Arthritis in The Bronx: When This Treatment Fits
PRP together with SVF cell therapy supports arthritis care in the knee, hand, shoulder and other joints; first comes a doctor's review of your 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?
With arthritis, a joint is inflamed. Signs to watch for: pain while resting and at night, morning stiffness lasting more than half an hour, swelling, redness and warmth over the joint. There are several causes — autoimmune conditions (rheumatoid, psoriatic arthritis), gout, infection or an injury from the past.
PRP and SVF can help reduce inflammation and pain and support the tissues inside the joint, but they do not replace care from a rheumatologist for a systemic disease. The procedure is not done during an active joint infection or a severe flare — the doctor first confirms the type of arthritis and chooses the right moment.
No surgery — an injection instead of an operation
Ultrasound guidance for every injection
Free consultation and review of your scans
Joints we treat
Any size of joint, large or small: your scans are reviewed first, then the doctor settles on 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 in the small joints of the wrist and fingers
Knee
Pain on stairs or after walking, cartilage wear and meniscus problems
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Raising the arm hurts; the joint and the tendons around it are worn
Methods we use
Cell therapy (SVF) from your own adipose tissue
The stromal vascular fraction (SVF) — a blend of cells involved in repairing tissue — is isolated by processing a small sample of your adipose tissue. Mixed with your own plasma, it goes into the affected joint by injection.
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.
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
After examining the joint and reviewing your X-rays, MRI or ultrasound, the doctor decides whether the procedure is right for you. Scans you already have can be sent ahead of the visit.
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
A puncture on the abdomen or inner thigh, local anaesthetic and about 30 ml of adipose tissue taken — the site needs no stitches.
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
Ultrasound guidance helps position it precisely as the prepared material is injected directly into the affected joint.
Follow-up
No crutches and no hospital stay. The doctor stays in touch after the procedure and follows how the joint responds.
Consultation and scan review
After examining the joint and reviewing your X-rays, MRI or ultrasound, the doctor decides whether the procedure is right for you. Scans you already have can be sent ahead of the visit.
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
A puncture on the abdomen or inner thigh, local anaesthetic and about 30 ml of adipose tissue taken — the site needs no stitches.
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
Ultrasound guidance helps position it precisely as the prepared material is injected directly into the affected joint.
Follow-up
No crutches and no hospital stay. The doctor stays in touch after the procedure and follows how the joint responds.
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
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: fever, flu or a cold, or inflamed skin over the joint being 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
We work on keeping your own joint rather than replacing it — treatment without surgery
Your own tissue
Only material from your body — your blood and adipose tissue — and nothing synthetic or from a donor
No crutches
Under local anaesthetic, through punctures instead of incisions, with no long rehabilitation afterwards
Second opinion
Send us your X-rays, MRI or medical reports for a free, independent assessment by a doctor
Support after the procedure
We track the result after the procedure and keep in touch, rather than stopping at injection day
Arthritis treatment prices
The cost depends on the joint, the type of arthritis and the method, so 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 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?
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?
At present psoriatic arthritis, a chronic disease, cannot be cured completely. Treatment aims at long remission by controlling inflammation and preventing deformity of the joints; regenerative injections may be one part of this plan.
How does SVF work in autoimmune arthritis?
SVF includes cells that can modulate the immune response at the site and support the repair of damaged joint tissue. Since research in this field is still ongoing, the doctor will discuss realistic expectations for your form 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?
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?
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. Pregnancy is a contraindication to joint injections, including PRP and SVF. Arthritis treatment during pregnancy is decided only together with a rheumatologist and an obstetrician.
Can I get a second opinion on my tests and scans?
Yes. A free review by a doctor of your X-rays, MRI, ultrasound or blood test results will show whether regenerative treatment could suit your type of arthritis — send them to us.
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.
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Other services at our clinic
Arthritis treatment in The Bronx step by step
Knee arthritis differs from knee osteoarthritis. Arthritis shows redness, warmth, swelling and tenderness to touch; osteoarthritis shows a dry crunch and aching pain on movement. For patients from The Bronx, the diagnosis comes first.
An arthritic joint hurts even at rest because inflammation keeps stimulating pain receptors. For patients from The Bronx, treatment aimed at reducing that inflammation can ease pain at rest and at night.
How much does arthritis treatment cost in The Bronx? The doctor names the price after confirming the type of arthritis and choosing PRP, SVF or a combination. Send a request or message us in any messenger.
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