Joint Inflammation Treatment in Riga
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?
Inflammation of a joint is what arthritis is. Its usual signs: pain at night and at rest, morning stiffness that takes over half an hour to wear off, swelling, redness and heat over the joint. Possible causes range from autoimmune diseases — rheumatoid or psoriatic arthritis — to gout, infection or a previous injury.
PRP and SVF are there to help calm inflammation and pain and to support the joint's tissues; they do not stand in for a rheumatologist treating a systemic disease. The doctor first confirms what kind of arthritis it is and chooses the right time — never during an active joint infection or a severe flare.
No surgery — an injection instead of an operation
Ultrasound guidance for every injection
Free consultation and review of your scans
Joints we treat
Large and small joints are treated, with the doctor choosing the joint, method and number of injections based on your scans
Elbow
Pain after strain in sport or overuse, and worn surfaces inside the joint
Hand and wrist joints
Stiffness with pain in the small joints of the fingers and the wrist
Knee
Cartilage wear, meniscus problems, pain on stairs and after walking
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Wear of the joint and the tendons around it, pain on raising the arm
Methods we use
Cell therapy (SVF) from your own adipose tissue
To obtain the stromal vascular fraction (SVF), a mix of cells that support tissue repair, a small sample of your adipose tissue is processed. The SVF is combined with your own plasma and injected into the affected joint.
In inflammatory arthritis, after the acute flare has passed, it is chosen for how it acts on local inflammation and tissue repair.
PRP — platelet-rich plasma from your own blood
Your blood, in a small amount, provides plasma rich in platelets and growth factors; injected into the joint, it helps ease inflammation and creates better conditions for repair of the tissues.
As one element of the whole treatment plan, it may be recommended in rheumatoid and other inflammatory arthritis.
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
Platelet-rich plasma with growth factors is prepared later from a small amount of blood taken from your vein.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
With local anaesthetic, a small amount of adipose tissue — about 30 ml — is collected through a puncture on the inner thigh or abdomen, and no stitches are required.
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
Under ultrasound guidance, which helps with precise placement, the prepared material is injected straight into the affected joint.
Follow-up
Crutches and a hospital stay are not needed. The doctor keeps in contact afterwards and monitors how the joint is responding.
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
Platelet-rich plasma with growth factors is prepared later from a small amount of blood taken from your vein.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
With local anaesthetic, a small amount of adipose tissue — about 30 ml — is collected through a puncture on the inner thigh or abdomen, and no stitches are required.
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
Under ultrasound guidance, which helps with precise placement, the prepared material is injected straight into the affected joint.
Follow-up
Crutches and a hospital stay are not needed. The doctor keeps in contact afterwards and monitors how the joint is responding.
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
Suitability is decided by a doctor following an examination and a review of your scans
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
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
Preserving your own joint, not replacing it, is the goal of our treatment without surgery
Your own tissue
Your own adipose tissue and blood are the only materials used, never donor or synthetic ones
No crutches
Under local anaesthetic, through punctures instead of incisions, with no long rehabilitation afterwards
Second opinion
For a free, independent doctor's assessment, send us your X-rays, MRI or reports
Support after the procedure
Not just the day of the injection: we stay in touch afterwards and follow how the result develops
Arthritis treatment prices
Because the joint, the type of arthritis and the method all affect 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?
Arthritis is an inflammatory joint disease. You may have pain at night or at rest, morning stiffness for longer than 30 minutes, swelling, and redness and warmth over the joint. The causes include infections, gout, psoriasis and autoimmune conditions, rheumatoid arthritis among them.
Can PRP help with rheumatoid arthritis?
In rheumatoid and other inflammatory arthritis, PRP may be used to help ease local inflammation, pain and swelling. The growth factors that platelets release affect the immune response and tissue repair. It adds to, but does not replace, the treatment your rheumatologist prescribes.
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?
In SVF there are cells that can influence the local immune response and help damaged tissue in the joint to repair. The doctor will discuss realistic expectations for your type of arthritis, since research in this area is ongoing.
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?
The difference: knee arthritis is inflammation from an autoimmune reaction, infection or gout (redness, warmth, marked swelling, tenderness to touch), while osteoarthritis is wear of the cartilage, usually with a dry crunch and aching pain on movement.
Why does an arthritic joint hurt even at rest?
Inflammation stimulates the pain receptors in the joint constantly — on movement, at rest and at night. Treatment that aims to reduce inflammation, PRP and SVF included, can 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. 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?
Permanent joint deformity, loss of function, osteoporosis and damage to internal organs such as the heart, lungs and kidneys can follow if it goes untreated. Timely treatment is needed to prevent this.
City Medical Centre licences
Other services at our clinic
Arthritis treatment in Riga: a short guide
The causes of arthritis vary: autoimmune diseases such as rheumatoid or psoriatic arthritis, gout, infection or an old injury. In Riga, the doctor first confirms the type of arthritis, because treatment depends on it.
An arthritic joint hurts even at rest because inflammation keeps stimulating pain receptors. For patients from Riga, treatment aimed at reducing that inflammation can ease pain at rest and at night.
Joint inflammation that does not settle? Book a free consultation in Riga: the doctor reviews your case and suggests whether PRP or SVF makes sense now. The price is set individually.
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