Joint Inflammation Treatment in San Antonio
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?
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.
Reducing inflammation and pain and supporting the tissues in the joint is what PRP and SVF can offer — not a replacement for rheumatology care of a systemic disease. With an active joint infection or a severe flare the procedure waits: first the doctor confirms the arthritis type and selects the moment.
No surgery — an injection instead of an operation
Ultrasound guidance for every injection
Free consultation and review of your scans
Joints we treat
We treat large and small joints; the joint, the method and the injection count are set by the doctor after a review of your scans
Elbow
Overuse or sports-strain pain and wearing of the joint surfaces
Hand and wrist joints
Small finger and wrist joints that feel stiff and hurt
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 in the joint and the tendons around it, painful arm raising
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.
Its effect on local inflammation and tissue repair is why it is used in inflammatory arthritis, after the acute flare has settled.
PRP — platelet-rich plasma from your own blood
Injected into the joint, plasma rich in platelets and growth factors — separated from a small amount of your blood — helps calm inflammation and makes conditions for tissue repair better.
Rheumatoid and other inflammatory arthritis may call for it as one part of the overall treatment plan.
How the procedure goes: step by step
Consultation and scan review
The doctor examines the joint, reviews your X-rays, MRI or ultrasound and decides whether the procedure suits you. If you already have scans, you can send them before the visit.
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
About 30 ml of adipose tissue is taken through a puncture on the abdomen or inner thigh, under local anaesthetic; the puncture needs no stitches.
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
We inject the prepared material right into the affected joint, guided by ultrasound so that it is placed precisely.
Follow-up
No crutches, no hospital stay — and after the procedure the doctor stays in touch to follow how your joint responds.
Consultation and scan review
The doctor examines the joint, reviews your X-rays, MRI or ultrasound and decides whether the procedure suits you. If you already have scans, you can send them before the visit.
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
About 30 ml of adipose tissue is taken through a puncture on the abdomen or inner thigh, under local anaesthetic; the puncture needs no stitches.
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
We inject the prepared material right into the affected joint, guided by ultrasound so that it is placed precisely.
Follow-up
No crutches, no hospital stay — and after the procedure the doctor stays in touch to follow how your 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: flu, a cold or fever, and 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
Small dressings are placed over the puncture sites, and most people leave the same day, returning to everyday activity within a day or two. A little more aching in the joint during the first week is an expected reaction. Over the first month pain generally eases; mobility and activity improve over about three months; the full effect develops over around six months. The duration differs between people and depends on the stage of the condition, body weight, activity and more, so a fixed result cannot be promised. Under a rheumatologist's care? Keep taking your prescribed medication unless you have discussed stopping it with them.
Why patients choose City Medical Centre
We try to keep the joint you have rather than replace it — with 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
No incisions, only punctures; local anaesthetic; no long rehabilitation
Second opinion
Share your X-rays, MRI or reports and get a doctor's independent assessment at no cost
Support after the procedure
Our contact does not end on the day of the injection — we stay in touch and follow the result
Arthritis treatment prices
Cost varies with the joint, the arthritis type and the method, so it is named by the doctor 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 a disease in which the joints become inflamed. Its typical signs are pain at rest and at night, morning stiffness lasting over 30 minutes, swelling, redness and warmth over the joint. Among the causes are autoimmune conditions like rheumatoid arthritis, as well as infections, gout and psoriasis.
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 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?
It is not done during an active joint infection, a severe flare, pregnancy, cancer or blood clotting disorders. In these cases the doctor postpones the procedure or suggests another option.
How is knee arthritis different from osteoarthritis?
Inflammation from an autoimmune reaction, infection or gout is knee arthritis — redness, warmth, marked swelling and a knee tender to touch. Cartilage wear is osteoarthritis, which usually shows as aching pain and a dry crunch when moving.
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. Your X-rays, MRI, ultrasound or blood test results are reviewed by a doctor free of charge, and you will hear whether regenerative treatment could suit your type of arthritis.
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
What San Antonio residents ask about arthritis
PRP and SVF can help reduce inflammation and pain and support the tissues inside the joint. For patients from San Antonio with systemic disease, they complement, but do not replace, care from a rheumatologist.
An arthritic joint hurts even at rest because inflammation keeps stimulating pain receptors. For patients from San Antonio, treatment aimed at reducing that inflammation can ease pain at rest and at night.
Patients from San Antonio can start with a free review of their tests and scans: the doctor tells you whether regenerative treatment could suit your type of arthritis and what it would cost.
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