Treatment of Inflammatory Joint Conditions in Sacramento
Your case and test results are reviewed by a doctor before PRP and SVF cell therapy is offered as part of arthritis care for the knee, hand, shoulder and more
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?
In arthritis the joint is inflamed. People typically notice pain even at rest or at night, stiffness on waking that goes on for more than half an hour, swelling, and a red, warm joint. Behind it may be an autoimmune condition such as rheumatoid or psoriatic arthritis, gout, an infection or old trauma.
PRP and SVF can lessen inflammation and pain and back up the tissues in the joint, but systemic disease remains the rheumatologist's job. The procedure is skipped while there is an active joint infection or a severe flare, and the doctor first confirms the form of arthritis before choosing when to proceed.
No surgery — an injection instead of an operation
Ultrasound guidance for every injection
Free consultation and review of your scans
Joints we treat
Both large and small joints — after reviewing your scans, the doctor decides on the joint, the method and how many injections you need
Elbow
Pain after strain in sport or overuse, and worn surfaces inside the joint
Hand and wrist joints
Stiff, painful small joints in the fingers and wrist
Knee
Stair and post-walking pain, worn cartilage and meniscus problems
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 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
From a small amount of your blood, plasma rich in growth factors and platelets is separated and injected into the joint. It helps to calm inflammation and creates better conditions for repairing tissue.
It can be advised for rheumatoid arthritis and other inflammatory arthritis, as a single element of the wider treatment plan.
How the procedure goes: step by step
Consultation and scan review
Whether the procedure suits you is decided once the doctor has examined your joint and reviewed your X-rays, MRI or ultrasound. If scans already exist, you can send them before visiting.
Blood sample for PRP
From a small amount of blood drawn from a vein, platelet-rich plasma with growth factors is prepared later on.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Under local anaesthetic, a small portion of adipose tissue (about 30 ml) is taken through a puncture on the abdomen or inner thigh. No stitches are needed.
Processing in a centrifuge
The sample is placed in a centrifuge, where it splits into layers. From these 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
The affected joint receives the prepared material by direct injection under ultrasound guidance, for precise placement.
Follow-up
No hospital stay and no crutches. Once the procedure is done, the doctor remains in touch and tracks how your joint responds.
Consultation and scan review
Whether the procedure suits you is decided once the doctor has examined your joint and reviewed your X-rays, MRI or ultrasound. If scans already exist, you can send them before visiting.
Blood sample for PRP
From a small amount of blood drawn from a vein, platelet-rich plasma with growth factors is prepared later on.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Under local anaesthetic, a small portion of adipose tissue (about 30 ml) is taken through a puncture on the abdomen or inner thigh. No stitches are needed.
Processing in a centrifuge
The sample is placed in a centrifuge, where it splits into layers. From these 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
The affected joint receives the prepared material by direct injection under ultrasound guidance, for precise placement.
Follow-up
No hospital stay and no crutches. Once the procedure is done, the doctor remains in touch and tracks how your joint responds.
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
A doctor decides whether the treatment suits you after examining you and reviewing 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: skin inflammation over the joint to be treated, 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
Treatment without surgery: our work is about keeping your own joint, not replacing it
Your own tissue
Only your own blood and adipose tissue are used — no donor or synthetic material
No crutches
Under local anaesthetic, through punctures instead of incisions, with no long rehabilitation afterwards
Second opinion
Send X-rays, MRI results or reports and a doctor will assess them independently and free of charge
Support after the procedure
We track the result after the procedure and keep in touch, rather than stopping at injection day
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?
PRP may be used in rheumatoid and other inflammatory arthritis to help reduce local inflammation, pain and swelling. Growth factors released by platelets influence the immune response and tissue repair. It complements, but does not replace, the treatment prescribed by your rheumatologist.
Can psoriatic arthritis be cured?
Regenerative injections can be one part of the plan for psoriatic arthritis — a chronic disease that cannot currently be cured completely, where the aim is long remission, controlled inflammation and no joint deformity.
How does SVF work in autoimmune arthritis?
SVF contains cells that can adjust the local immune response and help repair damaged tissue in the joint. Research here is still ongoing, so the doctor will talk through realistic expectations for your type of arthritis.
When is the treatment not suitable?
Active joint infection, a severe flare, pregnancy, cancer and blood clotting disorders all rule out the procedure; in these cases the doctor postpones it or proposes another option.
How is knee arthritis different from osteoarthritis?
An autoimmune reaction, infection or gout can inflame the knee — that is knee arthritis, with redness, warmth, marked swelling and tenderness to touch. Osteoarthritis is cartilage wear, usually noticed as a dry crunch and aching pain when the knee moves.
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. Because pregnancy is a contraindication to joint injections, including PRP and SVF, arthritis treatment during pregnancy is only decided jointly by a rheumatologist and an obstetrician.
Can I get a second opinion on my tests and scans?
Yes — a doctor will look through your X-rays, MRI, ultrasound or blood test results free of charge and tell you whether regenerative treatment could fit your type of arthritis.
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 Sacramento: a short guide
We work with inflammatory joint conditions of the knee, hand and wrist, shoulder, elbow, hip and ankle. Patients from Sacramento can send their test results and scans for a free review.
An arthritic joint hurts even at rest because inflammation keeps stimulating pain receptors. For patients from Sacramento, treatment aimed at reducing that inflammation can ease pain at rest and at night.
A consultation is the first step for every patient from Sacramento. It is free, and after it you know whether the treatment fits, the method and the cost.
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