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What is Prolotherapy?

With prolotherapy, you can treat pain and arthritis coming from your shoulders, elbows, wrists and arms, hips and knees, ankles and feet, and even your jaw.

But not only that, one of the most commonly treated areas includes the spine (the neck, chest and waist).

Prolotherapy works by “proliferating”, or stimulating the body, to make new fibers that are put into the tendons and ligaments, tightening and strengthening them.

Advantages of the therapy

  • An easy procedure that can be performed immediately after the examination
  • Fast and painless procedure in a pleasant environment
  • Does not disturb your normal daily activities – no hospitalization and rehabilitation
  • High number of patients cured worldwide

Problem areas that the therapy can treat



  Herniated disc  



Hip joint

Hip bursitis  

Hip labral tear

Hip bone spurs







Shoulder joint

      Rotator cuff tears

    Shoulder bone spurs

     Shoulder bursitis


Knee joint

Baker’s cyst

Patellar tendinitis

Meniscus tears



Subtalar arthritis

Bone marrow edema

Avascular necrosis


Elbow joint

Elbow popping

Loss of motion &

muscle strength 


Wrist and fingers

Loss of motion




Pelvic and Groin

Pregnancy low back pain




Foot and toes


Turf toe

Morton’s neuroma


Sports injury
Failed surgery

What do our patients say

I am already feeling much better. I start getting an energy bursts, which I had forgotten about. I bought everything necessary for the compresses and high protein rich food.
Desislava Avdjieva
Neck and back therapy
I had problems with my lower back, but after the prolotherapy, all of my problems are GONE! By a happy coincidence, just when I had a problem, you were there. Thank you for picking back up on my feet! I am thankful that you exist! Keep treating people!
Daniela Dimitrova
Back therapy
Only three weeks later and I also start to see results! Always, after a hot compress I feel much better for an extended period of time. I am strict with my diet and I can feel my body craving vegetables and meat, and significantly less carbohydrates (which I had lowered my consumption of before hand anyway). I feel my joint movement much more stable. I had talked to physiotherapists from the USA , who had heard about prolotherapy, and they said that they expect significant effect several months after the injections.
My sincere thanks to Dr. Cavalino for the very quick and accurate examination and diagnosis, as well as to Rado for making all of this possible to happen so quickly and close to us.
Georgi Mateev
Wrist and knee therapy


If you want to read more about Prolotherapy,
you can check out some of our articles.
We always keep our clients up to date with the latest technologies.

Frequently asked questions

The whole procedure, including the review process, does not last more than 30 minutes.

The therapy is mostly painless except for a slight needle prick.

1. Please take – Paracetamol (a painkiller) 2 tablets a day for 3 days.

2. Hot or warm compresses on the treated areas for 20 minutes 2 times a day.

3. Avoid applying ice to treated areas.

4. Please avoid taking any anti-inflammatory medication, including Aspirin.

5. Drink plenty of fluids and consume protein and a primarily vegetable diet.

Ligaments help to provide stability to joints. They prevent the joint from moving more than a normal range (though what is ‘normal’ varies from one individual to another). Some people have lax ligaments that allow more than ‘normal’ movement: often spoken of as ‘double jointed’ or hyper-mobile. In the spine there is a complex arrangement of ligaments, both between each vertebral segment and between the spine and pelvis, which allows flexibility in some directions and produces restraint in others.

Sometimes ligaments can be overstretched, or even torn (as in a sprained ankle). The ligament may then not control the joint adequately – thus leading to ‘instability’ which may put abnormal stresses on the joints and discs in the spine. The instability is compounded by breakdown in the muscle stabilising system through muscle weakness, fatigue and poor coordination.

In women, the pelvic joints need to be supple for child bearing, and so the ligaments soften and stretch more readily. Sometimes they do not tighten up after childbirth and therefore allow too much movement: hence ‘sacroiliac instability’.