Treatment of Inflammatory Joint Conditions in Manhattan
PRP and SVF cell therapy as part of arthritis care for the knee, hand, shoulder and other joints. A doctor reviews your case and tests first
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 the name for joint inflammation. Pain that comes at rest and at night, morning stiffness that persists beyond half an hour, swelling, redness and warmth over the joint are the classic signs. Causes vary, from autoimmune diseases like rheumatoid or psoriatic arthritis to gout, infection or an old injury.
PRP and SVF can lessen inflammation and pain and back up the tissues in the joint, but systemic disease remains the rheumatologist's job. The procedure is skipped while there is an active joint infection or a severe flare, and the doctor first confirms the form of arthritis before choosing when to proceed.
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
Pain from overuse or strain during sport, and wear of the joint surfaces
Hand and wrist joints
Finger and wrist small joints that are stiff and painful
Knee
Pain climbing stairs and after walking, plus cartilage wear and meniscus problems
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Pain lifting the arm, with wear of the joint and its surrounding tendons
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.
It is used in inflammatory arthritis — once the acute flare is over — for its influence on local inflammation and the repair of tissue.
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.
It may be advised for rheumatoid or other inflammatory arthritis, always as just one part of the overall plan of treatment.
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
From a small amount of blood drawn from a vein, platelet-rich plasma with growth factors is prepared later on.
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
The stromal vascular fraction is isolated after the sample is spun in a centrifuge and separates into layers, then mixed with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Using ultrasound guidance to place it precisely, the prepared material is injected directly into the joint that is affected.
Follow-up
There are no crutches and no hospital stay. After the procedure the doctor keeps in touch and follows how the joint responds.
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
From a small amount of blood drawn from a vein, platelet-rich plasma with growth factors is prepared later on.
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
The stromal vascular fraction is isolated after the sample is spun in a centrifuge and separates into layers, then mixed with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Using ultrasound guidance to place it precisely, the prepared material is injected directly into the joint that is affected.
Follow-up
There are no crutches and no hospital stay. After the procedure the doctor keeps in touch and follows how the joint responds.
Follow-up visits
Follow-up visits allow the doctor to track the joint's response and fine-tune the plan: pain generally eases over the first month, mobility improves in about three months, and the full effect develops over roughly six months.
Conditions we treat
A doctor examines you, reviews your scans and then decides whether the treatment is suitable
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
A same-day return home is usual, and normal daily activity comes back within a day or two; the puncture sites just need small dressings. Some extra aching in the first week is an expected reaction. Expect pain to ease over the first month, mobility and activity to improve over about three months, and the full effect to develop over around six months. The duration is different for everyone and depends on the stage of the condition, body weight, activity and other factors — a fixed result is something nobody can promise. Patients treated by a rheumatologist should not stop prescribed medication without discussing 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
Everything used comes from you — your blood and adipose tissue — with no synthetic or donor material
No crutches
Local anaesthetic, punctures rather than incisions, and no long rehabilitation
Second opinion
For a free, independent doctor's assessment, send us your X-rays, MRI or reports
Support after the procedure
Not just the day of the injection: we stay in touch afterwards and follow how the result develops
Arthritis treatment prices
Because the joint, the type of arthritis and the method all affect 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 is sometimes used in rheumatoid arthritis and other inflammatory arthritis to help reduce pain, swelling and local inflammation, since the growth factors released by platelets influence tissue repair and the immune response. It complements your rheumatologist's treatment rather than replacing 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?
The cells in SVF can modulate the immune response locally and support repair of damaged joint tissue. As research in this area continues, the doctor will discuss what you can realistically expect 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?
Knee arthritis is inflammation caused by gout, an infection or an autoimmune reaction, with redness, warmth, marked swelling and tenderness to touch. Osteoarthritis is cartilage wear and usually shows as aching pain and a dry crunch 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. Send your X-rays, MRI, ultrasound or blood test results, and a doctor will review them free of charge and tell you whether regenerative treatment could suit 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
What Manhattan residents ask about arthritis
SVF contains cells that can modulate the local immune response and support the repair of damaged tissue. Research is ongoing, so the doctor discusses realistic expectations with every patient in Manhattan.
Pregnancy is a contraindication to joint injections, including PRP and SVF. For patients from Manhattan, arthritis treatment during pregnancy is decided only with a rheumatologist and an obstetrician.
Book a free consultation in Manhattan to find out whether PRP or SVF could help your arthritis. The doctor names the price after examining the joint.
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