Arthritis Treatment for Patients from Louisville
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?
Arthritis means an inflamed joint. It usually shows as pain at rest and at night, stiffness in the morning lasting over half an hour, swelling, redness and a warm joint. Causes differ: autoimmune conditions like rheumatoid or psoriatic arthritis, gout, an infection or a past 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
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
Finger and wrist small joints that are stiff and painful
Knee
Cartilage that has worn, meniscus trouble, pain after walks and on stairs
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Wear of the joint and the tendons around it, pain on raising the arm
Methods we use
Cell therapy (SVF) from your own adipose tissue
The stromal vascular fraction (SVF) — a blend of cells involved in repairing tissue — is isolated by processing a small sample of your adipose tissue. Mixed with your own plasma, it goes into the affected joint by injection.
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
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.
Recommended in some cases of rheumatoid and other inflammatory arthritis, it is one part of a broader 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
The doctor draws a small amount of blood from a vein, which later becomes platelet-rich plasma with growth factors.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Roughly 30 ml of adipose tissue is removed through a puncture on the abdomen or inner thigh under local anaesthetic, and no stitches are needed afterwards.
Processing in a centrifuge
Spinning in a centrifuge divides the sample into layers; the stromal vascular fraction is isolated and blended with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
The affected joint receives the prepared material by direct injection under ultrasound guidance, for precise placement.
Follow-up
Without crutches and without a hospital stay: after the procedure the doctor stays in touch and follows the joint's response.
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
The doctor draws a small amount of blood from a vein, which later becomes platelet-rich plasma with growth factors.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Roughly 30 ml of adipose tissue is removed through a puncture on the abdomen or inner thigh under local anaesthetic, and no stitches are needed afterwards.
Processing in a centrifuge
Spinning in a centrifuge divides the sample into layers; the stromal vascular fraction is isolated and blended with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
The affected joint receives the prepared material by direct injection under ultrasound guidance, for precise placement.
Follow-up
Without crutches and without a hospital stay: after the procedure the doctor stays in touch and follows 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 this treatment fits you is a doctor's decision, made after an examination and a scan review
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 patients go home on the same day and are back to normal daily activity within a day or two; small dressings cover the puncture sites. In the first week the joint may ache slightly more — an expected 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 it lasts varies from person to person, depending on the stage of the condition, body weight, activity and other factors — nobody can promise a fixed result. If a rheumatologist is treating you, 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
Nothing donor or synthetic — only your own blood and adipose tissue are used
No crutches
No incisions, only punctures; local anaesthetic; no long rehabilitation
Second opinion
Send us your X-rays, MRI or medical reports for a free, independent assessment by a doctor
Support after the procedure
Staying in touch after the procedure, we follow the outcome and not only the injection day
Arthritis treatment prices
After the consultation the doctor names the cost, which depends on the joint, the arthritis type 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 is a disease in which the joints become inflamed. Its typical signs are pain at rest and at night, morning stiffness lasting over 30 minutes, swelling, redness and warmth over the joint. Among the causes are autoimmune conditions like rheumatoid arthritis, as well as infections, gout and psoriasis.
Can PRP help with rheumatoid arthritis?
To help lower local inflammation, pain and swelling, PRP may be used in rheumatoid and other inflammatory arthritis. Growth factors from platelets act on the immune response and on tissue repair. It supplements the treatment prescribed by your rheumatologist without replacing 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 includes cells that can modulate the immune response at the site and support the repair of damaged joint tissue. Since research in this field is still ongoing, the doctor will discuss realistic expectations for your form of arthritis.
When is the treatment not suitable?
With an active joint infection, a severe flare, pregnancy, cancer or blood clotting disorders, the procedure is not done — the doctor either postpones it or suggests an alternative.
How is knee arthritis different from osteoarthritis?
Osteoarthritis is wear of the cartilage, usually showing as aching pain and a dry crunch with movement. Knee arthritis is inflammation from an autoimmune reaction, infection or gout, with redness, warmth, marked swelling and tenderness to touch.
Why does an arthritic joint hurt even at rest?
All the time — at night, at rest and when moving — inflammation keeps triggering the pain receptors in the joint. Treatment directed at reducing inflammation, PRP and SVF among it, can ease the pain.
Can joint injections be done during pregnancy?
No. Joint injections, PRP and SVF included, are contraindicated in pregnancy. Treatment of arthritis during pregnancy is decided only together with an obstetrician and a rheumatologist.
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 Louisville step by step
The causes of arthritis vary: autoimmune diseases such as rheumatoid or psoriatic arthritis, gout, infection or an old injury. In Louisville, the doctor first confirms the type of arthritis, because treatment depends on it.
No crutches and no hospital stay are needed. The puncture sites are small and covered with dressings, and the doctor stays in touch with patients in Louisville after the procedure.
Arthritis treatment in Louisville: 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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