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Perineural Injection Treatment (PIT) is a safe and effective injection treatment for most painful conditions due to sport and occupation or other chronic non-malignant pain related issues. It was developed by New Zealander Dr John Lyftogt who directly taught Dr Richard Pavelock and Bethany Sprague, FNP. Perineural Injection Treatment is sometimes referred to as Neural prolotherapy or Perineural Subcutaneous injections (PSI).


PIT is a treatment that uses a dextrose solution injected with micro needles into subcutaneous skin to target small fiber sensory nerves. The small peripheral nerves communicate with the larger nerves and glucose calms the nerves reducing inflammation. When inflammation is reduced, the inflammatory substances (substance P and CGRP) are reduced, causing the nerves to return to normal size and pain to be halted.


Headache, Migraine, TMJ, Trigeminal Neuralgia, Neck pain, Shoulder pain, Back pain, Costochondritis, Hip and Pelvic pain, Elbow pain, Fibromyalgia, Knee pain, Foot or ankle pain, Neuropathy, Plantar fasciitis, and many more conditions.


First consultation and discussion with our providers involves taking history and diagnosing the cause of pain. This underlying cause is usually due to an injured and non-healing sensory nerve causing pain, inflammation and delay of healing. Next the treatments with PIT are focused on the nerves causing the pain or disability. Multiple dextrose injections covering the affected nerves will be placed under the skin. The onset of dextrose is very fast and one usually knows how you will respond within minutes. Most people tolerate PIT very well with minimal discomfort. You may expect some mild tenderness or bruising at the injection site. Rarely people have an episode of getting hot and dizzy (vasovagal reaction). Very rarely there is a risk for allergic response or infection. Treatments can last hours to weeks and usually take 3-4 treatments to calm the inflamed nerves and cause long term pain relief.


  • Wear comfortable and easy-to-remove clothes and shoes.
  • Bring your health information summary & Medication list
  • If you have pain in your shoulders, back or neck please wear a tank top and if you have long hair, be prepared to pull it back with a clip or elastic. Women, please wear a bra that can be unclasped from the back.
  • If you have pain in your hips or knees, Please wear or bring a pair of shorts or loose fitting pair of pants if we are treating your legs or hips.
  • Bring your camera! We would like to take pictures of you to point out any issues we see with your posture and for your future reference.


  • “ I woke up yesterday and today with a bad headache. I couldn’t stand to hear any kind of noise. Yesterday I took ibuprofen every 4-6 hours and still couldn’t get rid of my headache. I laid around the house most of the day because It hurt so bad. Today I couldn’t even talk to my child on the way to school because my head was pounding so hard. I felt like I couldn’t concentrate on anything. I would say my headache was an 8 on a scale of 1-10. Within 15 minutes of getting six injections my headache pain was down to a 4. There was only a dull achy pain towards the top of my head. Within an hour it was completely gone. I had not taken any pain relievers at all before the injections. I would definitely recommend the injections.”

    Newton, NC
  • “While out exercising, I tripped and fell, landing on my right arm. A few days afterward I started experiencing sharp pain and weakness in my forearm, elbow, and shoulder when I attempted to use my arm normally. I couldn't lift, hold, or squeeze with my arm and hand. Bethany put a few injections in my shoulder, around the elbow, and upper and lower arm. The pain decreased significantly and almost instantly. Although, for me, the pain didn't go away entirely, it decreased enough that I was able to return to many of my normal activities. The change was dramatic enough that the next time I have a similar injury, I would consider getting more injections.

    Thanks, Amber ”

    Charlotte, NC
  • “HI Bethany, I wanted to give you an update on how my back is feeling. As you know I have been suffering daily with lower back pain for two plus years. The first set of injections you completed on 10-29-15 lasted for four days, completely pain free. The pain returned after being on my feet and not sleeping well for a couple of days but it still wasn’t but about a 5 on a 1-10 pain scale, where before the initial injections it was at a 9 or 10. On 11-13-15 when you gave me the second set of injections my pain was a high 10 and I had immediate relief, with my pain rating being a 1 at most on that day. I am on day 6 of little to no lower back pain. I truly believe you are a miracle worker! After being on prescription drugs and trying everything else I’d heard of, I can’t thank you enough for providing relief I have needed for years now in 5 minutes time with absolutely no side effects. This experience has been truly amazing!.”

    Maiden, NC
  • “Day 1: As I stood up from receiving my injections, I had an odd feeling. As I began to walk, I realized that my gait was different. The odd feeling was that for the first time in 20+ years, my legs were Pain free! Frankly it's an amazing feeling!

    Night 1: Everyone, I never sleep a full night due to leg cramps. I just slept all night. Generally, I awake with pain. I am still pain free. 

    Frankly, I am amazed by the results. I am a true believer and ready for the next round. 

    A big thank you to both Bethany and Melissa."

    Concord, NC 
  • “Day 2 (Sunday) we went to church. I stood for 15 mins, we like to sing, and not once did I think of my legs which is not normal. Generally I have to hold the back of the pew in front of me to bend my knees to relieve the aching. Came home and went to the gym. I worked out hard 1.5hrs including a lot of leg work. No pain. As the day wore on my legs tightened from the workout but still no pain. 

    Night 2 I slept all night and no cramps. 

    Day 3. Some soreness from workout but no pain. 

    Treatment is just awesome!!!!!!.

    Thanks again.”

    Concord, NC 
  • "I had chronic pain in my lower left abdomen for 7 months that started out occasional and then became a constant daily suffering. I'd been to two doctors that could not determine the cause, and I was about to undergo invasive testing when someone told me about Bethany and PIT. Normally I am quite cynical about outside-of-the box treatments, but I was desperate and thought it was worth a try. To be honest, I didn't have any hope it would work. The treatment itself took about five minutes with very minimal discomfort. When I woke up the following day, I was pain free and have been for the past three week's straight. I keep waiting for it to come back, but so far nothing. I cannot thank Bethany enough, and I'm so grateful that I was able to avoid invasive testing. "

    Julie W.
    Charlotte, NC

Bethany Sprague FNP-C

AANP Board Certified Family Nurse Practioner
Trained in Lyftogt Technique for
Perineural Injection Treatement

Richard M. Pavelock, MD

Internal Medicine 
Integrative Mens Health
Trained in the Lyftogt Technique for Perineural Injection Treatment

181 N Main St
Mooresville, NC 28115

Downtowm Mooresville Located in the Old Downtown Business Center above JJ Wasabi's 


Office Phone: 704-230-2339 Ext. 211
Emergency Contact: 704-728-9509

Thanks for contacting us! We will be in touch soon!