Arthritis Treatment in Nansana: Steps and Aftercare
PRP together with SVF cell therapy supports arthritis care in the knee, hand, shoulder and other joints; first comes a doctor's review of your case
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 inflammation of a joint. Typical signs are pain at rest and at night, morning stiffness that lasts longer than half an hour, swelling, redness and warmth over the joint. The causes vary: autoimmune diseases such as rheumatoid or psoriatic arthritis, gout, infection or an old injury.
These injections — PRP and SVF — can reduce pain and inflammation and support tissue inside the joint, but a systemic disease stays under a rheumatologist's care. During an active infection of the joint or a severe flare the procedure is not done: the doctor first confirms the arthritis type and chooses when to act.
No surgery — an injection instead of an operation
Ultrasound guidance for every injection
Free consultation and review of your scans
Joints we treat
Small joints as well as large — the doctor reviews your scans and then chooses the joint, the method and how many injections to give
Elbow
Wear on the joint surfaces and pain after overuse or sports strain
Hand and wrist joints
Painful, stiff small joints of the wrist and fingers
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
Worn joint and nearby tendons, and pain when the arm is raised
Methods we use
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.
Its effect on local inflammation and tissue repair is why it is used in inflammatory arthritis, after the acute flare has settled.
PRP — platelet-rich plasma from your own blood
Separated from a small volume of your blood, plasma rich in platelets and growth factors is injected into the joint to help calm inflammation and create 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
The doctor decides on the procedure only after examining the joint and reviewing your X-rays, MRI or ultrasound. You are welcome to send any scans you have before the appointment.
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
Guided by ultrasound for accurate placement, the doctor injects the prepared material directly into the affected joint.
Follow-up
After the procedure there is no hospital stay and no need for crutches; the doctor stays in touch and follows the joint's progress.
Consultation and scan review
The doctor decides on the procedure only after examining the joint and reviewing your X-rays, MRI or ultrasound. You are welcome to send any scans you have before the appointment.
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
Guided by ultrasound for accurate placement, the doctor injects the prepared material directly into the affected joint.
Follow-up
After the procedure there is no hospital stay and no need for crutches; the doctor stays in touch and follows the joint's progress.
Follow-up visits
Follow-up appointments show the doctor how the joint is responding so the plan can be adjusted. Most often pain eases during the first month, mobility gets better over about three months and the full effect arrives over around 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: flu, a cold or fever, and 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 are home the same day and back to their usual routine within a day or two, the puncture sites covered with small dressings. The joint may ache a little more during the first week, as expected. Over the first month the pain usually eases, over about three months mobility and activity improve, and the full effect builds over around six months. How long it holds varies individually with the stage of the condition, body weight, activity and other factors, so no fixed result can be promised. If a rheumatologist treats you, do not drop your prescribed medication without consulting them.
Why patients choose City Medical Centre
Keeping your natural joint rather than having it replaced: treatment without surgery
Your own tissue
Just your blood and your adipose tissue; donor and synthetic materials are not used
No crutches
Local anaesthetic, punctures rather than incisions, and no long rehabilitation
Second opinion
An independent assessment from a doctor, free of charge, once you send 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
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?
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.
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?
Regenerative injections can be one part of the plan for psoriatic arthritis — a chronic disease that cannot currently be cured completely, where the aim is long remission, controlled inflammation and no joint deformity.
How does SVF work in autoimmune arthritis?
Cells contained in SVF may modulate the local immune response and support the repair of damaged tissue in the joint. Because research is ongoing, your doctor will go over realistic expectations for your particular type of arthritis.
When is the treatment not suitable?
The doctor postpones the procedure or suggests another option in cases of active joint infection, a severe flare, pregnancy, cancer or blood clotting disorders, as it is not done then.
How is knee arthritis different from osteoarthritis?
With knee arthritis, an autoimmune reaction, infection or gout causes inflammation — redness, warmth, marked swelling, tenderness to touch. Osteoarthritis is different: the cartilage wears, and the usual signs are a dry crunch and aching pain during movement.
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 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. A doctor will review your X-rays, MRI, ultrasound or blood test results free of charge and tell you if regenerative treatment could suit your type of arthritis — just send them.
What happens if rheumatoid arthritis is not treated?
When left without treatment it can bring permanent joint deformity, loss of function, osteoporosis and damage to the heart, lungs, kidneys and other internal organs. To prevent these complications, it needs timely treatment.
City Medical Centre licences
Other services at our clinic
How PRP and SVF work in arthritis for Nansana residents
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 Nansana.
Most patients in Nansana 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.
A consultation is the first step for every patient from Nansana. It is free, and after it you know whether the treatment fits, the method and the cost.
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