Perineural Injection

Perineural Injection Therapy — also called Neural Prolotherapy or Lyftogt Therapy — is a precise, low-volume, low-concentration dextrose injection placed directly along irritated subcutaneous nerves. It targets the small sensory nerves that contribute to chronic pain through neurogenic inflammation.

What it treats

Perineural therapy is used for chronic musculoskeletal pain that has a strong neurogenic component, including:

  • Chronic tendinopathies (Achilles, lateral epicondylitis / “tennis elbow,” patellar)
  • Chronic neck and back pain with no clear structural lesion
  • Carpal tunnel-like symptoms
  • Plantar fasciitis
  • Post-surgical scar pain
  • Chronic regional pain syndromes (with appropriate clinical evaluation)

How it differs from other prolo-style therapies

  • Classic prolotherapy uses higher dextrose concentrations injected into joint and ligament insertion points
  • Prolozone combines dextrose and ozone at the joint
  • Perineural therapy uses very low (often 5%) dextrose along the path of inflamed sensory nerves under the skin

Who shouldn't have it

Patients with active infection at injection sites, bleeding disorders, allergies to injection components, or unstable cardiovascular conditions need careful screening.

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What to expect

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During Treatment

Sessions take 20–40 minutes. Patients receive multiple small injections along the affected nerve pathway. Most describe the injections as mild pinches. A typical course involves 4–8 sessions, often weekly, with treatment intervals adjusted as pain decreases. Book an interventional pain consultation at Upper Room Clinic Toronto.

Still have questions?

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Contact Us

Locations
Upper Room Clinic – Oakville
Tel: 647-910-5359
Fax: 289-644-0255
oakville@upperroomclinic.com

Upper Room Clinic – Davisville
Tel: 647-521-8024
Fax: 647-348-8024
hello@upperroomclinic.com

Tuesday to Saturday
11am-6pm

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