Arthritis in Amsterdam: When This Treatment Fits
First a doctor reviews your tests and history; then PRP and SVF cell therapy may join your arthritis care for the knee, hand, shoulder or other joints
No surgery — an injection instead of an operation
Own tissue — your blood and adipose tissue
Ultrasound guidance for every injection
Free consultation
and review of your scans
What is arthritis
and when does this treatment fit?
Arthritis refers to inflammation within a joint. Typical complaints are resting and night-time pain, morning stiffness beyond half an hour, swelling, redness and warmth. It may be driven by autoimmune disease like rheumatoid or psoriatic arthritis, by gout, by an infection or by a former injury.
Helping to reduce inflammation and pain and to support tissue inside the joint — that is the role of PRP and SVF, alongside, not instead of, a rheumatologist's care for a systemic disease. The doctor first confirms the type of arthritis and waits for the right moment, never acting during a severe flare or an active joint infection.
No surgery — an injection instead of an operation
Ultrasound guidance for every injection
Free consultation and review of your scans
Joints we treat
After going through your scans, the doctor selects the joint, the method and the number of injections — whether the joint is large or small
Elbow
Wear of the joint surfaces, and pain after overuse or strain from sport
Hand and wrist joints
Small joints of the fingers and wrist that stiffen and hurt
Knee
Stair and post-walking pain, worn cartilage and meniscus problems
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Pain on lifting the arm and wear of the joint and nearby tendons
Methods we use
Cell therapy (SVF) from your own adipose tissue
Processing a small sample of adipose tissue from your body isolates the stromal vascular fraction (SVF) — cells that play a part in tissue repair. This is combined with your plasma and injected straight into the affected joint.
Its effect on local inflammation and tissue repair is why it is used in inflammatory arthritis, after the acute flare has settled.
PRP — platelet-rich plasma from your own blood
We separate plasma rich in platelets and growth factors from a small quantity of your blood and inject it into the joint. There it helps quieten inflammation and sets up better conditions for tissue repair.
It may be recommended for rheumatoid and other inflammatory arthritis as one part of the overall treatment plan.
How the procedure goes: step by step
Consultation and scan review
The joint is examined and your X-rays, MRI or ultrasound are reviewed by the doctor, who then decides if the procedure is suitable. Scans you already hold can be sent before the visit.
Blood sample for PRP
We take a small amount of blood from a vein; platelet-rich plasma with growth factors is prepared from it later.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Through a puncture on the inner thigh or abdomen, and under local anaesthetic, about 30 ml of adipose tissue is taken. Stitches are not needed.
Processing in a centrifuge
Centrifuging the sample separates it into layers, after which the stromal vascular fraction is isolated and mixed into the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
The prepared material is placed precisely: it is injected directly into the affected joint under ultrasound guidance.
Follow-up
After the procedure there is no hospital stay and no need for crutches; the doctor stays in touch and follows the joint's progress.
Consultation and scan review
The joint is examined and your X-rays, MRI or ultrasound are reviewed by the doctor, who then decides if the procedure is suitable. Scans you already hold can be sent before the visit.
Blood sample for PRP
We take a small amount of blood from a vein; platelet-rich plasma with growth factors is prepared from it later.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Through a puncture on the inner thigh or abdomen, and under local anaesthetic, about 30 ml of adipose tissue is taken. Stitches are not needed.
Processing in a centrifuge
Centrifuging the sample separates it into layers, after which the stromal vascular fraction is isolated and mixed into the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
The prepared material is placed precisely: it is injected directly into the affected joint under ultrasound guidance.
Follow-up
After the procedure there is no hospital stay and no need for crutches; the doctor stays in touch and follows the joint's progress.
Follow-up visits
At each follow-up visit the doctor checks the joint's response and adjusts the plan — over the first month pain usually eases, over about three months mobility improves, and over around six months the full effect develops.
Conditions we treat
A doctor decides whether the treatment suits you after examining you and reviewing your scans
What we work with
Arthritis
Arthrosis
Avascular necrosis
Osteoarthritis
Gonarthrosis (knee osteoarthritis)
Coxarthrosis (hip osteoarthritis)
Meniscus pathology and injury
Rehabilitation after injuries and surgery
Inflammatory joint conditions
Contraindications
Cancer
Pregnancy
Blood clotting disorders
Acute infections, including infection in or near the joint
Flare-up of a serious chronic illness
Cancer
Pregnancy and breastfeeding
Serious heart, kidney or liver disease
Temporary contraindications: a raised temperature (fever), a cold or flu, or skin inflammation over the joint to be treated
Book a consultation
Call or message us —
our coordinator will contact you shortly
and book your consultation
Book a consultation
Call or message us —
our coordinator will contact you shortly
and book your consultation
After the procedure
Most people go home the same day and return to normal daily activity within a day or two; the puncture sites are covered with small dressings. During the first week the joint may ache a little more — this is an expected reaction. Over the first month the pain usually eases, over about three months mobility and activity improve, and the full effect develops over around six months. How long it lasts differs from person to person and depends on the stage of the condition, body weight, activity and other factors — no one can promise a fixed result. If you are being treated by a rheumatologist, do not stop your prescribed medication without talking to them.
Why patients choose City Medical Centre
We work on keeping your own joint rather than replacing it — treatment without surgery
Your own tissue
The treatment relies only on your own blood and adipose tissue, not on donor or synthetic material
No crutches
Punctures instead of incisions, local anaesthetic, no long rehabilitation
Second opinion
For a free, independent doctor's assessment, send us your X-rays, MRI or reports
Support after the procedure
We stay in touch after the procedure and follow the result, not just the day of the injection
Arthritis treatment prices
Cost varies with the joint, the arthritis type and the method, so it is named by the doctor after the consultation
Service
Price
Book a consultation
Call or message us —
our coordinator will contact you shortly
and book your consultation
Book a consultation
Call or message us —
our coordinator will contact you shortly
and book your consultation
Joint treatment: frequently asked questions
What is arthritis and what are its symptoms?
In arthritis the joints are inflamed. People usually notice pain at night and at rest, stiffness in the morning that lasts more than 30 minutes, swelling, and redness and heat over the joint. It can be caused by autoimmune conditions such as rheumatoid arthritis, by infections, by gout or by psoriasis.
Can PRP help with rheumatoid arthritis?
For rheumatoid and other types of inflammatory arthritis, PRP may be used to help reduce swelling, pain and local inflammation; the growth factors platelets release influence the immune response and tissue repair. It complements the treatment from your rheumatologist but does not replace it.
Can psoriatic arthritis be cured?
As a chronic disease, psoriatic arthritis cannot yet be cured completely; treatment works towards long remission, controlled inflammation and prevention of joint deformity. Regenerative injections can be part of that plan.
How does SVF work in autoimmune arthritis?
SVF contains cells that can modulate the local immune response and support the repair of damaged tissue in the joint. Research in this area is ongoing, so the doctor will discuss realistic expectations for your type of arthritis.
When is the treatment not suitable?
Active joint infection, a severe flare, pregnancy, cancer and blood clotting disorders all rule out the procedure; in these cases the doctor postpones it or proposes another option.
How is knee arthritis different from osteoarthritis?
Knee arthritis is inflammation caused by an autoimmune reaction, infection or gout: redness, warmth, marked swelling and tenderness to touch. Osteoarthritis is wear of the cartilage and usually shows as a dry crunch and aching pain on movement.
Why does an arthritic joint hurt even at rest?
Inflammation stimulates the pain receptors in the joint constantly — on movement, at rest and at night. Treatment that aims to reduce inflammation, PRP and SVF included, can ease this pain.
Can joint injections be done during pregnancy?
No. Pregnancy is a contraindication to joint injections, including PRP and SVF. Arthritis treatment during pregnancy is decided only together with a rheumatologist and an obstetrician.
Can I get a second opinion on my tests and scans?
Yes — a doctor will look through your X-rays, MRI, ultrasound or blood test results free of charge and tell you whether regenerative treatment could fit your type of arthritis.
What happens if rheumatoid arthritis is not treated?
Timely treatment is needed, because without it the disease can lead to permanent joint deformity, loss of function, osteoporosis and damage to internal organs such as the heart, lungs and kidneys.
City Medical Centre licences
Other services at our clinic
Everything about joint inflammation treatment in Amsterdam
Without treatment, rheumatoid arthritis can lead to permanent joint deformity, loss of function and damage to internal organs. Timely treatment matters for every patient in Amsterdam.
If you are being treated by a rheumatologist, do not stop your prescribed medication without talking to them. In Amsterdam, regenerative injections are planned together with your ongoing treatment.
How much does arthritis treatment cost in Amsterdam? The doctor names the price after confirming the type of arthritis and choosing PRP, SVF or a combination. Send a request or message us in any messenger.
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