Treatment of Inflammatory Joint Conditions in Warsaw
First a doctor reviews your tests and history; then PRP and SVF cell therapy may join your arthritis care for the knee, hand, shoulder or other joints
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.
Helping to reduce inflammation and pain and to support tissue inside the joint — that is the role of PRP and SVF, alongside, not instead of, a rheumatologist's care for a systemic disease. The doctor first confirms the type of arthritis and waits for the right moment, never acting during a severe flare or an active joint infection.
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
Worn joint surfaces and pain that follows overuse or sports strain
Hand and wrist joints
Stiff, painful small joints in the fingers and wrist
Knee
Cartilage wear, meniscus problems, pain on stairs and after walking
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
SVF, or stromal vascular fraction, is a mix of cells involved in tissue repair, isolated by processing a small amount of your adipose tissue. It is combined with plasma from your own blood and injected into the affected joint.
When the acute flare has died down, it can be used in inflammatory arthritis to act on local inflammation and help tissue repair.
PRP — platelet-rich plasma from your own blood
We separate plasma rich in platelets and growth factors from a small quantity of your blood and inject it into the joint. There it helps quieten inflammation and sets up better conditions for tissue repair.
It may be advised for rheumatoid or other inflammatory arthritis, always as just one part of the overall plan of treatment.
How the procedure goes: step by step
Consultation and scan review
Your X-rays, MRI or ultrasound are reviewed and the joint is examined, after which the doctor decides whether this procedure suits you. Already have scans? You can send them in advance.
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
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
Once the centrifuge has spun the sample into layers, the stromal vascular fraction is isolated and added to 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
Without crutches and without a hospital stay: after the procedure the doctor stays in touch and follows the joint's response.
Consultation and scan review
Your X-rays, MRI or ultrasound are reviewed and the joint is examined, after which the doctor decides whether this procedure suits you. Already have scans? You can send them in advance.
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
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
Once the centrifuge has spun the sample into layers, the stromal vascular fraction is isolated and added to 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
Without crutches and without a hospital stay: after the procedure the doctor stays in touch 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
A doctor examines you, reviews your scans and then decides whether the treatment is 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
Small dressings cover the punctures, and most people go home that same day, getting back to everyday activity within a day or two. Expect the joint to ache a little more in the first week — a normal reaction. Pain usually eases over the first month, mobility and activity improve over about three months, and the full effect develops over around six months. How long the result lasts varies with the stage of the condition, body weight, activity and other factors; no one can promise a fixed outcome. If you are being treated by a rheumatologist, keep your prescribed medication unless you have talked it over 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
Just your blood and your adipose tissue; donor and synthetic materials are not used
No crutches
Local anaesthetic, punctures rather than incisions, and no long rehabilitation
Second opinion
For a free, independent doctor's assessment, send us your X-rays, MRI or reports
Support after the procedure
We track the result after the procedure and keep in touch, rather than stopping at injection day
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?
In inflammatory arthritis, rheumatoid included, PRP may help cut local inflammation, pain and swelling. Growth factors released by the platelets shape the immune response and support tissue repair. It is a complement to, not a substitute for, your rheumatologist's treatment.
Can psoriatic arthritis be cured?
Psoriatic arthritis is chronic and, for now, cannot be cured completely. Treatment therefore aims at long remission, controlling inflammation and preventing the joints from deforming. Regenerative injections may be one part of that 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?
The doctor postpones the procedure or suggests another option in cases of active joint infection, a severe flare, pregnancy, cancer or blood clotting disorders, as it is not done then.
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?
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. PRP, SVF and other joint injections are contraindicated during pregnancy; how to treat arthritis while pregnant is decided only together with a rheumatologist and an obstetrician.
Can I get a second opinion on my tests and scans?
Yes. A doctor looks at your X-rays, MRI, ultrasound or blood tests free of charge and says whether regenerative treatment could suit your type of arthritis — simply send them.
What happens if rheumatoid arthritis is not treated?
Untreated, it can result in permanent joint deformity, lost function, osteoporosis and damage to the heart, lungs, kidneys and other internal organs. These complications are prevented by timely treatment.
City Medical Centre licences
Other services at our clinic
Choosing arthritis treatment in Warsaw
Regenerative injections are not done during an active joint infection or a severe flare. In Warsaw, the doctor chooses the right moment, usually once the acute inflammation has settled.
Most patients in Warsaw go home the same day and return to normal daily activity within a day or two. During the first week the joint may ache a little more — this is an expected reaction.
The cost of arthritis treatment depends on the joint, the type of arthritis and the method, so the price is set at the consultation. For patients from Warsaw, the first consultation and review of your scans are free. Leave your name and phone number to book.
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