Top 10 PIT injection training Programs in Portland Oregon USA 2026

PIT injection training

Chronic pain is no longer a problem that patients are willing to simply manage. They want resolution. And the clinicians who are meeting that demand in 2026 are the ones who invested in the right training — specifically in PIT injection training, one of the fastest-growing techniques in regenerative and integrative pain medicine.

If you are a physician, naturopathic doctor, nurse practitioner, chiropractor, or allied health professional in Portland, Oregon or anywhere in the USA, finding the right **PIT injection training** program can define the next chapter of your clinical career. Not all programs are built the same — and in a field where technique precision directly impacts patient outcomes, the quality of your training is everything.

This list cuts through the noise. Below are the top 10 Perineural Injection Therapy training programs available to USA practitioners in 2026 — with one program standing clearly above the rest.

What Is Perineural Injection Therapy (PIT)?

Before diving into the list, a quick clinical foundation matters here. Perineural Injection Therapy is a minimally invasive, non-surgical technique developed by New Zealand physician Dr. John Lyftogt. It involves injecting small amounts of 5% dextrose solution subcutaneously along the course of peripheral nerves to address neurogenic inflammation — one of the most underdiagnosed drivers of chronic pain.

Unlike corticosteroid injections that suppress inflammation temporarily, or opioids that simply block pain signals, PIT works by restoring normal nerve membrane function. The dextrose solution binds to the TRPV1 receptor — the nerve’s “pain switch” — normalizing its activity and breaking the cycle of hypersensitive firing that perpetuates chronic pain long after the original injury has healed.

The result? Patients with years of unresolved pain often experience meaningful, lasting relief — sometimes within the first few sessions.

Here is the list of top 10 PIT Injection Training Programs in Portland Oregon USA 2026

1. Learn Neural Therapy — Best Overall PIT Training in Portland Oregon USA

When it comes to Perineural Injection Therapy training in Portland, Oregon, Learn Neural Therapy is in a category of its own. This is not a generic injection course that happens to include a PIT module. It is a clinician-built, neuroscience-grounded training ecosystem designed from the ground up for licensed healthcare professionals who want to master neural and perineural injection techniques at the highest level.

Who teaches it matters. Learn Neural Therapy is led by two of the most experienced neural therapy educators in North America:

• Anne Hill, ND — 28+ years of clinical practice, 20+ years of teaching experience, with deep expertise in craniosacral therapy, neural therapy, and injection-based care.
• Dr. Ilana Gurevich, ND, LAc — A nationally recognized educator, licensed acupuncturist, and clinician who has treated thousands of patients with injection techniques and spent over a decade training resident physicians and lecturing nationwide.

Together, they bring a level of clinical depth and instructional precision that most continuing education programs simply cannot replicate.

What the curriculum covers:

Learn Neural Therapy offers a structured, tiered training pathway — so whether you are brand new to injection therapy or expanding an already integrative practice, there is a course built for exactly where you are:

• Neural Therapy Level 1 — Foundational neural injection therapy, including procaine injection technique, scar therapy, segmental treatment, and trigger point protocols. The starting point for any practitioner new to neural therapy.
• Neural Therapy Level 2 — Advanced clinical applications including autonomic ganglion injections, specialty techniques, and complex case management protocols.
• Neural Therapy Level 3 — Expert-level training covering the most advanced interference field and systemic neural therapy protocols.
• Perineural Injection Therapy — Upper Extremity — Nerve-specific PIT protocols targeting the head, neck, face, and upper torso. Covers occipital neuralgia, cervicogenic headache, shoulder and arm neuropathies, and more.
• Perineural Injection Therapy — Lower Extremity — PIT protocols for hips, gluteals, low back, sacrum, pelvic pain syndromes, and lower limb nerve conditions.
• Virtual Neural Therapy Classes — Fully online, flexible learning designed for practitioners who cannot travel but refuse to compromise on educational quality.

What sets Learn Neural Therapy apart from every other program on this list:

Every course is built around clinical application — not just theory. Practitioners leave each training with techniques they can implement the next day. The curriculum integrates neuroscience, surface anatomy, injection safety, patient selection, scar and interference field identification, and real-world case management in a way that builds genuine clinical confidence — not just theoretical awareness.

For practitioners in Portland, Oregon and across the USA, Learn Neural Therapy is the clear first choice for PIT injection training in 2026.

👉 Explore courses and upcoming dates

2. Jeff R. Harris, ND — Portland Oregon PIT Workshop

Dr. Jeff Harris, ND, is one of the Pacific Northwest’s most respected neural therapy educators and an authorized trainer in Dr. John Lyftogt’s Perineural Injection Therapy technique. His 2-day intensive workshop, held in Portland, Oregon in Summer 2026, offers hands-on training covering PIT theory, nerve palpation skills, and foundational injection protocols. With a strong emphasis on clinical judgment and the reasoning behind each technique, Dr. Harris’s workshops are a solid regional option for practitioners wanting in-person, small-group instruction.

3. Empire Medical Training

Empire Medical Training offers a 1-day CME-accredited course covering Perineural Injection Therapy using the Lyftogt technique for neuropathic pain management. Available both virtually and in-person across major US cities, with pricing starting at $699. A practical entry point for practitioners looking for an accredited introduction to PIT fundamentals in a structured CME format.

4. AOAPRM Regenerative Medicine Conference

The American Osteopathic Academy of Pain Management and Regenerative Medicine (AOAPRM) hosts comprehensive regenerative medicine symposiums including dedicated pre-conference sessions and hands-on clinical lab work covering Perineural Injection Therapy alongside other regenerative approaches. A strong option for osteopathic physicians and integrative practitioners who want PIT training embedded within a broader regenerative medicine framework.

5. West Coast Injection Training Inc.

West Coast Injection Training runs weekend-intensive cadaver labs and clinical hands-on seminars tailored for MDs, NDs, NPs, and PAs. Their curriculum covers prolotherapy, peripheral nerve injections, and perineural injection techniques with a focus on procedural confidence through repetition and supervised practice. A practical, procedure-forward option for practitioners who learn best by doing.

6. NAANT — North American Academy of Neural Therapy

The North American Academy of Neural Therapy is the professional backbone of neural therapy education in North America. As the region’s leading non-profit organization dedicated to the field, NAANT offers conferences, certification programs, and practitioner networking events. Their annual conference brings together physicians, dentists, naturopaths, and researchers covering interference field theory, scar treatment, and autonomic ganglia injections. Best suited for practitioners who want peer community and professional credibility alongside clinical education.

7. IASP Neural Therapy & Manual Medicine Workshop

Hosted under the International Association for the Study of Pain, this focused 2-day workshop led by Dr. Richard Nahas combines neural therapy principles with manual medicine approaches. With limited seating and an intimate format, the curriculum centers on blockage-based pain care — identifying and treating root causes rather than symptoms. An excellent option for practitioners who want internationally credentialed training with a research-informed foundation.

8. Vine Medical Neural Therapy Workshop — Alpharetta GA

Led by Dr. Suzanne Ferree, a double board-certified physician and integrative medicine specialist, the Vine Medical Neural Therapy Workshop is a 2-day hands-on event combining neural therapy with functional medicine, peptide therapy, and molecular medicine. Held in the Atlanta metro area, this program addresses conditions including chronic pain, PTSD, migraines, tendon injuries, and pelvic dysfunction. A strong choice for providers building a comprehensive integrative or regenerative practice model.

9. American Academy of Manipulative Therapy (AAMT)

The AAMT offers some of the most rigorous hands-on certifications available to physical therapists and manual medicine practitioners in the USA. Their coursework in spinal manipulative therapy, dry needling, and orthopaedic manual physical therapy directly complements PIT by targeting the musculoskeletal drivers of nerve dysfunction. For practitioners who integrate neural injections with manual techniques, AAMT training fills a critical gap in whole-body pain resolution.

10. UNM Myofascial Institute — Albuquerque NM

The University of New Mexico Myofascial Institute provides multi-day, intensive clinical certifications combining manual and injection techniques for myofascial pain management. While not exclusively a PIT program, the institute’s curriculum translates directly to perineural and neural injection practice. A strong academic option for practitioners who want university-affiliated credentials behind their training.

What Conditions Does PIT Treat?

Perineural Injection Therapy has shown consistent clinical results across a wide range of nerve-related and musculoskeletal conditions, including:

• Chronic neck and back pain — particularly where nerve hypersensitivity rather than structural damage is the primary driver
• Sciatica and lumbar radiculopathy — targeting the peripheral nerve pathways rather than the spinal source alone
• Carpal tunnel syndrome — using hydrodissection to mechanically free the median nerve from surrounding compressed tissue
• Occipital neuralgia and chronic migraines — calming the occipital and trigeminal nerve branches that drive head pain
• Achilles tendinopathy and plantar fasciitis — addressing the peripheral nerves that perpetuate tendon pain cycles
• Post-surgical nerve pain — treating sensitized nerves that continue firing after the surgical site has healed
• Complex Regional Pain Syndrome (CRPS) — interrupting the self-sustaining neurogenic inflammation cycle
• Frozen shoulder and rotator cuff conditions — targeting the suprascapular and axillary nerve branches
• Pelvic pain and pudendal neuralgia — using targeted perineural injections for deep pelvic nerve involvement
• Sports injuries and tendinopathies — allowing athletes to recover while maintaining mobility and activity levels

What Does the Training Involve?

Quality PIT injection training — particularly through programs like Learn Neural Therapy — covers far more than just where to place a needle. A well-structured program will include:

• Neuroanatomy and surface nerve mapping — understanding the course and palpation landmarks of superficial peripheral nerves
• Injection safety and contraindications — knowing when not to inject is just as important as technique
• Patient assessment and selection — identifying which patients are likely to respond to PIT versus those who need a different approach
• Hands-on supervised injection practice — live model or simulation-based practice with qualified instructor oversight
• Dextrose solution protocols — understanding concentration, pH, volume, and delivery technique
• Interference field identification — recognizing how scars, old injuries, and autonomic dysfunction contribute to ongoing pain
• Clinical case integration — applying technique decisions to real patient presentations, not just anatomical textbooks
• Post-treatment protocols and patient communication — setting expectations, managing responses, and planning follow-up sessions

How Can I Find a Training Program?

Finding the right PIT training program in 2026 comes down to a few key questions:

What is your current injection experience?

Some programs assume prior injection competency. Others — like the tiered curriculum at Learn Neural Therapy — are structured to serve practitioners at every level, from complete beginners through advanced injectors.

Do you need in-person or online training?

Both formats have value. In-person programs offer hands-on supervised practice that accelerates technical confidence. Online programs offer flexibility and accessibility, particularly for practitioners in rural areas or those who cannot take multiple days away from their clinic.

What does your patient population look like?

If you primarily treat musculoskeletal and sports injuries, upper and lower extremity PIT protocols should be your starting focus. If you treat chronic systemic pain, pelvic conditions, or post-surgical cases, programs covering autonomic and ganglion injections become more relevant.

Is CE credit important for your license maintenance?

Learn Neural Therapy offers continuing education credits for naturopathic physicians and acupuncturists — a practical consideration for practitioners who need to justify the time and cost investment to their licensing board.

What Are the Benefits of PIT Injections?

For patients, the appeal of Perineural Injection Therapy is straightforward:

No surgery. No opioids. No long-term medication dependence.

PIT uses a naturally occurring sugar solution that works with the body’s own healing mechanisms — not against them.

Rapid onset of relief.

Many patients experience meaningful pain reduction within the first one to three sessions, with ongoing improvement as nerve function normalizes over subsequent treatments.

Targets the root cause.

Rather than numbing pain signals or suppressing inflammation temporarily, PIT addresses why the nerve is hypersensitive in the first place — restoring normal function rather than masking dysfunction.

Minimal side effects.

The dextrose concentrations used in PIT (typically 5%) are well below glycemic-altering thresholds. Side effects are generally limited to mild soreness or temporary redness at injection sites — significantly safer than corticosteroids or opioid-based pain management.

Compatible with other treatments.

PIT integrates naturally into multi-modal pain care plans alongside manual therapy, rehabilitation exercise, nutritional support, and other regenerative techniques — making it a versatile addition to any integrative practice.

Builds lasting outcomes.

Unlike short-term interventions that require indefinite ongoing treatment, PIT promotes genuine nerve healing. As the nerve normalizes and surrounding tissue recovers, many patients achieve durable relief that reduces their long-term dependency on the healthcare system.

Final Thoughts

The demand for skilled PIT practitioners is not slowing down in 2026. Patients are actively seeking out clinicians who understand the neurological basis of chronic pain and have the technique to treat it directly. For practitioners in Portland, Oregon and across the USA, the window to build that skill set — and the reputation that follows — is right now.

Of all the programs on this list, **Learn Neural Therapy** offers the most complete, clinician-designed pathway for mastering Perineural Injection Therapy and neural injection techniques at every level. From foundational coursework through advanced specialty protocols, their curriculum is built for the realities of clinical practice — not just the classroom.

If you are serious about transforming your pain management outcomes in 2026, that is where the work starts.