Proliferation Therapy

stimulated ligament repair (SLR)

Proliferation Therapy

Proliferation therapy can have a beneficial effect on:

  • chronic deep-seated back pain due to instability, often with a "break-through" sensation
  • shoulder pain, also in the acromioclavicular joint
  • Elbow: tennis elbow ("mouse elbow"), golfer's elbow
  • Hand: wrist instability, thumb saddle joint arthritis [rhizarthrosis]
  • Hip and knee pain due to tendon overstimulation and instability
  • chronic ankle joint pain, especially after ligament injury
  • Partial Achilles tendon rupture
  • Pain in the metatarsophalangeal joint of the big toe [hallux rigidus].


Proliferation therapy is an injection procedure in which a concentrated sugar mixture is used to stabilize tendons and ligaments. This can significantly reduce pain and irritation.


Generally, three injections are required, each one to two weeks apart.

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The sugar mixture leads to a desirable new formation of collagen connective tissue and thus to tissue stabilization.


Please ask your attending physician about the costs.

Proliferation therapy is not a benefit of the statutory health insurance, not of all health insurances or professional accident insurances. In individual cases, the costs may be covered by the health insurances/insurances. However, these costs are often tax deductible. 

For self-payers and privately insured persons, we bill according to the scale of fees for physicians (GOÄ).

Studies on proliferation therapy

Milne J. Ongley, Robert G. Klein, Thomas A. Dorman, Björn C. Eek, Lawrence J. Hubert
A new approach to the treatment of chronic low back pain
Lancet July 18, 1987, pp. 143-146

Scarpone M1, Rabago DP, Zgierska A, Arbogast G, Snell E.
The efficacy of prolotherapy for lateral epicondylosis: a pilot study.
Clin J Sport Med. 2008 May;18(3):248-54