Ozone vs PRP Injections
Both are regenerative. They work differently, cost very differently, and shine in different situations. Here's the honest breakdown from Dr. Dustin Drussel.
The short version
PRP (platelet-rich plasma) uses your own concentrated blood platelets to deliver a high-dose growth-factor cocktail directly to a damaged tissue. It is the more potent option for advanced or stubborn cases, but it is more expensive ($500 to $1,500 per injection) and rarely covered by insurance. Ozone is the more accessible regenerative option ($125 per injection at our clinic in Orem), works well for soft-tissue and early to mid-stage joint conditions, and is usually a reasonable first regenerative trial before stepping up to PRP.
Side-by-side comparison
| Ozone Injection | PRP Injection | |
|---|---|---|
| What's in it | Medical-grade ozone (O3) gas | Concentrated platelets and growth factors from your own blood |
| How it's prepared | Generated on-site from medical oxygen, immediately before use | Blood drawn from patient, spun in centrifuge to separate platelets, re-injected |
| Mechanism | Stimulates oxygen utilization, modulates inflammation, activates repair | Delivers growth factors (PDGF, TGF-beta, VEGF) directly to damaged tissue |
| Best for | Soft-tissue, tendinitis, early-to-mid joint conditions, chronic recurrence | Advanced joint conditions, partial ligament tears, post-surgical healing |
| Time per visit | 5 minutes (add-on to chiro visit) | 45 to 90 minutes (blood draw, processing, injection) |
| Cost in Utah Valley | $125 per injection | $500 to $1,500 per injection |
| Sessions usually needed | 2 to 4 over 4 to 8 weeks | 1 to 3 over 6 to 12 weeks |
| Insurance | Out of pocket | Almost always out of pocket |
| Side effects | Mild local soreness 24-48hr | Significant soreness 3-7 days, occasional flare |
| Where to get it | Available at Integrative Motion in Orem | Specialty regenerative clinics, sports medicine, orthopedic offices |
How each one works
Ozone
Medical ozone is a gas, generated fresh from oxygen and injected into the affected area. It works through three pathways: increased local oxygen utilization, modulation of chronic inflammation, and activation of resident repair cells (fibroblasts, chondrocytes, stem cells). It does not contain any cells or growth factors itself; it tells the existing tissue to wake up and start healing.
PRP
PRP uses your own blood. A small amount is drawn, then spun in a centrifuge to concentrate the platelets and growth factors. The resulting plasma is injected back into the damaged tissue at a much higher concentration of healing molecules than the body would normally deliver on its own. It directly delivers what the body uses to rebuild tissue, in a concentrated dose.
Both stimulate repair, but through different mechanisms. PRP brings in concentrated raw materials. Ozone activates the existing machinery.
How to choose
Start with ozone if
- You have soft-tissue pain (tendinitis, plantar fasciitis, rotator cuff issues)
- You have early to mid-stage joint pain that has not yet been imaged as advanced arthritis
- You want to try a regenerative option without committing $1,000+ up front
- You want to combine the injection with chiropractic and soft-tissue work in one visit
- You are exploring options before deciding on something more aggressive
Step up to PRP if
- You have advanced joint degeneration where ozone may not be enough
- You have a partial ligament or tendon tear that needs concentrated growth factors to heal
- You have tried ozone and want a more potent regenerative option
- You are post-surgical and want to accelerate the healing of repaired tissue
- You are an athlete with a high-stakes timeline (return-to-play deadlines)
Some patients use both
A common protocol: a series of ozone injections to address overall tissue health, followed by one or two PRP injections targeted at the most stubborn area. The compounding effect can be meaningful, and the lower-cost ozone work usually reduces the total amount of expensive PRP needed.
Where to get each in Utah
Ozone injections are available at Integrative Motion in Orem at $125 per injection, as a 5-minute add-on to a chiropractic visit. We are one of the few integrative chiropractic clinics in Utah Valley offering ozone.
PRP is available at specialty regenerative medicine clinics and orthopedic offices throughout the Salt Lake and Utah Valley areas. Costs vary widely. We refer patients to PRP providers when their case warrants stepping up.
Not sure which one fits?
Book a visit and we'll evaluate your specific case. If ozone is the right starting point, we'll do it. If PRP is more appropriate, we'll refer you to a trusted regenerative provider in Utah Valley.
Book a chiropractic visitRelated
Ozone & Homeopathic Injections
Complete patient guide to ozone injections
Ozone vs Cortisone
Ozone vs Surgery