Arthritis Treatment for Patients from Washington D.C.
Arthritis care for the knee, hand, shoulder and other joints can include PRP and SVF cell therapy, always after a doctor checks your case and 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?
An inflamed joint is the core of arthritis. Look for pain at night or when resting, stiffness in the morning for longer than half an hour, swelling, and a joint that is red and warm. The cause can be autoimmune (rheumatoid or psoriatic arthritis), gout, infection or a long-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
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
Pain following overuse or sports strain, along with worn joint surfaces
Hand and wrist joints
Pain and stiffness affecting the small joints of the fingers and wrist
Knee
Cartilage that has worn, meniscus trouble, pain after walks and on stairs
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Wear of the joint and the tendons around it, pain on raising the arm
Methods we use
Cell therapy (SVF) from your own adipose tissue
A small sample of your adipose tissue is processed to isolate the stromal vascular fraction (SVF) — a mix of cells involved in tissue repair. Combined with your own plasma, it is 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
Plasma rich in platelets and growth factors is taken from a small amount of your blood and injected into the joint, where it helps calm inflammation and improves the conditions for tissue repair.
It may be recommended for rheumatoid and other inflammatory arthritis as one part of the overall treatment plan.
How the procedure goes: step by step
Consultation and scan review
First comes an examination of the joint and a look at your X-rays, MRI or ultrasound; then the doctor decides whether the procedure fits your case. Existing scans can be sent 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
Under local anaesthetic we take roughly 30 ml of adipose tissue through a single puncture on the abdomen or the inner thigh — no stitches required.
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
No hospital stay and no crutches. Once the procedure is done, the doctor remains in touch and tracks how your joint responds.
Consultation and scan review
First comes an examination of the joint and a look at your X-rays, MRI or ultrasound; then the doctor decides whether the procedure fits your case. Existing scans can be sent 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
Under local anaesthetic we take roughly 30 ml of adipose tissue through a single puncture on the abdomen or the inner thigh — no stitches required.
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
No hospital stay and no crutches. Once the procedure is done, the doctor remains in touch and tracks how your joint responds.
Follow-up visits
The plan is adjusted at follow-up visits, where the doctor sees how the joint responds: pain tends to ease over the first month, mobility to improve over about three months, and the full effect to develop over roughly 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
Treatment without surgery: our work is about keeping your own joint, not replacing it
Your own tissue
Everything used comes from you — your blood and adipose tissue — with no synthetic or donor material
No crutches
Punctures instead of incisions, 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
We stay in touch after the procedure and follow the result, not just the day of the injection
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?
Joint inflammation defines arthritis. It typically brings pain at rest and at night, morning stiffness that lasts more than 30 minutes, swelling, redness and warmth over the joint. Autoimmune conditions like rheumatoid arthritis, infections, gout and psoriasis can all lead to it.
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?
Being chronic, psoriatic arthritis cannot at present be cured completely. The target is a long remission in which inflammation is controlled and joint deformity prevented; regenerative injections can be one element of the 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?
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?
An autoimmune reaction, infection or gout can inflame the knee — that is knee arthritis, with redness, warmth, marked swelling and tenderness to touch. Osteoarthritis is cartilage wear, usually noticed as a dry crunch and aching pain when the knee moves.
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 rules out joint injections, including PRP and SVF, and arthritis treatment in pregnancy is decided only jointly with a rheumatologist and an obstetrician.
Can I get a second opinion on my tests and scans?
Yes. Just send X-rays, MRI, ultrasound or blood test results; a doctor reviews them free of charge and tells you whether regenerative treatment might suit your type of arthritis.
What happens if rheumatoid arthritis is not treated?
It needs timely treatment: otherwise it can lead to permanent deformity and loss of function of the joint, osteoporosis and damage to internal organs, including the heart, lungs and kidneys.
City Medical Centre licences
Other services at our clinic
Arthritis in Washington D.C.: types, methods and price
Arthritis treatment in Washington D.C. uses your own tissue: platelet-rich plasma from a small blood sample and the stromal vascular fraction from a small adipose tissue sample. There is no donor or synthetic material.
An arthritic joint hurts even at rest because inflammation keeps stimulating pain receptors. For patients from Washington D.C., treatment aimed at reducing that inflammation can ease pain at rest and at night.
Send your X-rays, MRI, ultrasound or blood test results. Patients from Washington D.C. receive a free assessment and a clear answer on suitable treatment and its price.
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