Regenerative Arthritis Care in Baltimore
SVF cell therapy and PRP for the knee, hand, shoulder and other joints, used within arthritis care once a doctor has reviewed your tests and case
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 is inflammation of a joint. Typical signs are pain at rest and at night, morning stiffness that lasts longer than half an hour, swelling, redness and warmth over the joint. The causes vary: autoimmune diseases such as rheumatoid or psoriatic arthritis, gout, infection or an old injury.
PRP and SVF can help reduce inflammation and pain and support the tissues inside the joint, but they do not replace care from a rheumatologist for a systemic disease. The procedure is not done during an active joint infection or a severe flare — the doctor first confirms the type of arthritis and chooses the right moment.
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
Worn joint surfaces and pain that follows overuse or sports strain
Hand and wrist joints
Stiffness and pain in the small joints of the fingers and wrist
Knee
Meniscus problems, cartilage wear, and pain on the stairs and after walking
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
Your adipose tissue, in a small sample, is processed to isolate the stromal vascular fraction (SVF) — a combination of cells engaged in tissue repair. The affected joint then receives it by injection, together with your own plasma.
Once the acute flare has settled, it is used in inflammatory arthritis for its effect on tissue repair and local inflammation.
PRP — platelet-rich plasma from your own blood
Plasma rich in platelets and growth factors is separated from a small amount of your blood and injected into the joint. It helps calm inflammation and creates better conditions for tissue repair.
In rheumatoid and other inflammatory arthritis, the doctor may recommend it as one piece of the overall treatment plan.
How the procedure goes: step by step
Consultation and scan review
Your X-rays, MRI or ultrasound are reviewed and the joint is examined, after which the doctor decides whether this procedure suits you. Already have scans? You can send them in advance.
Blood sample for PRP
A little blood is drawn from a vein, and from it platelet-rich plasma containing growth factors is later prepared.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
About 30 ml of adipose tissue is taken through a puncture on the abdomen or inner thigh, under local anaesthetic; the puncture needs no stitches.
Processing in a centrifuge
The stromal vascular fraction is isolated after the sample is spun in a centrifuge and separates into layers, then mixed with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Guided by ultrasound for accurate placement, the doctor injects the prepared material directly into the affected joint.
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
Your X-rays, MRI or ultrasound are reviewed and the joint is examined, after which the doctor decides whether this procedure suits you. Already have scans? You can send them in advance.
Blood sample for PRP
A little blood is drawn from a vein, and from it platelet-rich plasma containing growth factors is later prepared.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
About 30 ml of adipose tissue is taken through a puncture on the abdomen or inner thigh, under local anaesthetic; the puncture needs no stitches.
Processing in a centrifuge
The stromal vascular fraction is isolated after the sample is spun in a centrifuge and separates into layers, then mixed with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Guided by ultrasound for accurate placement, the doctor injects the prepared material directly into the affected joint.
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
The plan is adjusted at follow-up visits, where the doctor sees how the joint responds: pain tends to ease over the first month, mobility to improve over about three months, and the full effect to develop over roughly six months.
Conditions we treat
It is a doctor who decides, after examining you and going through your scans, whether the treatment suits you
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 cold or flu, a fever, or inflamed skin over the joint that is 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
Small dressings cover the punctures, and most people go home that same day, getting back to everyday activity within a day or two. Expect the joint to ache a little more in the first week — a normal reaction. Pain usually eases over the first month, mobility and activity improve over about three months, and the full effect develops over around six months. How long the result lasts varies with the stage of the condition, body weight, activity and other factors; no one can promise a fixed outcome. If you are being treated by a rheumatologist, keep your prescribed medication unless you have talked it over with them.
Why patients choose City Medical Centre
We aim to preserve your own joint instead of replacing it — treatment without surgery
Your own tissue
Nothing donor or synthetic — only your own blood and adipose tissue are used
No crutches
Punctures instead of incisions, local anaesthetic, no long rehabilitation
Second opinion
A doctor will give you an independent assessment free of charge — just send 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
Because the joint, the type of arthritis and the method all affect the cost, the doctor names it 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?
Joint inflammation defines arthritis. It typically brings pain at rest and at night, morning stiffness that lasts more than 30 minutes, swelling, redness and warmth over the joint. Autoimmune conditions like rheumatoid arthritis, infections, gout and psoriasis can all lead to it.
Can PRP help with rheumatoid arthritis?
It does not replace the treatment prescribed by your rheumatologist, but PRP can complement it: in rheumatoid and other inflammatory arthritis it may help reduce local inflammation, pain and swelling, as platelet growth factors influence the immune response and tissue repair.
Can psoriatic arthritis be cured?
Regenerative injections can be one part of the plan for psoriatic arthritis — a chronic disease that cannot currently be cured completely, where the aim is long remission, controlled inflammation and no joint deformity.
How does SVF work in autoimmune arthritis?
Damaged tissue in the joint can be supported in its repair by the cells in SVF, which also modulate the local immune response. Research continues, so the doctor will set out realistic expectations for your type of arthritis.
When is the treatment not suitable?
The procedure is off the table during an active joint infection, a severe flare or pregnancy, and with cancer or blood clotting disorders — the doctor postpones it or suggests another option instead.
How is knee arthritis different from osteoarthritis?
Knee arthritis is inflammation caused by gout, an infection or an autoimmune reaction, with redness, warmth, marked swelling and tenderness to touch. Osteoarthritis is cartilage wear and usually shows as aching pain and a dry crunch 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. Because pregnancy is a contraindication to joint injections, including PRP and SVF, arthritis treatment during pregnancy is only decided jointly by a rheumatologist and an obstetrician.
Can I get a second opinion on my tests and scans?
Yes. A free review by a doctor of your X-rays, MRI, ultrasound or blood test results will show whether regenerative treatment could suit your type of arthritis — send them to us.
What happens if rheumatoid arthritis is not treated?
Without treatment, it may lead to lasting deformity of the joint, loss of function, osteoporosis and harm to internal organs such as the kidneys, lungs and heart. Treating it in time prevents these complications.
City Medical Centre licences
Other services at our clinic
Arthritis treatment in Baltimore: a short guide
PRP and SVF can help reduce inflammation and pain and support the tissues inside the joint. For patients from Baltimore with systemic disease, they complement, but do not replace, care from a rheumatologist.
The procedure is also not done with cancer, blood clotting disorders or during a flare-up of a serious chronic illness. The doctor checks this for every patient in Baltimore at the consultation.
Send your X-rays, MRI, ultrasound or blood test results. Patients from Baltimore receive a free assessment and a clear answer on suitable treatment and its price.
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