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.

Ozone & Prolotherapy Treatments

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:

  1. A nutrient and anesthetic mixture

  2. 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 & Prolotherapy Treatments Works

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?

Ozone & Prolotherapy Sessıons Wıth Patıent

The number of sessions varies depending on severity:

TreatmentTypical Sessions
Ozone Therapy3–6 sessions
Prolotherapy2–6 sessions
Prolozone Therapy2–5 sessions
Ozone Disc Treatment1–3 sessions
Neural Prolotherapy3–8 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)TurkeyEurope USAUAE 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 uswe 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

Most patients report mild discomfort only. The injections are generally well-tolerated, especially when performed with local anesthesia.

Some feel relief after the first session, while others improve gradually over 3–6 treatments as tissue repair develops.

In many mild-to-moderate cases, yes. Patients with advanced degeneration may still need surgery, but these treatments can delay or reduce the need.

Yes. When done by trained specialists, they have a strong safety profile and avoid the systemic side effects associated with long-term medications.

Yes. Because these treatments strengthen tissues and repair damage, improvements often last longer than steroid injections.

Absolutely. A combined approach typically delivers the best long-term results.