1Consultation and scan review
After examining the joint and reviewing your X-rays, MRI or ultrasound, the doctor decides whether the procedure is right for you. Scans you already have can be sent ahead of the visit.
Arthritis Treatment in Milan
For arthritis in the knee, hand, shoulder or another joint, PRP and SVF cell therapy form one part of care — starting with a doctor's review of your tests
Consultation and review of your scansFree
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What it is
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.
While PRP and SVF can lower inflammation and pain and help the joint's inner tissues, a systemic disease still needs a rheumatologist — these injections do not take their place. They are never given during an active joint infection or a strong flare; the doctor first establishes the type of arthritis and times the procedure.
- No surgery — an injection instead of an operation
- Own tissue — your blood and adipose tissue
- Ultrasound guidance for every injection
Who the treatment suits
Suitability is decided by a doctor following an examination and a review of your scans
Suitable
- Pain, crunching or stiffness in a joint
- Painkillers only help for a short time
- Recovery after injuries and surgery
- You need a second opinion on your scans
- You want to avoid or postpone joint replacement
- Early or moderate arthrosis or arthritis
- High load on the joints — sport or physical work
Not suitable
- Cancer
- Pregnancy
- Blood clotting disorders
- Acute infections, including infection in or near the joint
- Flare-up of a serious chronic illness
- Temporary contraindications: fever, flu or a cold, or inflamed skin over the joint being treated
Not sure the treatment is right for you?
Leave your number — the coordinator will ask for your scans (X-ray, MRI or ultrasound), and the doctor will tell you whether treatment without surgery suits you.
Find out if it suits meWhat we treat
Conditions we treat
Arthritis
Arthrosis
Avascular necrosis
Osteoarthritis
Coxarthrosis (hip osteoarthritis)
Gonarthrosis (knee osteoarthritis)
Meniscus pathology and injury
Rehabilitation after injuries and surgery
Inflammatory joint conditions- Second opinionFree of charge, a doctor gives an independent assessment of the X-rays, MRI or reports you send
How it works
How the procedure goes: step by step
1
2Blood sample for PRP
Platelet-rich plasma with growth factors is prepared later from a small amount of blood taken from your vein.
3Adipose tissue sample
About 30 ml of adipose tissue is taken through a puncture on the abdomen or inner thigh, under local anaesthetic; the puncture needs no stitches.
4Processing in a centrifuge
A centrifuge spins the sample until it forms layers. The stromal vascular fraction is isolated from them and mixed with platelet-rich plasma.
5Injection into the joint
The affected joint receives the prepared material by direct injection under ultrasound guidance, for precise placement.
6Follow-up
The doctor follows how the joint responds and stays in touch after the procedure — and you need no crutches or hospital stay.
Book a consultation
Call or message us — our coordinator will contact you shortly and book your consultation
Results
After the procedure
1 week
The joint may ache a little more — this is an expected reaction.
1 month
The pain usually eases.
~3 months
Mobility and activity improve.
~6 months
The full effect develops.
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.
Comparison
Methods we use
Everything used comes from you — your blood and adipose tissue — with no synthetic or donor material
Cell therapy (SVF) from your own adipose tissue
From a small sample of adipose tissue we isolate the stromal vascular fraction (SVF), a mix of repair-related cells. Combined with your own plasma, the material is injected into the joint that is affected.
In cases of inflammatory arthritis it comes in once the acute flare has eased, for its effect on local inflammation and repair of tissue.
- Material
- Your adipose tissue and plasma
- How it is given
- Into the joint, under ultrasound
- Duration
- The whole procedure is done in one day.
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.
- Material
- Your blood from a vein
- How it is given
- Into the joint, under ultrasound
- Duration
- The whole procedure is done in one day.
The benefits and timings shown are averaged and given for guidance: the plan and recovery depend on your joint and individual features, and the doctor confirms them at the consultation.
At the consultation the doctor will review your scans and suggest a treatment plan
Free consultation
Joints
Joints we treat
Any size of joint, large or small: your scans are reviewed first, then the doctor settles on the joint, the method and the number of injections
KneeMeniscus issues and cartilage wear, with pain after walking or on stairs
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderWorn joint and nearby tendons, and pain when the arm is raised
ElbowOveruse or sports-strain pain and wearing of the joint surfaces
Hand and wrist jointsStiffness with pain in the small joints of the fingers and the wrist
AnklePain and stiffness after sprains and old injuries
Advantages
Why patients choose City Medical Centre
We aim to preserve your own joint instead of replacing it — 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
Free of charge, a doctor gives an independent assessment of the X-rays, MRI or reports you send
Support after the procedure
After the procedure we keep in touch and follow the result, not only the day of the injection
About the clinic
A clinic where you can feel at ease
Modern equipment, comfortable rooms and care for every patient
Contact us the way that suits you
We will answer your questions and find a convenient time for a consultation
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Request a free callPrice
Arthritis treatment prices
You learn the cost from the doctor after the consultation, as it depends on the joint, the method and the type of arthritis
Consultation and review of your scans
Free
Book — Consultation and review of your scansPRP therapy (platelet-rich plasma)
Price at consultation
Book — PRP therapy (platelet-rich plasma)Cell therapy (SVF + PRP), one joint
Price at consultation
Book — Cell therapy (SVF + PRP), one joint
FAQ
Joint treatment: frequently asked questions
Rheumatoid arthritis is a systemic disease that is treated by a rheumatologist. PRP and SVF injections do not cure it; once an acute flare has settled, the doctor can assess whether joint injections may ease local symptoms.
In arthritis the joints are inflamed. People usually notice pain at night and at rest, stiffness in the morning that lasts more than 30 minutes, swelling, and redness and heat over the joint. It can be caused by autoimmune conditions such as rheumatoid arthritis, by infections, by gout or by psoriasis.
PRP may help with local inflammation, pain and swelling in rheumatoid and other inflammatory arthritis. The platelets release growth factors that affect tissue repair and the immune response. Your rheumatologist's treatment stays in place — PRP complements it and does not replace it.
Psoriatic arthritis is a chronic disease that currently cannot be cured completely. The goal is a long remission — keeping inflammation under control and preventing joint deformity — and regenerative injections can be one part of that plan.
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.
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.
An autoimmune reaction, infection or gout can inflame the knee — that is knee arthritis, with redness, warmth, marked swelling and tenderness to touch. Osteoarthritis is cartilage wear, usually noticed as a dry crunch and aching pain when the knee moves.
PRP, SVF and other treatment aimed at reducing inflammation can ease this pain, because inflammation keeps stimulating the joint's pain receptors all the time — at rest, on movement and at night.
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.
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.
If it is not treated, it may cause permanent deformity of the joint, loss of function, osteoporosis and damage to internal organs — the heart, lungs and kidneys among them. Treating it in time helps prevent these complications.
About the conditions
More about these conditions
It is gradual wear of the cartilage that covers the ends of the bones in a joint. When the cartilage thins, the joint loses its cushioning, the bones rub against each other, and pain, stiffness and crunching appear. It is a degenerative condition, not an inflammatory one.
At early stages, PRP or SVF injections combined with exercise therapy and physiotherapy can reduce pain and improve movement. If the joint is already badly damaged, replacement may be the more realistic option — the doctor will tell you honestly after seeing your scans.
At early stages (1–2), SVF therapy may be considered to support blood supply to the femoral head and delay the need for joint replacement. At later stages surgery is usually required.