Knee Arthritis Treatment in Fresno
A doctor looks at your case and tests first, then PRP and SVF cell therapy can become part of 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?
Put simply, arthritis is joint inflammation. The joint may hurt at rest and at night, feel stiff each morning for more than half an hour, swell, redden and feel warm. Causes include autoimmune diseases such as rheumatoid or psoriatic arthritis, as well as gout, infection or an old 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
Large and small joints are treated, with the doctor choosing the joint, method and number of injections based on your scans
Elbow
Pain after overuse or sports strain, wear of the joint surfaces
Hand and wrist joints
Small joints of the fingers and wrist that stiffen and hurt
Knee
Wear of the cartilage, problems with the meniscus, pain after walking and on stairs
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Wear in the joint and the tendons around it, painful arm raising
Methods we use
Cell therapy (SVF) from your own adipose tissue
A small sample of your adipose tissue is processed to isolate the stromal vascular fraction (SVF) — a mix of cells involved in tissue repair. Combined with your own plasma, it is injected into the affected joint.
For inflammatory arthritis it is applied after the acute flare has calmed, because of its effect on local inflammation and on tissue repair.
PRP — platelet-rich plasma from your own blood
It helps calm inflammation and improves conditions for tissue repair: plasma rich in platelets and growth factors, separated from a small amount of your blood and injected into the joint.
As a single element of the wider plan, it can be advised in rheumatoid and other inflammatory arthritis.
How the procedure goes: step by step
Consultation and scan review
First comes an examination of the joint and a look at your X-rays, MRI or ultrasound; then the doctor decides whether the procedure fits your case. Existing scans can be sent before the visit.
Blood sample for PRP
Only a small amount of venous blood is taken; it is later used to prepare platelet-rich plasma with growth factors.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Under local anaesthetic, a small portion of adipose tissue (about 30 ml) is taken through a puncture on the abdomen or inner thigh. No stitches are needed.
Processing in a centrifuge
Once the centrifuge has spun the sample into layers, the stromal vascular fraction is isolated and added to the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Under ultrasound guidance, which helps with precise placement, the prepared material is injected straight into the affected joint.
Follow-up
No crutches and no hospital stay. The doctor stays in touch after the procedure and follows how the joint responds.
Consultation and scan review
First comes an examination of the joint and a look at your X-rays, MRI or ultrasound; then the doctor decides whether the procedure fits your case. Existing scans can be sent before the visit.
Blood sample for PRP
Only a small amount of venous blood is taken; it is later used to prepare platelet-rich plasma with growth factors.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Under local anaesthetic, a small portion of adipose tissue (about 30 ml) is taken through a puncture on the abdomen or inner thigh. No stitches are needed.
Processing in a centrifuge
Once the centrifuge has spun the sample into layers, the stromal vascular fraction is isolated and added to the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Under ultrasound guidance, which helps with precise placement, the prepared material is injected straight into the affected joint.
Follow-up
No crutches and no hospital stay. The doctor stays in touch after the procedure and follows how the joint responds.
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
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: 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
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
Preserving your own joint, not replacing it, is the goal of our treatment without surgery
Your own tissue
Just your blood and your adipose tissue; donor and synthetic materials are not used
No crutches
Instead of incisions we use punctures, with local anaesthetic and no long rehabilitation
Second opinion
A doctor independently assesses the X-rays, MRI or reports you send — free of charge
Support after the procedure
Staying in touch after the procedure, we follow the outcome and not only the injection day
Arthritis treatment prices
The joint, the type of arthritis and the method determine 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?
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?
Psoriatic arthritis is a chronic disease that cannot currently be cured completely. The aim is long remission: controlling inflammation and preventing joint deformity. Regenerative injections can be one 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?
The procedure is not performed during an active joint infection, a severe flare, pregnancy, cancer or blood clotting disorders; in such cases the doctor postpones it or suggests another option.
How is knee arthritis different from osteoarthritis?
The difference: knee arthritis is inflammation from an autoimmune reaction, infection or gout (redness, warmth, marked swelling, tenderness to touch), while osteoarthritis is wear of the cartilage, usually with a dry crunch and aching pain on movement.
Why does an arthritic joint hurt even at rest?
Inflammation stimulates the joint's pain receptors non-stop: on movement, at rest, at night. Reducing the inflammation with treatment such as PRP and SVF can ease this pain.
Can joint injections be done during pregnancy?
No. Pregnancy rules out joint injections, including PRP and SVF, and arthritis treatment in pregnancy is decided only jointly with a rheumatologist and an obstetrician.
Can I get a second opinion on my tests and scans?
Yes. Your X-rays, MRI, ultrasound or blood test results are reviewed by a doctor free of charge, and you will hear whether regenerative treatment could suit your type of arthritis.
What happens if rheumatoid arthritis is not treated?
Permanent joint deformity, loss of function, osteoporosis and damage to internal organs such as the heart, lungs and kidneys can follow if it goes untreated. Timely treatment is needed to prevent this.
City Medical Centre licences
Other services at our clinic
How PRP and SVF work in arthritis for Fresno residents
Regenerative injections are not done during an active joint infection or a severe flare. In Fresno, the doctor chooses the right moment, usually once the acute inflammation has settled.
Most patients in Fresno go home the same day and return to normal daily activity within a day or two. During the first week the joint may ache a little more — this is an expected reaction.
Arthritis treatment in Fresno: price at consultation, free case review, own tissue only. Leave your name and phone number, or message us in any messenger.
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