Treatment of Inflammatory Joint Conditions in Borough of Queens
Arthritis care for the knee, hand, shoulder and other joints can include PRP and SVF cell therapy, always after a doctor checks your case and tests
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?
In arthritis the joint is inflamed. People typically notice pain even at rest or at night, stiffness on waking that goes on for more than half an hour, swelling, and a red, warm joint. Behind it may be an autoimmune condition such as rheumatoid or psoriatic arthritis, gout, an infection or old trauma.
PRP and SVF may help ease inflammation and pain and support the tissues within the joint, yet they are no substitute for a rheumatologist's care of a systemic disease. We do not carry out the procedure during an active joint infection or a severe flare — the doctor first confirms which arthritis you have and picks 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
Large and small joints — the doctor chooses the joint, the method and the number of injections after reviewing your scans
Elbow
Overuse or sports-strain pain and wearing of the joint surfaces
Hand and wrist joints
Pain and stiffness in the small joints of the wrist and fingers
Knee
Pain after walking and on stairs, meniscus problems and cartilage wear
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Pain as you raise the arm, plus wear of the joint and the tendons around it
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.
When the acute flare has died down, it can be used in inflammatory arthritis to act on local inflammation and help tissue repair.
PRP — platelet-rich plasma from your own blood
Your blood, in a small amount, provides plasma rich in platelets and growth factors; injected into the joint, it helps ease inflammation and creates better conditions for repair of the tissues.
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
Examination of the joint and a review of X-rays, MRI or ultrasound let the doctor decide whether the procedure is suitable for you; scans you already have can be sent beforehand.
Blood sample for PRP
A vein provides a small amount of blood, which is later used to prepare platelet-rich plasma rich in growth factors.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
With local anaesthetic, a small amount of adipose tissue — about 30 ml — is collected through a puncture on the inner thigh or abdomen, and no stitches are required.
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
Direct injection into the affected joint under ultrasound guidance helps the prepared material land exactly where it is needed.
Follow-up
No hospital stay and no crutches. Once the procedure is done, the doctor remains in touch and tracks how your joint responds.
Consultation and scan review
Examination of the joint and a review of X-rays, MRI or ultrasound let the doctor decide whether the procedure is suitable for you; scans you already have can be sent beforehand.
Blood sample for PRP
A vein provides a small amount of blood, which is later used to prepare platelet-rich plasma rich in growth factors.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
With local anaesthetic, a small amount of adipose tissue — about 30 ml — is collected through a puncture on the inner thigh or abdomen, and no stitches are required.
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
Direct injection into the affected joint under ultrasound guidance helps the prepared material land exactly where it is needed.
Follow-up
No hospital stay and no crutches. Once the procedure is done, the doctor remains in touch and tracks how your joint responds.
Follow-up visits
Follow-up visits let the doctor see how the joint responds and adjust the plan — pain usually eases over the first month, mobility improves over about three months, and the full effect develops over around six months.
Conditions we treat
Your scans are reviewed and you are examined before a doctor decides 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: flu, a cold or fever, and 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
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
Treatment without surgery that sets out to keep your own joint instead of replacing it
Your own tissue
Only material from your body — your blood and adipose tissue — and nothing synthetic or from a donor
No crutches
Punctures, not incisions; local anaesthetic; and rehabilitation that is not long
Second opinion
Share your X-rays, MRI or reports and get a doctor's independent assessment at no cost
Support after the procedure
We remain in contact after the procedure and follow the result, well beyond the injection day
Arthritis treatment prices
The cost is set after the consultation: it depends on which joint, which type of arthritis and which method
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?
In rheumatoid and other inflammatory arthritis, PRP may be used to help ease local inflammation, pain and swelling. The growth factors that platelets release affect the immune response and tissue repair. It adds to, but does not replace, the treatment your rheumatologist prescribes.
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?
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?
If you have an active joint infection, a severe flare, cancer or a blood clotting disorder, or are pregnant, the procedure is not done; the doctor postpones it or offers another option.
How is knee arthritis different from osteoarthritis?
With knee arthritis, an autoimmune reaction, infection or gout causes inflammation — redness, warmth, marked swelling, tenderness to touch. Osteoarthritis is different: the cartilage wears, and the usual signs are a dry crunch and aching pain during movement.
Why does an arthritic joint hurt even at rest?
In an inflamed joint the pain receptors are stimulated all the time — during movement, at rest and at night. This pain can be eased by treatment aimed at reducing the inflammation, such as PRP and SVF.
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 doctor looks at your X-rays, MRI, ultrasound or blood tests free of charge and says whether regenerative treatment could suit your type of arthritis — simply send them.
What happens if rheumatoid arthritis is not treated?
Without treatment it can lead to permanent joint deformity, loss of function, osteoporosis and damage to internal organs such as the heart, lungs and kidneys. Timely treatment is needed to prevent these complications.
City Medical Centre licences
Other services at our clinic
Arthritis in Borough of Queens: types, methods and price
Knee arthritis differs from knee osteoarthritis. Arthritis shows redness, warmth, swelling and tenderness to touch; osteoarthritis shows a dry crunch and aching pain on movement. For patients from Borough of Queens, the diagnosis comes first.
Pain usually eases over the first month, and mobility improves over about three months. For patients from Borough of Queens, the full effect develops over around six months, and its duration differs from person to person.
How much does arthritis treatment cost in Borough of Queens? 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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