1Consultation 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.
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
Consultation and review of your scansFree
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What it is
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
- Own tissue — your blood and adipose tissue
- Ultrasound guidance for every injection
Who the treatment suits
A doctor examines you, reviews your scans and then decides whether the treatment is suitable
Suitable
- Pain, crunching or stiffness in a joint
- Painkillers only help for a short time
- Recovery after injuries and surgery
- You need a second opinion on your scans
- You want to avoid or postpone joint replacement
- Early or moderate arthrosis or arthritis
- High load on the joints — sport or physical work
Not suitable
- Cancer
- Pregnancy
- Blood clotting disorders
- Acute infections, including infection in or near the joint
- Flare-up of a serious chronic illness
- Temporary contraindications: a raised temperature (fever), a cold or flu, or skin inflammation over the joint to be treated
Not sure the treatment is right for you?
Leave your number — the coordinator will ask for your scans (X-ray, MRI or ultrasound), and the doctor will tell you whether treatment without surgery suits you.
Find out if it suits meWhat we treat
Conditions we treat
Arthritis
Arthrosis
Avascular necrosis
Osteoarthritis
Coxarthrosis (hip osteoarthritis)
Gonarthrosis (knee osteoarthritis)
Meniscus pathology and injury
Rehabilitation after injuries and surgery
Inflammatory joint conditions- Second opinionFor a free, independent doctor's assessment, send us your X-rays, MRI or reports
How it works
How the procedure goes: step by step
1
2Blood sample for PRP
A small blood sample is taken from a vein. Later, platelet-rich plasma with growth factors is prepared from this blood.
3Adipose 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.
4Processing 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.
5Injection into the joint
We inject the prepared material right into the affected joint, guided by ultrasound so that it is placed precisely.
6Follow-up
Without crutches and without a hospital stay: after the procedure the doctor stays in touch and follows the joint's response.
Book a consultation
Call or message us — our coordinator will contact you shortly and book your consultation
Results
After the procedure
1 week
The joint may ache a little more — this is an expected reaction.
1 month
The pain usually eases.
~3 months
Mobility and activity improve.
~6 months
The full effect develops.
How long it lasts differs from person to person and depends on the stage of the condition, body weight, activity and other factors — no one can promise a fixed result.
Comparison
Methods we use
Just your blood and your adipose tissue; donor and synthetic materials are not used
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.
- Material
- Your adipose tissue and plasma
- How it is given
- Into the joint, under ultrasound
- Duration
- The whole procedure is done in one day.
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.
- Material
- Your blood from a vein
- How it is given
- Into the joint, under ultrasound
- Duration
- The whole procedure is done in one day.
The benefits and timings shown are averaged and given for guidance: the plan and recovery depend on your joint and individual features, and the doctor confirms them at the consultation.
At the consultation the doctor will review your scans and suggest a treatment plan
Free consultation
Joints
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
KneeCartilage wear, meniscus problems, pain on stairs and after walking
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderWear in the joint and the tendons around it, painful arm raising
ElbowWorn joint surfaces and pain that follows overuse or sports strain
Hand and wrist jointsStiff, painful small joints in the fingers and wrist
AnklePain and stiffness after sprains and old injuries
Advantages
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
About the clinic
A clinic where you can feel at ease
Modern equipment, comfortable rooms and care for every patient
Contact us the way that suits you
We will answer your questions and find a convenient time for a consultation
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Request a free callPrice
Arthritis treatment prices
Price depends on the joint, the method and your type of arthritis, and the doctor names it after the consultation
Consultation and review of your scans
Free
Book — Consultation and review of your scansPRP therapy (platelet-rich plasma)
Price at consultation
Book — PRP therapy (platelet-rich plasma)Cell therapy (SVF + PRP), one joint
Price at consultation
Book — Cell therapy (SVF + PRP), one joint
FAQ
Joint treatment: frequently asked questions
Rheumatoid arthritis is a systemic disease that is treated by a rheumatologist. PRP and SVF injections do not cure it; once an acute flare has settled, the doctor can assess whether joint injections may ease local 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
About the conditions
More about these conditions
It is gradual wear of the cartilage that covers the ends of the bones in a joint. When the cartilage thins, the joint loses its cushioning, the bones rub against each other, and pain, stiffness and crunching appear. It is a degenerative condition, not an inflammatory one.
At early stages, PRP or SVF injections combined with exercise therapy and physiotherapy can reduce pain and improve movement. If the joint is already badly damaged, replacement may be the more realistic option — the doctor will tell you honestly after seeing your scans.
At early stages (1–2), SVF therapy may be considered to support blood supply to the femoral head and delay the need for joint replacement. At later stages surgery is usually required.