerful, and at times life changing, treatment modality for patients who suffer from chronic musculoskeletal and neuropathic pain syndromes. ”
Dr John Hellemans FRNZCGP,
Sports medicine Practitioner, Christchurch, New Zealand

“ PIT is a highly effective treatment for neuropathic pain and fibromyalgia, risk free, affordable and, in few words, just amazing. I get to treat musculoskeletal pain in athletes as well as in elderly patients with results as good as permanent pain free in 85% of the cases. It has absolutely changed my practice. ”
Laura Ninin,
MD, Italian Hospital of Buenos Aires, Argentina

Dr John Lyftogt has now retired from teaching

Click here for the latest educational videos from workshops and Master Classes.

Approved Teachers:

Below you will find a list of doctors from around the world that are approved by Dr John Lyftogt to teach Lyftogt Perineurial Injection Treatment ®. Contact them to find a workshop or Master Class near you.

Republic of Korea
New Zealand