Arthritis Treatment in Prague: Steps and Aftercare
Cell therapy (SVF) and PRP as one element of arthritis care — knee, hand, shoulder and other joints, with a doctor reviewing your tests beforehand
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 refers to inflammation within a joint. Typical complaints are resting and night-time pain, morning stiffness beyond half an hour, swelling, redness and warmth. It may be driven by autoimmune disease like rheumatoid or psoriatic arthritis, by gout, by an infection or by a former injury.
Helping to reduce inflammation and pain and to support tissue inside the joint — that is the role of PRP and SVF, alongside, not instead of, a rheumatologist's care for a systemic disease. The doctor first confirms the type of arthritis and waits for the right moment, never acting 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
Large or small joints: once your scans are reviewed, the doctor picks the joint, the method and the number of injections
Elbow
Wear of the joint surfaces, and pain after overuse or strain from sport
Hand and wrist joints
Pain and stiffness affecting the small joints of the fingers and wrist
Knee
Pain after walking and on stairs, meniscus problems and cartilage wear
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Pain when lifting the arm, and wear affecting the joint and surrounding tendons
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.
After the acute flare settles, inflammatory arthritis can be treated with it for its action on tissue repair and local inflammation.
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.
Recommended in some cases of rheumatoid and other inflammatory arthritis, it is one part of a broader treatment plan.
How the procedure goes: step by step
Consultation and scan review
First comes an examination of the joint and a look at your X-rays, MRI or ultrasound; then the doctor decides whether the procedure fits your case. Existing scans can be sent before the visit.
Blood sample for PRP
A vein provides a small amount of blood, which is later used to prepare platelet-rich plasma rich in growth factors.
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
The sample goes into a centrifuge and separates into layers; next, the stromal vascular fraction is isolated and combined with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Ultrasound guidance helps position it precisely as the prepared material is injected directly into the affected joint.
Follow-up
You go without crutches or a hospital stay, while the doctor keeps in touch after the procedure and follows the joint's response.
Consultation and scan review
First comes an examination of the joint and a look at your X-rays, MRI or ultrasound; then the doctor decides whether the procedure fits your case. Existing scans can be sent before the visit.
Blood sample for PRP
A vein provides a small amount of blood, which is later used to prepare platelet-rich plasma rich in growth factors.
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
The sample goes into a centrifuge and separates into layers; next, the stromal vascular fraction is isolated and combined with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Ultrasound guidance helps position it precisely as the prepared material is injected directly into the affected joint.
Follow-up
You go without crutches or a hospital stay, while the doctor keeps in touch after the procedure and follows the joint's response.
Follow-up visits
The doctor uses follow-up visits to check the joint's response and adjust the plan — typically pain eases during the first month, movement gets better over about three months and the full effect develops across around six months.
Conditions we treat
Whether this treatment fits you is a doctor's decision, made after an examination and a scan review
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: skin inflammation over the target joint, or a fever, a cold or flu
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
You will most likely go home the same day and resume normal daily life within a day or two, with the punctures covered by small dressings. During the first week the joint may ache a bit more, which is expected. Pain tends to ease across the first month, mobility and activity improve over roughly three months, and the full effect takes around six months to develop. How long it lasts is individual — it depends on the stage of the condition, body weight, activity and other factors, and no one can promise a set result. If you see a rheumatologist, talk to them before stopping any prescribed medication.
Why patients choose City Medical Centre
Our focus is saving your own joint, not replacing it, through treatment without surgery
Your own tissue
Only your own blood and adipose tissue are used — no donor or synthetic material
No crutches
Punctures in place of incisions, under local anaesthetic, without a long rehabilitation
Second opinion
A doctor independently assesses the X-rays, MRI or reports you send — free of charge
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
The cost is set after the consultation: it depends on which joint, which type of arthritis and which 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?
Arthritis — inflammation of the joints — typically shows as pain at rest and at night, morning stiffness of more than 30 minutes, swelling, and redness with warmth over the joint. It may result from autoimmune conditions (rheumatoid arthritis, for instance), infections, gout or 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?
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?
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?
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?
Osteoarthritis is wear of the cartilage, usually showing as aching pain and a dry crunch with movement. Knee arthritis is inflammation from an autoimmune reaction, infection or gout, with redness, warmth, marked swelling and tenderness to touch.
Why does an arthritic joint hurt even at rest?
Inflammation never stops stimulating the pain receptors of the joint, whether you move, rest or sleep at night. Treatment that targets inflammation, including PRP and SVF, can help ease this pain.
Can joint injections be done during pregnancy?
No: joint injections, including PRP and SVF, are contraindicated in pregnancy. Decisions on treating arthritis while pregnant are made only with a rheumatologist and an obstetrician together.
Can I get a second opinion on my tests and scans?
Yes. Send us the results of your X-rays, MRI, ultrasound or blood tests: a doctor reviews them free of charge and tells you if regenerative treatment could suit your type of arthritis.
What happens if rheumatoid arthritis is not treated?
It needs timely treatment: otherwise it can lead to permanent deformity and loss of function of the joint, osteoporosis and damage to internal organs, including the heart, lungs and kidneys.
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Arthritis in Prague: types, methods and price
Arthritis is inflammation of a joint. For patients from Prague, 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.
Most patients in Prague 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.
Book a free consultation in Prague to find out whether PRP or SVF could help your arthritis. The doctor names the price after examining the joint.
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