Arthritis in Virār: When This Treatment Fits
For arthritis in the knee, hand, shoulder or another joint, PRP and SVF cell therapy form one part of care — starting with a doctor's review of your tests
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 means an inflamed joint. It usually shows as pain at rest and at night, stiffness in the morning lasting over half an hour, swelling, redness and a warm joint. Causes differ: autoimmune conditions like rheumatoid or psoriatic arthritis, gout, an infection or a past injury.
PRP and SVF may help ease inflammation and pain and support the tissues within the joint, yet they are no substitute for a rheumatologist's care of a systemic disease. We do not carry out the procedure during an active joint infection or a severe flare — the doctor first confirms which arthritis you have and picks 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
After going through your scans, the doctor selects the joint, the method and the number of injections — whether the joint is large or small
Elbow
Pain after overuse or sports strain, wear of the joint surfaces
Hand and wrist joints
Pain and stiffness in the small joints of the wrist and fingers
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
Pain on lifting the arm and wear of the joint and nearby tendons
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.
After the acute flare settles, inflammatory arthritis can be treated with it for its action on tissue repair and local inflammation.
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 may form one part of the overall treatment plan in rheumatoid and other types of 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
A vein provides a small amount of blood, which is later used to prepare platelet-rich plasma rich in growth factors.
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
In a centrifuge the sample separates into layers; the stromal vascular fraction is then isolated and mixed with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Guided by ultrasound for accurate placement, the doctor injects the prepared material directly 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
A vein provides a small amount of blood, which is later used to prepare platelet-rich plasma rich in growth factors.
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
In a centrifuge the sample separates into layers; the stromal vascular fraction is then isolated and mixed with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Guided by ultrasound for accurate placement, the doctor injects the prepared material directly 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
With follow-up visits the doctor can see how the joint responds and change the plan if needed. As a rule, pain eases in the first month, mobility improves across about three months, and the full effect takes around six months to develop.
Conditions we treat
After an examination and a look at your scans, a doctor decides if the treatment is right for 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: fever, a cold or flu, 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
Going home the same day is the norm, and within a day or two most people are back to daily life; the punctures are covered with small dressings. For the first week the joint may ache a little more — this is expected. Pain usually eases over the first month; mobility and activity improve over about three months; the full effect develops over around six months. The effect lasts differently for each person, depending on the stage of the condition, body weight, activity and other factors, and no one can promise a fixed result. If you are under a rheumatologist, talk to them before stopping prescribed medication.
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
Your own adipose tissue and blood are the only materials used, never donor or synthetic ones
No crutches
Punctures instead of incisions, local anaesthetic, no long rehabilitation
Second opinion
A doctor will give you an independent assessment free of charge — just send 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
Price depends on the joint, the method and your type of arthritis, and 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 disease of the joints. Typical signs are pain at rest and at night, morning stiffness lasting more than 30 minutes, swelling, redness and warmth over the joint. Causes include autoimmune conditions such as rheumatoid arthritis, infections, gout and psoriasis.
Can PRP help with rheumatoid arthritis?
To help lower local inflammation, pain and swelling, PRP may be used in rheumatoid and other inflammatory arthritis. Growth factors from platelets act on the immune response and on tissue repair. It supplements the treatment prescribed by your rheumatologist without replacing it.
Can psoriatic arthritis be cured?
There is currently no way to cure psoriatic arthritis completely, as it is a chronic disease. The aim is long remission: keeping inflammation in check and preventing joint deformity, with regenerative injections as one possible part of the plan.
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?
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?
With knee arthritis, an autoimmune reaction, infection or gout causes inflammation — redness, warmth, marked swelling, tenderness to touch. Osteoarthritis is different: the cartilage wears, and the usual signs are a dry crunch and aching pain during movement.
Why does an arthritic joint hurt even at rest?
The joint's pain receptors are stimulated by inflammation continuously: during movement, at rest and at night. Easing this pain is possible with treatment that reduces inflammation, including 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 — send us your X-rays, MRI, ultrasound or blood test results. A doctor reviews them free of charge and tells you whether your type of arthritis could suit regenerative treatment.
What happens if rheumatoid arthritis is not treated?
Without treatment the condition can leave the joint permanently deformed, cause loss of function and osteoporosis, and damage internal organs like the heart, lungs and kidneys; timely treatment prevents these complications.
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Other services at our clinic
Arthritis in Virār: from diagnosis to follow-up
We work with inflammatory joint conditions of the knee, hand and wrist, shoulder, elbow, hip and ankle. Patients from Virār can send their test results and scans for a free review.
Treatment starts with a consultation and a review of your scans and tests. Then blood and a small adipose tissue sample are taken, processed in a centrifuge and injected into the joint under ultrasound guidance. For patients from Virār, it is done in one day.
The price depends on how many joints are treated and on the method. For patients from Virār, the doctor explains the plan and the cost at a free consultation.
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