Arthritis Treatment in Rotterdam
PRP and SVF cell therapy as part of arthritis care for the knee, hand, shoulder and other joints. A doctor reviews your case and tests first
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 the name for joint inflammation. Pain that comes at rest and at night, morning stiffness that persists beyond half an hour, swelling, redness and warmth over the joint are the classic signs. Causes vary, from autoimmune diseases like rheumatoid or psoriatic arthritis to 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
Large or small joints: once your scans are reviewed, the doctor picks the joint, the method and the number of injections
Elbow
Joint surfaces that have worn, plus pain after sports strain or overuse
Hand and wrist joints
Pain and stiffness in the small joints of the wrist and fingers
Knee
Cartilage that has worn, meniscus trouble, pain after walks and on stairs
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Wear in the joint and the tendons around it, painful arm raising
Methods we use
Cell therapy (SVF) from your own adipose tissue
Processing a small sample of adipose tissue from your body isolates the stromal vascular fraction (SVF) — cells that play a part in tissue repair. This is combined with your plasma and injected straight into the affected joint.
Inflammatory arthritis is one use for it, once the acute flare has settled — because it acts on local inflammation and tissue repair.
PRP — platelet-rich plasma from your own blood
A small amount of your blood is used to separate plasma rich in platelets and growth factors, which is then injected into the joint. It helps settle inflammation and gives tissue repair better conditions.
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
If you already have scans, send them before the visit: the doctor examines the joint, reviews your X-rays, MRI or ultrasound and decides whether the procedure suits you.
Blood sample for PRP
A small blood sample is taken from a vein. Later, platelet-rich plasma with growth factors is prepared from this blood.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
The doctor numbs the area with local anaesthetic and takes about 30 ml of adipose tissue through a puncture on the abdomen or inner thigh; stitches are not needed.
Processing in a centrifuge
The stromal vascular fraction is isolated after the sample is spun in a centrifuge and separates into layers, then mixed 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
If you already have scans, send them before the visit: the doctor examines the joint, reviews your X-rays, MRI or ultrasound and decides whether the procedure suits you.
Blood sample for PRP
A small blood sample is taken from a vein. Later, platelet-rich plasma with growth factors is prepared from this blood.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
The doctor numbs the area with local anaesthetic and takes about 30 ml of adipose tissue through a puncture on the abdomen or inner thigh; stitches are not needed.
Processing in a centrifuge
The stromal vascular fraction is isolated after the sample is spun in a centrifuge and separates into layers, then mixed 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
The treatment is only offered once a doctor has examined you and reviewed your scans and found it 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 raised temperature (fever), a cold or flu, 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
A same-day return home is usual, and normal daily activity comes back within a day or two; the puncture sites just need small dressings. Some extra aching in the first week is an expected reaction. Expect pain to ease over the first month, mobility and activity to improve over about three months, and the full effect to develop over around six months. The duration is different for everyone and depends on the stage of the condition, body weight, activity and other factors — a fixed result is something nobody can promise. Patients treated by a rheumatologist should not stop prescribed medication without discussing it with them.
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
For a free, independent doctor's assessment, send us your X-rays, MRI or reports
Support after the procedure
The result matters to us beyond injection day, so we stay in touch after the procedure
Arthritis treatment prices
You learn the cost from the doctor after the consultation, as it depends on the joint, the method and the type of arthritis
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?
Platelets release growth factors that influence both tissue repair and the immune response, which is why PRP may be used in rheumatoid and other inflammatory arthritis to help reduce local inflammation, pain and swelling. It complements rather than replaces your rheumatologist's prescribed treatment.
Can psoriatic arthritis be cured?
Psoriatic arthritis is a chronic disease that cannot currently be cured completely. The aim is long remission: controlling inflammation and preventing joint deformity. Regenerative injections can 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?
With an active joint infection, a severe flare, pregnancy, cancer or blood clotting disorders, the procedure is not done — the doctor either postpones it or suggests an alternative.
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 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 — pregnancy is a contraindication to any joint injections, PRP and SVF among them. During pregnancy, arthritis treatment is decided 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 in Rotterdam: from diagnosis to follow-up
Growth factors released by platelets influence the immune response and tissue repair. For patients from Rotterdam with rheumatoid and other inflammatory arthritis, PRP may be one part of the overall plan.
Pain usually eases over the first month, and mobility improves over about three months. For patients from Rotterdam, the full effect develops over around six months, and its duration differs from person to person.
Leave a request, and a coordinator will contact you to arrange a free consultation. The price of arthritis treatment in Rotterdam is explained before any procedure.
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