Arthritis Treatment in Zaragoza: Steps and Aftercare
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?
In arthritis the joint is inflamed. People typically notice pain even at rest or at night, stiffness on waking that goes on for more than half an hour, swelling, and a red, warm joint. Behind it may be an autoimmune condition such as rheumatoid or psoriatic arthritis, gout, an infection or old trauma.
PRP and SVF can lessen inflammation and pain and back up the tissues in the joint, but systemic disease remains the rheumatologist's job. The procedure is skipped while there is an active joint infection or a severe flare, and the doctor first confirms the form of arthritis before choosing when to proceed.
No surgery — an injection instead of an operation
Ultrasound guidance for every injection
Free consultation and review of your scans
Joints we treat
Large and small joints are treated, with the doctor choosing the joint, method and number of injections based on your scans
Elbow
Pain from overuse or strain during sport, and wear of the joint surfaces
Hand and wrist joints
Small finger and wrist joints that feel stiff and hurt
Knee
Pain after walking and on stairs, meniscus problems and cartilage wear
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Joint and surrounding tendon wear, with pain on lifting the arm
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
The joint receives plasma rich in platelets and growth factors, separated from a small amount of your own blood. It helps inflammation settle and creates better conditions for the tissue to repair.
For rheumatoid and other forms of inflammatory arthritis it may be suggested as one component 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
Roughly 30 ml of adipose tissue is removed through a puncture on the abdomen or inner thigh under local anaesthetic, and no stitches are needed afterwards.
Processing in a centrifuge
The stromal vascular fraction is isolated after the sample is spun in a centrifuge and separates into layers, then mixed with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Direct injection into the affected joint under ultrasound guidance helps the prepared material land exactly where it is needed.
Follow-up
There are no crutches and no hospital stay. After the procedure the doctor keeps in touch and follows how the joint responds.
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
Roughly 30 ml of adipose tissue is removed through a puncture on the abdomen or inner thigh under local anaesthetic, and no stitches are needed afterwards.
Processing in a centrifuge
The stromal vascular fraction is isolated after the sample is spun in a centrifuge and separates into layers, then mixed with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Direct injection into the affected joint under ultrasound guidance helps the prepared material land exactly where it is needed.
Follow-up
There are no crutches and no hospital stay. After the procedure the doctor keeps in touch and follows how the joint responds.
Follow-up visits
Follow-up visits are there so the doctor can see the joint's response and adjust the plan. Expect pain to ease over the first month, mobility to improve over about three months and the full effect to develop over 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
Most people are home the same day and back to their usual routine within a day or two, the puncture sites covered with small dressings. The joint may ache a little more during the first week, as expected. Over the first month the pain usually eases, over about three months mobility and activity improve, and the full effect builds over around six months. How long it holds varies individually with the stage of the condition, body weight, activity and other factors, so no fixed result can be promised. If a rheumatologist treats you, do not drop your prescribed medication without consulting them.
Why patients choose City Medical Centre
Rather than replacing your joint, we work to keep it — this is 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
Small punctures, not incisions, a local anaesthetic and no lengthy rehabilitation
Second opinion
Share your X-rays, MRI or reports and get a doctor's independent assessment at no cost
Support after the procedure
After the injection day we stay in touch and keep following the result
Arthritis treatment prices
After the consultation the doctor names the cost, which depends on the joint, the arthritis type and the method
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?
In arthritis the joints are inflamed. People usually notice pain at night and at rest, stiffness in the morning that lasts more than 30 minutes, swelling, and redness and heat over the joint. It can be caused by autoimmune conditions such as rheumatoid arthritis, by infections, by gout or by 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?
Psoriatic arthritis is a chronic disease that currently cannot be cured completely. The goal is a long remission — keeping inflammation under control and preventing joint deformity — and regenerative injections can be one part of that plan.
How does SVF work in autoimmune arthritis?
Damaged tissue in the joint can be supported in its repair by the cells in SVF, which also modulate the local immune response. Research continues, so the doctor will set out realistic expectations for your type of arthritis.
When is the treatment not suitable?
The procedure is off the table during an active joint infection, a severe flare or pregnancy, and with cancer or blood clotting disorders — the doctor postpones it or suggests another option instead.
How is knee arthritis different from osteoarthritis?
The difference: knee arthritis is inflammation from an autoimmune reaction, infection or gout (redness, warmth, marked swelling, tenderness to touch), while osteoarthritis is wear of the cartilage, usually with a dry crunch and aching pain on movement.
Why does an arthritic joint hurt even at rest?
Inflammation stimulates the joint's pain receptors non-stop: on movement, at rest, at night. Reducing the inflammation with treatment such as PRP and SVF can ease this pain.
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. Send your X-rays, MRI, ultrasound or blood test results, and a doctor will review them free of charge and tell you whether regenerative treatment could suit your type of arthritis.
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.
City Medical Centre licences
Other services at our clinic
Choosing arthritis treatment in Zaragoza
SVF contains cells that can modulate the local immune response and support the repair of damaged tissue. Research is ongoing, so the doctor discusses realistic expectations with every patient in Zaragoza.
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 Zaragoza, it is done in one day.
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 Zaragoza, the first consultation and review of your scans are free. Leave your name and phone number to book.
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