PIT Injection Course: What's Covered & Who It's For
A patient walks in bent sideways from low back pain that hasn't budged in months. Physical therapy helped a little. Medication took the edge off but never lasted. What if you had one more tool: a simple, low-risk injection technique that could ease that pain before the patient leaves the building? That's exactly what a PIT Injection Course teaches you.
PIT stands for Perineural Injection Therapy. It uses small amounts of dextrose injected just under the skin, near irritated nerves, to calm inflammation and relieve musculoskeletal pain; that too within minutes. It grows out of the work of Dr. John Lyftogt, a New Zealand physician, and was once called Neural Prolotherapy.
That's why so many naturopathic doctors, chiropractors, acupuncturists, and MDs are quickly adding it to their practices. It's exactly what Learn Neural Therapy was built to teach.
What is Perineural Injection Therapy?
PIT uses subcutaneous injections of low-dose dextrose to reduce inflammation around peripheral nerves. Unlike many pain interventions that take weeks to show results, most patients notice meaningful improvement the same day they're treated. That makes it a valuable option for both acute injuries and long-standing chronic pain.
The course opens with the history and philosophy behind the technique, tracing its roots back to prolotherapy and walking through how Dr. Lyftogt's approach evolved into the method taught today.
What's Covered in the PIT Course
The PIT course is organized around a few key pillars:
The Lyftogt History and Philosophy: Before you pick up a needle, you'll understand the "why" behind the technique — how nerve inflammation contributes to chronic pain, and why targeting the perineural space produces such fast, reliable results.
Injection Techniques and Safety: Step-by-step instruction on proper injection technique, needle placement, dosing, and how to manage the procedure safely from start to finish. Safety protocols are woven throughout so you leave confident, not just knowledgeable.
Region-Specific Applications: Depending on which PIT course you enroll in, the hands-on training focuses on different areas of the body:
Lower Extremity, Hips, Gluteals, Low Back, Sacrum, and Pelvic course covers injections for the lower extremities, hips, gluteal region, low back, sacrum and coccyx, and pelvic and pudendal nerve pain.
Upper Extremity, Head, Neck, Face, Shoulder, and Upper Torso course focuses on the upper body — including the head, neck, face, shoulders, and upper torso.
Practice Building — The Nuts and Bolts: This isn't just clinical theory. The course also covers how to actually introduce PIT into your practice, including guidance on pricing your services, legal and compliance considerations, and sourcing the right equipment and supplies.
Hands-On Practice Sessions
Lecture only gets you so far — which is why the course is built around live injection demonstrations and supervised hands-on practice. Depending on the course track, you'll get direct practice with injections for conditions such as:
Chronic low back pain
Coccydynia
Knee injuries and pain
Hip pain
Sacrum and pelvic pain
Pudendal nerve pain
Head, neck, and facial pain
Shoulder and upper torso pain
Instructors guide you through the technique, then let you practice with real-time correction, so you walk away with genuine procedural confidence rather than just notes from a slideshow.
Continuing Education Credit
Providers can earn continuing education credit through the course:
NANCEAC: 15 total CEUs provided nationally for Naturopathic Physicians, NMDs, and NDs (2.5 pain and 1.5 pharmacy)
NCCAOM: 15 PDA points for Acupuncturists (AOM-VIO)
Who the PIT Course Is For?
This PIT Injection Course was built with a wide range of licensed providers in mind. Whatever your background, the PIT Injection Course is designed to meet you where you are, including:
Naturopathic doctors (NDs/NMDs)
Acupuncturists
Chiropractors
Other licensed healthcare providers who treat pain conditions
Brand-new practitioners just starting out, and experienced clinicians looking to expand their existing skill set
One thing worth noting: unlike Neural Therapy Level 2, which requires you to complete Level 1 first, there's no prerequisite for PIT. You can walk in with zero background in regenerative injection therapy and still walk out ready to use these techniques Monday morning.
That's a big deal if you've ever been put off by training programs stacked with requirements before you can even sign up.
Here, the only thing you need is a license that allows you to treat pain patients and a willingness to learn a new hands-on skill over one focused weekend. It's part of why so many providers pick this as their very first step into neural therapy training, even before considering the Level 1 or Level 2 neural therapy classes.
What You'll Walk Away With
By the end of the weekend, you're not just holding a certificate; you're holding a set of practical, usable skills. Specifically, you'll gain:
Real confidence treating common pain conditions like chronic low back pain, knee pain, coccydynia, and pelvic pain.
Tools you can put to use in your practice the very next business day.
Continuing education credit that counts toward your licensing requirements.
Clinicians consistently tell us the biggest shift isn't just technical; it's confidence. Knowing exactly where to inject, how much to use, and how to talk a patient through the process changes how you show up in the treatment room.
Why Learn With Learn Neural Therapy?
There are a handful of places offering pieces of this training. Here's why clinicians keep choosing Learn Neural Therapy specifically.
Expert instructors with real clinical experience. Our instructors aren't reading from a textbook. They treat patients with these exact techniques every week, and they bring that real-world judgment into the classroom.
Small, hands-on classes; not just lecture. You won't be one of two hundred people watching a livestream. Class sizes stay small enough that every attendee gets real feedback while practicing.
A full range of related training. Beyond PIT, we also teach broader neural therapy and regenerative injection therapy courses, so if this weekend sparks an interest in going deeper, there's a clear next step waiting for you.
Past attendees say it best.
One naturopathic doctor described the weekend as fast-paced but not overwhelming. She mentioned that the instructors were patient and organized, with years of practical experience. She was so impressed that she signed up for the next level before leaving.
Another attendee said the course provided her with practical tools that she quickly started using with patients. She appreciated how the instructors combined lectures with hands-on practice, rather than focusing on just one approach.
Course Logistics
Here's what to expect on the practical side:
Format: In-person, two-day weekend workshop (Saturday through Sunday).
Location: Portland, Oregon.
Virtual options: Live, in-person training is our current format, and virtual classes are coming soon for providers who can't travel to Portland.
Because seats are limited to keep the hands-on experience meaningful, classes do fill up. If you've been eyeing a specific date, it's worth registering early rather than waiting.
Traveling to Portland for a weekend also gives you something a screen can't: real instructors standing beside you while you practice, correcting your hand placement, answering questions on the spot, and making sure you leave with technique you actually trust. For providers who live farther away, that trade-off is usually worth the trip, and the upcoming virtual option will make the training accessible to even more clinicians once it launches.
A Quick Recap Before You Register
If you're still weighing whether a PIT Injection Course is the right next step, here's the short version. You'll spend one focused weekend learning a technique rooted in real clinical history. You'll practice on real people, under real supervision, until the movements feel familiar rather than intimidating. And you'll leave with continuing education credit already checked off your list.
Providers who take the PIT Injection Course say the same thing afterward: they wish they'd signed up sooner. There's no long ramp-up period where you learn theory for months before touching a syringe. You practice the real technique during the class itself, which means the gap between "trained" and "treating patients" is about as short as it gets in medicine.
If you're deciding between the upper and lower extremity tracks, think about your current patient mix. Clinics with many headache, jaw, and shoulder complaints tend to start with the upper extremity. Clinics seeing more low back, hip, and pelvic pain should start with the lower extremity. Either way, both tracks share the same foundation of Lyftogt-style injection philosophy, so moving between them later feels like an extension of what you already know rather than starting over.
Ready to Add This Skill to Your Practice?
Pain patients aren't going anywhere. What changes is whether you have another tool ready when medication and physical therapy have already been tried. The IASP describes chronic pain as a major public health problem affecting about 20% of adults in the Western world. A PIT Injection Course gives you that tool; grounded in real technique, backed by continuing education credit, and taught in small, hands-on classes where you actually practice before you leave.
No matter if you're brand new to neural therapy or already familiar with perineural injections and looking to round out your skills, Learn Neural Therapy has a course built for you. There's no prerequisite, no long waitlist to get started, and no reason to keep sending patients elsewhere for relief you could be offering yourself.
Ready to add Perineural Injection Therapy to your practice? Reserve your spot in the next PIT Injection Course today.
FAQs
Do I need any prior experience to take the PIT Injection Course?
No. Unlike Neural Therapy Level 2, which requires Level 1 first, the PIT Injection Course has no prerequisite. You can start with zero background in regenerative injection therapy and still leave ready to use the technique.
How is PIT different from regular neural therapy?
PIT, or Perineural Injection Therapy, is a specific technique within the broader field of neural therapy. It focuses on calming irritated peripheral nerves using low-dose dextrose injections, rather than the deeper injection approaches used in full neural therapy protocols.
Is Perineural Injection Therapy Safe?
Yes. It uses a simple, low-dose dextrose solution and is considered a low-risk technique when performed correctly. The course spends significant time on injection safety, technique, and hands-on supervised practice before you use it on patients.
How soon can I use what I learn in the PIT Injection Course?
Most providers start using the technique in their practice the very next business day. Because the course is hands-on rather than lecture-heavy, you leave with practical skills, not just theory.