Perineural Injection Therapy · Tampa, FL
Perineural Injection Therapy in Tampa, FL
Burning. Tingling. Skin that hurts to light touch. Pain that follows a line instead of staying in one spot. When an irritated superficial nerve is the pain generator, perineural injection therapy treats the nerve itself — gently, and without steroids.
Sometimes the pain generator is the nerve itself.
Nerves that run close to the skin can become irritated — by an old injury, a scar, repetitive strain, or pressure along their pathway. An irritated nerve fires when it shouldn't. That can feel like burning, stinging, tingling, sensitivity, or pain that traces a path down an arm or leg.
Perineural injection therapy (PIT) places small, shallow injections of a buffered dextrose solution just under the skin, along the pathway of the irritated nerve. The goal is simple: calm the nerve down so it stops generating pain.
No steroids. No deep injections. No guesswork — the nerve pathway is mapped by hand first, so the treatment lands where your pain actually lives.
When PIT makes sense
Signs your pain may be nerve-driven
How it feels
- Burning or stinging pain
- Tingling or "electric" sensations
- Skin sensitive to light touch
- Pain that follows a line or pathway
- Pain that persists after tissue "should" have healed
Where it shows up
- Back of the head and neck (headache patterns)
- Elbow, forearm and wrist
- Knee and shin
- Ankle and foot
- Around old scars or injury sites
Often paired with
- Dry needling for the muscular component
- Prolotherapy when ligaments or tendons are involved
- Electroacupuncture for nervous system regulation
- Pharmacopuncture for inflammation support
Nerve irritation rarely travels alone — a tight muscle, a stuck fascial layer, or an unstable joint is often irritating the nerve in the first place. That is why the exam comes first: treat only the nerve when the muscle is the cause, and the pain comes back.
Questions, answered
Perineural injection therapy, explained
What is perineural injection therapy?
Perineural injection therapy (PIT) is a gentle injection technique for nerve-related pain. Small, shallow injections of a buffered dextrose solution are placed just under the skin along the pathway of irritated superficial nerves.
The goal is to calm the irritated nerve so it stops generating pain, burning, tingling, or sensitivity. There are no steroids involved.
What does perineural injection therapy treat?
PIT is used when irritated superficial nerves may be contributing to pain — burning or stinging pain, tingling, skin that is sensitive to light touch, pain that follows a line or pathway rather than a single spot, nerve irritation near old scars or injuries, and stubborn tender points along nerve pathways.
Common areas include the neck and head, elbow, wrist, knee, shin, ankle, and foot.
How is this different from a cortisone shot?
A cortisone shot uses a steroid to suppress inflammation, usually deeper in a joint or around a tendon, and repeated steroid injections can weaken tissue over time.
Perineural injection therapy uses a simple buffered dextrose solution placed shallowly along the irritated nerve itself. It targets the nerve irritation that is generating the pain, and it can be repeated safely as part of a treatment plan.
Does perineural injection therapy hurt?
The injections are shallow and use a very small needle, so most people find them easy to tolerate — many patients say relief begins during the visit as the nerve calms down. You may have small tender spots or light bruising afterward, which settles quickly.
How many treatments will I need?
That depends on how long the nerve has been irritated and what else is contributing to the problem. Relief is often noticeable quickly, but nerves that have been irritated for a long time usually need a series of treatments so the improvement holds.
Your response to the first treatment helps set a realistic plan.
How do I know if perineural injection therapy is right for my pain?
You do not have to figure that out yourself. Your first visit is a Pain Mapping Visit — a hands-on exam designed to identify the tissue generating your pain. If nerve irritation is part of your pattern, Dr. Hanson will explain how PIT fits into your plan and what it will cost before treating anything.
Meet your doctor
Dr. Josh Hanson, DACM
I’m the doctor people come to when pain has become something they thought they had to live with forever.
My approach is simple: map the painful tissues with a thorough hands-on exam, identify the exact muscle, tendon, joint, fascia, or nerve creating the pain signal, and treat that target directly using the best tool for the job. Many patients tell me I’m the first doctor who actually took the time to put his hands on the painful areas instead of just looking at images.
Over a decade in practice and more than 35,000 procedures later, I’ve treated patients other clinics gave up on.
- 10+ years clinical experience
- Florida's most experienced dry needling practitioner
- Performed 35,000+ procedures
- Consulted with MLB, NFL & MLS organizations
- Consults with practitioners from all over the country
- 175,000+ followers · 12M+ video views worldwide
Is a nerve generating your pain?
Start with a Pain Mapping Visit — we find the pain generator before we treat it. Book online or call or text.
Visit the clinic
Contact
Hanson Complete Wellness1202 W. Linebaugh Ave
Tampa, FL 33612
813-534-0311
office@hansoncomplete.com
Mon–Thu · 9:00 AM – 4:30 PM
Fri–Sun · Closed