Arthritis Treatment in Ottawa
SVF cell therapy and PRP for the knee, hand, shoulder and other joints, used within arthritis care once a doctor has reviewed your tests and 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 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 support the tissues of the joint and help bring down inflammation and pain. They do not replace a rheumatologist when the disease is systemic. The doctor confirms your type of arthritis and the right timing first, and the procedure is not performed during a severe flare or an active joint infection.
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
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
We take a small sample of your adipose tissue and process it to isolate the stromal vascular fraction (SVF), a mix of cells that take part in tissue repair. It is then combined with your own plasma and injected into the affected joint.
In cases of inflammatory arthritis it comes in once the acute flare has eased, for its effect on local inflammation and repair of tissue.
PRP — platelet-rich plasma from your own blood
It helps calm inflammation and improves conditions for tissue repair: plasma rich in platelets and growth factors, separated from a small amount of your blood and injected into the joint.
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
Examination of the joint and a review of X-rays, MRI or ultrasound let the doctor decide whether the procedure is suitable for you; scans you already have can be sent beforehand.
Blood sample for PRP
A small amount of blood is taken from a vein. Platelet-rich plasma with growth factors is later prepared from it.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
No stitches are needed: a small portion of adipose tissue (about 30 ml) is taken under local anaesthetic through a puncture on the abdomen or inner thigh.
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
We inject the prepared material right into the affected joint, guided by ultrasound so that it is placed precisely.
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
Examination of the joint and a review of X-rays, MRI or ultrasound let the doctor decide whether the procedure is suitable for you; scans you already have can be sent beforehand.
Blood sample for PRP
A small amount of blood is taken from a vein. Platelet-rich plasma with growth factors is later prepared from it.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
No stitches are needed: a small portion of adipose tissue (about 30 ml) is taken under local anaesthetic through a puncture on the abdomen or inner thigh.
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
We inject the prepared material right into the affected joint, guided by ultrasound so that it is placed precisely.
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
Follow-up visits are there so the doctor can see the joint's response and adjust the plan. Expect pain to ease over the first month, mobility to improve over about three months and the full effect to develop over around 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
After the procedure most patients leave the same day and resume ordinary daily activity within a day or two, with small dressings on the puncture sites. Slightly more aching in the joint during the first week is an expected reaction. Pain generally eases in the first month, mobility and activity get better over about three months, and the full effect develops over roughly six months. Duration varies from one person to another depending on the stage of the condition, body weight, activity and other factors — nobody can promise a set outcome. If a rheumatologist is treating you, talk to them before you stop any prescribed medication.
Why patients choose City Medical Centre
Treatment without surgery that sets out to keep your own joint instead of replacing it
Your own tissue
No donor material and nothing synthetic: just your own blood and adipose tissue
No crutches
No long rehabilitation — just punctures instead of incisions and local anaesthetic
Second opinion
Share your X-rays, MRI or reports and get a doctor's independent assessment at no cost
Support after the procedure
We stay in touch after the procedure and follow the result, not just the day of the injection
Arthritis treatment prices
Price depends on the joint, the method and your type of arthritis, and 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?
With arthritis, the joints are affected by inflammation. Typical are pain even at rest and at night, stiffness on waking that lasts more than 30 minutes, swelling, redness and a warm joint. Possible causes: autoimmune conditions such as rheumatoid arthritis, infections, gout and psoriasis.
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 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?
It is not carried out during pregnancy, a severe flare or an active joint infection, nor with cancer or blood clotting disorders. In these situations the doctor postpones it or suggests something else.
How is knee arthritis different from osteoarthritis?
Arthritis of the knee means inflammation — from an autoimmune reaction, infection or gout — with redness, warmth, marked swelling and tenderness when touched. Osteoarthritis is the wearing of cartilage and typically brings a dry crunch and aching pain on movement.
Why does an arthritic joint hurt even at rest?
The pain comes because inflammation keeps stimulating the joint's pain receptors, at rest, at night and during movement. Treatment aimed at lowering inflammation — PRP and SVF included — can ease it.
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. Just send X-rays, MRI, ultrasound or blood test results; a doctor reviews them free of charge and tells you whether regenerative treatment might suit your type of arthritis.
What happens if rheumatoid arthritis is not treated?
Without treatment it can lead to permanent joint deformity, loss of function, osteoporosis and damage to internal organs such as the heart, lungs and kidneys. Timely treatment is needed to prevent these complications.
City Medical Centre licences
Other services at our clinic
What Ottawa residents ask about arthritis
Regenerative injections are not done during an active joint infection or a severe flare. In Ottawa, the doctor chooses the right moment, usually once the acute inflammation has settled.
Follow-up visits help the doctor see how the joint responds and adjust the plan. In Ottawa, you receive recommendations on load and activity for the first weeks after the procedure.
The price depends on how many joints are treated and on the method. For patients from Ottawa, the doctor explains the plan and the cost at a free consultation.
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