Arthritis Treatment for Patients from Indianapolis
As part of arthritis care, PRP and SVF cell therapy for the knee, hand, shoulder and other joints — after a doctor has first reviewed 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.
Used well, PRP and SVF may ease pain and inflammation and support the joint's internal tissues; still, a systemic disease needs a rheumatologist, and the injections do not replace that care. No procedure takes place during an active joint infection or a severe flare — the type of arthritis is confirmed and the moment chosen first.
No surgery — an injection instead of an operation
Ultrasound guidance for every injection
Free consultation and review of your scans
Joints we treat
From large joints to small ones — which joint, which method and how many injections is decided by the doctor once your scans are reviewed
Elbow
Joint surfaces that have worn, plus pain after sports strain or overuse
Hand and wrist joints
Stiffness and aching in the wrist and in the small finger joints
Knee
Meniscus issues and cartilage wear, with pain after walking or on stairs
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Worn joint and nearby tendons, and pain when the arm is raised
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.
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
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
The doctor checks the joint, goes through your X-rays, MRI or ultrasound and decides if the procedure suits you. If you have scans already, feel free to send them before you come.
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
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
Ultrasound guidance helps position it precisely as the prepared material is injected directly into the affected joint.
Follow-up
No crutches, no hospital stay — and after the procedure the doctor stays in touch to follow how your joint responds.
Consultation and scan review
The doctor checks the joint, goes through your X-rays, MRI or ultrasound and decides if the procedure suits you. If you have scans already, feel free to send them before you come.
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
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
Ultrasound guidance helps position it precisely as the prepared material is injected directly into the affected joint.
Follow-up
No crutches, no hospital stay — and after the procedure the doctor stays in touch to follow how your joint responds.
Follow-up visits
With follow-up visits the doctor can see how the joint responds and change the plan if needed. As a rule, pain eases in the first month, mobility improves across about three months, and the full effect takes around six months to develop.
Conditions we treat
After an examination and a look at your scans, a doctor decides if the treatment is right for 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: fever, a cold or flu, 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 are placed over the puncture sites, and most people leave the same day, returning to everyday activity within a day or two. A little more aching in the joint during the first week is an expected reaction. Over the first month pain generally eases; mobility and activity improve over about three months; the full effect develops over around six months. The duration differs between people and depends on the stage of the condition, body weight, activity and more, so a fixed result cannot be promised. Under a rheumatologist's care? Keep taking your prescribed medication unless you have discussed stopping it with them.
Why patients choose City Medical Centre
Our focus is saving your own joint, not replacing it, through treatment without surgery
Your own tissue
Only material from your body — your blood and adipose tissue — and nothing synthetic or from a donor
No crutches
No long rehabilitation — just punctures instead of incisions and local anaesthetic
Second opinion
For a free, independent doctor's assessment, send us your X-rays, MRI or reports
Support after the procedure
After the procedure we keep in touch and follow the result, not only the day of the injection
Arthritis treatment prices
Since the price depends on the joint, the method and the type of arthritis, the doctor gives 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?
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?
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?
Psoriatic arthritis is chronic and, for now, cannot be cured completely. Treatment therefore aims at long remission, controlling inflammation and preventing the joints from deforming. Regenerative injections may be one part of that plan.
How does SVF work in autoimmune arthritis?
SVF brings cells able to modulate the immune response in the joint and to support repair of damaged tissue. This is an area of ongoing research, so expect the doctor to discuss realistic outcomes 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 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?
The joint's pain receptors are stimulated by inflammation continuously: during movement, at rest and at night. Easing this pain is possible with treatment that reduces inflammation, including PRP and SVF.
Can joint injections be done during pregnancy?
No. Joint injections — PRP and SVF too — are not given in pregnancy, as it is a contraindication. A rheumatologist and an obstetrician decide on arthritis treatment during pregnancy together.
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?
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 in Indianapolis: from diagnosis to follow-up
We work with inflammatory joint conditions of the knee, hand and wrist, shoulder, elbow, hip and ankle. Patients from Indianapolis can send their test results and scans for a free review.
Pregnancy is a contraindication to joint injections, including PRP and SVF. For patients from Indianapolis, arthritis treatment during pregnancy is decided only with a rheumatologist and an obstetrician.
A consultation is the first step for every patient from Indianapolis. It is free, and after it you know whether the treatment fits, the method and the cost.
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