Ozone therapy and prolotherapy have become two of the most searched non-surgical orthopedic treatments worldwide. Patients dealing with chronic joint pain, sports injuries, ligament instability or disc problems are increasingly exploring these regenerative options as safer, natural alternatives to surgery or long-term medication use.
In recent years, treatments such as Ozone Therapy (Ozonotherapy), Prolotherapy, Prolozone Therapy, Ozone Disc Herniation Treatment, and Neural Prolotherapy (Perineural Injection Therapy) have gained strong visibility across major search engines. The rise in demand is directly linked to their ability to reduce pain, restore mobility and promote tissue repair without downtime.

This comprehensive guide explains each treatment, how they work, conditions they treat, benefits, safety details, and why many patients travel abroad for high-quality but affordable regenerative care.
What Are Ozone and Prolotherapy Treatments?
1. Ozone Therapy (Ozonotherapy)
Ozone therapy involves injecting medical-grade ozone gas into joints, soft tissues or around nerves to reduce inflammation and stimulate tissue repair. Ozone increases oxygen delivery, improves cellular metabolism, and activates natural healing pathways.
It is commonly used for:
Osteoarthritis (knee, hip, spine)
Chronic tendon pain
Muscle injuries
Shoulder and ankle pain
Low-back pain from facet joints
2. Prolotherapy (Dextrose Prolotherapy)
Prolotherapy uses a natural irritant solution (typically dextrose) to trigger controlled inflammation in weakened ligaments and tendons. The goal is to stimulate collagen production, strengthening the joint and improving stability.
Conditions treated include:
Ligament laxity (instability)
Chronic back pain
Tendon injuries (tennis elbow, Achilles tendinopathy)
Hip, knee and shoulder pain
Sacroiliac (SI) joint dysfunction
3. Prolozone Therapy
Prolozone therapy combines the principles of prolotherapy with ozone gas. Instead of using only dextrose, the clinician injects:
A nutrient and anesthetic mixture
Followed by medical ozone
This combination enhances tissue oxygenation and speeds up ligament and cartilage repair. Prolozone is considered one of the most powerful minimally invasive regenerative techniques for joint degeneration.
4. Ozone Disc Herniation Treatment
For patients with herniated or bulging discs, ozone can be injected into the paravertebral space or directly into the disc (depending on the technique and local regulations).
Ozone:
Shrinks the herniated disc volume
Reduces inflammation around nerves
Improves circulation
Decreases pressure on compressed nerve roots
This treatment is often used for:
Sciatica
Herniated lumbar discs
Cervical disc bulges
Chronic back pain
5. Neural Prolotherapy (Perineural Injection Therapy)
Neural prolotherapy is a gentle, surface-level injection technique targeting inflamed nerves just under the skin. Instead of deeper injections into joints, a diluted dextrose solution is injected around sensory nerves to reduce neurogenic inflammation.
Used for:
Chronic nerve pain
Carpal tunnel–type symptoms
Post-injury nerve irritation
Neuropathic pain
Unexplained chronic pain syndromes
How These Treatments Work
Although each method has its own mechanism, their goals overlap: reduce pain, repair tissue, and restore function naturally.

Ozone Therapy Mechanisms
Enhances oxygen delivery
Reduces inflammatory cytokines
Improves antioxidant enzyme activity
Stimulates cartilage-repairing growth factors
Prolotherapy Mechanisms
Initiates controlled micro-inflammation
Triggers fibroblast (collagen-producing cell) activity
Strengthens lax ligaments
Stabilizes joints
Prolozone Mechanisms
Combines the healing stimulation of prolotherapy
Adds the oxygen-rich regeneration of ozone
Accelerates ligament and cartilage repair
Ozone Disc Treatment Mechanisms
Dehydrates and shrinks herniated disc material
Releases nerve compression
Reduces muscle spasms
Improves spinal mobility
Neural Prolotherapy Mechanisms
Calms irritated nociceptive nerves
Reverses neurogenic inflammation
Restores normal nerve signaling
Conditions Commonly Treated with Ozone & Prolotherapy
These therapies are highly versatile and used for both acute and chronic conditions:
Joint & Cartilage Problems
Knee osteoarthritis
Shoulder arthritis
Hip degeneration
Ankle instability
Wrist and hand pain
Tendon & Ligament Injuries
Rotator cuff injuries
Tennis elbow
Achilles tendon problems
Chronic sprains
Plantar fasciitis
Spine & Disc Issues
Disc herniation
Sciatica
Facet joint pain
SI joint dysfunction
Chronic low-back pain
Nerve-Related Pain
Carpal tunnel symptoms
Neuralgia
Neuropathic pain
Complex regional pain
Benefits of Ozone and Prolotherapy Treatments
These therapies stand out because they focus on repair, not just symptom masking.
Key Advantages
Non-surgical
Natural and biologically compatible
Minimal downtime
Stimulate the body’s own healing
Improve joint stability
Reduce chronic pain
Useful when conventional treatments fail
Safe for patients who cannot tolerate steroids or NSAIDs
Many patients experience improved mobility, reduced pain levels and a better quality of life within a few sessions.
How Many Sessions Do Patients Need?

The number of sessions varies depending on severity:
| Treatment | Typical Sessions |
|---|---|
| Ozone Therapy | 3–6 sessions |
| Prolotherapy | 2–6 sessions |
| Prolozone Therapy | 2–5 sessions |
| Ozone Disc Treatment | 1–3 sessions |
| Neural Prolotherapy | 3–8 session |
Chronic instability or long-standing injuries may require additional maintenance sessions.
Safety, Side Effects & Recovery
Safety
These treatments are widely considered safe when performed by trained orthopedic or regenerative specialists. No synthetic drugs are used (other than numbing agents), making them suitable for patients seeking natural medicine.
Possible Mild Side Effects
Temporary soreness
Mild swelling
Bruising at injection site
Short-term inflammation (normal healing response)
Recovery
Most patients resume normal activities within 24–48 hours. Heavy exercise may be restricted for a few days depending on the treatment area.
Who Is a Good Candidate?
You may benefit from ozone or prolotherapy if you:
Want to avoid surgery
Prefer natural, non-steroid solutions
Suffer from chronic joint or tendon pain
Have ligament instability
Experience nerve irritation
Have a herniated disc that hasn’t responded to medication or physiotherapy
It is especially useful for patients who have tried steroid injections without long-term relief.
Ozone + Prolotherapy: Worldwide Cost Comparison (Per Session)
| Treatment (per session) | Turkey | Europe | USA | UAE | UK |
|---|---|---|---|---|---|
| Ozone therapy — intra-articular / local joint injection | €40 – €220 | €80 – €450 | €120 – €900 | €120 – €900 | €100 – €500 |
| Prolotherapy (dextrose) — single session | €70 – €350 | €120 – €450 | €150 – €900 | €100 – €600 | €120 – €550 |
| Prolozone (ozone + prolotherapy combo) | €60 – €300 | €120 – €500 | €150 – €1,000 | €120 – €800 | €120 – €600 |
| Ozone disc herniation treatment (per injection/session) | €90 – €450 | €200 – €900 | €300 – €2,000 | €200 – €1,200 | €250 – €1,200 |
| Neural prolotherapy / Perineural injection therapy | €70 – €280 | €100 – €400 | €150 – €800 | €120 – €650 | €120 – €600 |
NOTE: Prıces may vary
The ranges above are indicative market prices (2024–2025). Final prices depend on the treatment variant, imaging guidance, number of sessions and clinical findings. Cayra Clinic provides a personalized quote after a diagnostic consultation, including package options for international patients.
Why Choose Cayra Clinic for Ozone & Prolotherapy?
Cayra Clinic provides internationally recognized non-surgical orthopedic treatments with highly experienced specialists, advanced imaging support and medically certified ozone therapy systems. Patients from Europe, the Middle East and the UK choose Cayra Clinic for its combination of affordable pricing, expert physicians, and personalized regenerative medicine programs designed to restore mobility naturally and safely. Book your free consultation today by contacting us, we look forward to helping you on your journey to better health. For latest updates related to the treatments we offer. You can also visit our blog page for the latest updates regarding the treatments we offer!
FAQs
Are these treatments painful?
Most patients report mild discomfort only. The injections are generally well-tolerated, especially when performed with local anesthesia.
How soon will I notice improvement?
Some feel relief after the first session, while others improve gradually over 3–6 treatments as tissue repair develops.
Can these therapies replace surgery?
In many mild-to-moderate cases, yes. Patients with advanced degeneration may still need surgery, but these treatments can delay or reduce the need.
Are ozone and prolotherapy safe?
Yes. When done by trained specialists, they have a strong safety profile and avoid the systemic side effects associated with long-term medications.
Do the results last?
Yes. Because these treatments strengthen tissues and repair damage, improvements often last longer than steroid injections.
Can I combine ozone, prolotherapy and physiotherapy?
Absolutely. A combined approach typically delivers the best long-term results.