Joint Inflammation Treatment in Philadelphia
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?
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.
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
After going through your scans, the doctor selects the joint, the method and the number of injections — whether the joint is large or small
Elbow
Pain brought on by overuse or sporting strain, with wear of the joint surfaces
Hand and wrist joints
Small finger and wrist joints that feel stiff and hurt
Knee
Wear of the cartilage, problems with the meniscus, pain after walking and on stairs
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
The affected joint receives an injection of the stromal vascular fraction (SVF) — a set of cells involved in tissue repair, isolated from a small sample of your adipose tissue — combined with your own plasma.
In inflammatory arthritis it is used for its effect on local inflammation and tissue repair, once the acute flare has settled.
PRP — platelet-rich plasma from your own blood
We separate plasma rich in platelets and growth factors from a small quantity of your blood and inject it into the joint. There it helps quieten inflammation and sets up better conditions for tissue repair.
As a single element of the wider plan, it can be advised in rheumatoid and other inflammatory arthritis.
How the procedure goes: step by step
Consultation 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.
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
A small portion of adipose tissue (about 30 ml) is collected under local anaesthetic through a puncture on the abdomen or inner thigh, with no stitches needed.
Processing 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.
The whole procedure is done in one day.
Injection into the joint
The prepared material is placed precisely: it is injected directly into the affected joint under ultrasound guidance.
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
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.
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
A small portion of adipose tissue (about 30 ml) is collected under local anaesthetic through a puncture on the abdomen or inner thigh, with no stitches needed.
Processing 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.
The whole procedure is done in one day.
Injection into the joint
The prepared material is placed precisely: it is injected directly into the affected joint under ultrasound guidance.
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
At follow-up visits the doctor sees how the joint is responding and adjusts the plan. Pain usually eases in the first month, mobility improves over about three months, and the full effect builds over around six months.
Conditions we treat
An examination and a review of your scans come first; then 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: a fever, cold or flu, or any skin inflammation over the joint planned for treatment
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 go home the same day and return to normal daily activity within a day or two; the puncture sites are covered with small dressings. During the first week the joint may ache a little more — this is an expected reaction. Over the first month the pain usually eases, over about three months mobility and activity improve, and the full effect develops over around six months. 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. If you are being treated by a rheumatologist, do not stop your prescribed medication without talking to them.
Why patients choose City Medical Centre
We work on keeping your own joint rather than replacing it — treatment without surgery
Your own tissue
The treatment relies only on your own blood and adipose tissue, not on donor or synthetic material
No crutches
Punctures instead of incisions, local anaesthetic, no long rehabilitation
Second opinion
Send X-rays, MRI results or reports and a doctor will assess them independently and free of charge
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 doctor names the cost after the consultation, because it depends on the joint, the type of arthritis 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?
An inflammatory disease of the joints, arthritis typically causes resting and night-time pain, morning stiffness beyond 30 minutes, swelling, redness and warmth. Causes range from autoimmune conditions, for example rheumatoid arthritis, to 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?
Being chronic, psoriatic arthritis cannot at present be cured completely. The target is a long remission in which inflammation is controlled and joint deformity prevented; regenerative injections can be one element of the plan.
How does SVF work in autoimmune arthritis?
The cells SVF contains can modulate local immunity and support repair of damaged tissue inside the joint. With research in this area ongoing, your doctor will discuss what is realistic to expect for your type of arthritis.
When is the treatment not suitable?
The procedure is not performed during an active joint infection, a severe flare, pregnancy, cancer or blood clotting disorders; in such cases the doctor postpones it or suggests another option.
How is knee arthritis different from osteoarthritis?
Knee arthritis is inflammation caused by an autoimmune reaction, infection or gout: redness, warmth, marked swelling and tenderness to touch. Osteoarthritis is wear of the cartilage and usually shows as a dry crunch and aching pain 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. Joint injections, among them PRP and SVF, are contraindicated in pregnancy. Arthritis care during pregnancy is decided only together with an obstetrician and a rheumatologist.
Can I get a second opinion on my tests and scans?
Yes — send us your X-rays, MRI, ultrasound or blood test results. A doctor reviews them free of charge and tells you whether your type of arthritis could suit regenerative treatment.
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
Everything about joint inflammation treatment in Philadelphia
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 Philadelphia.
The procedure is also not done with cancer, blood clotting disorders or during a flare-up of a serious chronic illness. The doctor checks this for every patient in Philadelphia at the consultation.
Send your X-rays, MRI, ultrasound or blood test results. Patients from Philadelphia receive a free assessment and a clear answer on suitable treatment and its price.
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