Arthritis Treatment in Boston
PRP together with SVF cell therapy supports arthritis care in the knee, hand, shoulder and other joints; first comes a doctor's review of your 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.
Reducing inflammation and pain and supporting the tissues in the joint is what PRP and SVF can offer — not a replacement for rheumatology care of a systemic disease. With an active joint infection or a severe flare the procedure waits: first the doctor confirms the arthritis type and selects the moment.
No surgery — an injection instead of an operation
Ultrasound guidance for every injection
Free consultation and review of your scans
Joints we treat
Both large and small joints — after reviewing your scans, the doctor decides on the joint, the method and how many injections you need
Elbow
Pain from overuse or strain during sport, and wear of the joint surfaces
Hand and wrist joints
Painful, stiff small joints of the wrist and fingers
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 when lifting the arm, and wear affecting the joint and surrounding tendons
Methods we use
Cell therapy (SVF) from your own adipose tissue
We take a small sample of your adipose tissue and process it to isolate the stromal vascular fraction (SVF), a mix of cells that take part in tissue repair. It is then combined with your own plasma and injected 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
Injected into the joint, plasma rich in platelets and growth factors — separated from a small amount of your blood — helps calm inflammation and makes conditions for tissue repair better.
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
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 small blood sample is taken from a vein. Later, platelet-rich plasma with growth factors is prepared from this blood.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Under local anaesthetic we take roughly 30 ml of adipose tissue through a single puncture on the abdomen or the inner thigh — no stitches required.
Processing in a centrifuge
The sample is spun in a centrifuge and separates into layers. The stromal vascular fraction is isolated and 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
You need neither crutches nor a hospital stay. The doctor stays in contact after the procedure and watches the joint's response.
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 small blood sample is taken from a vein. Later, platelet-rich plasma with growth factors is prepared from this blood.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Under local anaesthetic we take roughly 30 ml of adipose tissue through a single puncture on the abdomen or the inner thigh — no stitches required.
Processing in a centrifuge
The sample is spun in a centrifuge and separates into layers. The stromal vascular fraction is isolated and 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
You need neither crutches nor a hospital stay. The doctor stays in contact after the procedure and watches the joint's response.
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
Whether the treatment suits you is decided by a doctor after an examination and a review of 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 cold, flu or fever, 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
Going home the same day is the norm, and within a day or two most people are back to daily life; the punctures are covered with small dressings. For the first week the joint may ache a little more — this is expected. Pain usually eases over the first month; mobility and activity improve over about three months; the full effect develops over around six months. The effect lasts differently for each person, depending on the stage of the condition, body weight, activity and other factors, and no one can promise a fixed result. If you are under a rheumatologist, talk to them before stopping prescribed medication.
Why patients choose City Medical Centre
We try to keep the joint you have rather than replace it — with treatment without surgery
Your own tissue
Only your own blood and adipose tissue are used — no donor or synthetic material
No crutches
Punctures instead of incisions, local anaesthetic, no long rehabilitation
Second opinion
Your X-rays, MRI or reports can be sent for an independent assessment by a doctor, free of charge
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
The doctor names the cost after the consultation, because it depends on the joint, the type of arthritis and the 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?
Arthritis — inflammation of the joints — typically shows as pain at rest and at night, morning stiffness of more than 30 minutes, swelling, and redness with warmth over the joint. It may result from autoimmune conditions (rheumatoid arthritis, for instance), infections, gout or psoriasis.
Can PRP help with rheumatoid arthritis?
PRP can play a part in rheumatoid and other inflammatory arthritis by helping reduce local inflammation, swelling and pain. Platelets release growth factors that influence tissue repair and the immune response. It works alongside your rheumatologist's prescribed treatment, not instead of it.
Can psoriatic arthritis be cured?
A complete cure for psoriatic arthritis, a chronic disease, is not currently possible. What we aim for is long remission — control of inflammation and prevention of joint deformity — and regenerative injections can form one part of that plan.
How does SVF work in autoimmune arthritis?
Research in this field is ongoing: SVF contains cells that can modulate the local immune response and support repair of damaged joint tissue, and the doctor will discuss realistic expectations for your type of arthritis.
When is the treatment not suitable?
It is not done if there is an active joint infection, a severe flare, pregnancy, cancer or a blood clotting disorder. The doctor then postpones the procedure or offers another option.
How is knee arthritis different from osteoarthritis?
Arthritis of the knee means inflammation — from an autoimmune reaction, infection or gout — with redness, warmth, marked swelling and tenderness when touched. Osteoarthritis is the wearing of cartilage and typically brings a dry crunch and aching pain on 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 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?
Without treatment the condition can leave the joint permanently deformed, cause loss of function and osteoporosis, and damage internal organs like the heart, lungs and kidneys; timely treatment prevents these complications.
City Medical Centre licences
Other services at our clinic
How PRP and SVF work in arthritis for Boston residents
The causes of arthritis vary: autoimmune diseases such as rheumatoid or psoriatic arthritis, gout, infection or an old injury. In Boston, the doctor first confirms the type of arthritis, because treatment depends on it.
Pregnancy is a contraindication to joint injections, including PRP and SVF. For patients from Boston, arthritis treatment during pregnancy is decided only with a rheumatologist and an obstetrician.
The cost of arthritis treatment depends on the joint, the type of arthritis and the method, so the price is set at the consultation. For patients from Boston, the first consultation and review of your scans are free. Leave your name and phone number to book.
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