Joint Pain Treatment in Baltimore
Cell therapy (SVF) and PRP for the knee, hip, shoulder and other joints. A free review of your scans before any decision
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 regenerative
joint treatment?
Regenerative care for joints is based on your own material. Platelet-rich plasma (PRP) is obtained from blood, and the stromal vascular fraction (SVF) from a small amount of adipose tissue; the doctor then injects it into the affected joint to reduce pain and inflammation and to support its internal tissues.
This treatment suits people with painful joints who would like to avoid or delay surgery, or who have been told that only a joint replacement will help. The earlier the stage, the better the prospect of a lasting result — the doctor judges this from your scans.
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 can be treated; the doctor settles the joint, the method and the injection count after checking your scans
Elbow
Overuse or sports-related pain and wear of the joint surfaces
Hand and wrist joints
Stiffness and pain in the small joints of the fingers and wrist
Knee
Meniscus problems, cartilage wear and pain on stairs or after a walk
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Worn joint and surrounding tendons, pain when lifting the arm
Methods we use
Cell therapy (SVF) from your own adipose tissue
SVF (stromal vascular fraction) is a mixture of cells involved in tissue repair, isolated from a small sample of your adipose tissue. Combined with plasma from your own body, it is injected directly into the affected joint.
Doctors tend to choose it when the joint shows more pronounced changes and a more durable effect is wanted.
PRP — platelet-rich plasma from your own blood
Plasma rich in platelets and growth factors is separated from a small amount of your blood and injected into the joint. It helps calm inflammation and creates better conditions for tissue repair.
It is suitable as a separate injection course or in combination with SVF.
How the procedure goes: step by step
Consultation and scan review
Your joint is examined and the doctor studies your X-rays, MRI or ultrasound to judge whether the procedure is suitable. Existing scans can be sent before the appointment.
Blood sample for PRP
Blood is taken from a vein in a small amount, and it is later used to prepare platelet-rich plasma with growth factors.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
About 30 ml of adipose tissue is collected through a puncture on the abdomen or the inner thigh under local anaesthetic. The puncture needs no stitches.
Processing in a centrifuge
The centrifuge separates the sample into layers, the stromal vascular fraction is isolated, and it is then mixed with platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Using ultrasound guidance, the doctor places the prepared material precisely by injecting it straight into the affected joint.
Follow-up
Afterwards there are no crutches and no hospital stay, and the doctor keeps in touch to follow how the joint is responding.
Consultation and scan review
Your joint is examined and the doctor studies your X-rays, MRI or ultrasound to judge whether the procedure is suitable. Existing scans can be sent before the appointment.
Blood sample for PRP
Blood is taken from a vein in a small amount, and it is later used to prepare platelet-rich plasma with growth factors.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
About 30 ml of adipose tissue is collected through a puncture on the abdomen or the inner thigh under local anaesthetic. The puncture needs no stitches.
Processing in a centrifuge
The centrifuge separates the sample into layers, the stromal vascular fraction is isolated, and it is then mixed with platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Using ultrasound guidance, the doctor places the prepared material precisely by injecting it straight into the affected joint.
Follow-up
Afterwards there are no crutches and no hospital stay, and the doctor keeps in touch to follow how the joint is responding.
Follow-up visits
You come back for follow-up visits so the doctor can see how the joint responds and refine the plan. Pain usually settles over the first month, mobility improves over about three months, and the effect is complete over around six months.
Conditions we treat
It is a doctor who decides if the treatment fits you — after an examination and a review of your scans
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: inflamed skin over the treatment joint, fever, a cold or flu
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
Usually you leave the same day and resume ordinary daily activity within a day or two, with small dressings over the puncture sites. The joint may ache slightly more during the first week — an expected reaction. Over the first month pain typically eases; over roughly three months mobility and activity improve; the full effect develops over about six months. Its duration is individual and depends on the stage of the condition, body weight, activity and other factors, so no fixed result can be promised. The doctor advises you personally on exercise and load for the first weeks.
Why patients choose City Medical Centre
We focus on preserving your own joint instead of replacing it, without surgery
Your own tissue
Only your own blood and adipose tissue — no donor or synthetic material is used
No crutches
Punctures instead of incisions, local anaesthetic, no long rehabilitation
Second opinion
Send us your X-rays, MRI or reports and a doctor will assess them independently, free of charge
Support after the procedure
We stay in touch after the procedure and follow the result, not just the day of the injection
Joint treatment prices
After the consultation the doctor gives the price, which depends on the joint, the stage 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 the difference between PRP and SVF?
One is plasma, one is cells: PRP is platelet-rich plasma from your blood, SVF a cell fraction from a small adipose tissue sample. As they act in different ways, doctors often combine them to boost the regenerative effect in the joint.
Is the treatment safe?
Your own tissue is used in both methods, which keeps the risk of rejection or an allergic reaction very low. Any injection may cause temporary pain, swelling or bruising; infection is rare. The doctor explains your individual risks at the consultation.
How long does the effect last?
Each case differs. A PRP effect often lasts from several months to around a year, and an SVF effect can last longer. It depends on your body and the stage of the condition, so no one can promise you a fixed result.
Who should not have the procedure?
It is not done during pregnancy, in people with cancer, acute infections or blood clotting disorders, or while a serious chronic illness is flaring up. The consultation is where the doctor checks this.
Can hip osteoarthritis (coxarthrosis) be treated without surgery?
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.
Can avascular necrosis of the hip be treated?
Early on (stages 1–2), the doctor may consider SVF therapy to support the femoral head's blood supply and delay joint replacement. In later stages surgery is generally required.
Why try to avoid joint replacement?
With early or moderate changes, trying to keep your own joint first is often the sensible path — a replacement means major surgery, lengthy rehabilitation, risks such as infection and implants that might eventually be redone.
Can I get a second opinion on my scans?
Yes — just send whatever X-rays, MRI, CT or medical reports you have. The review by a doctor costs nothing, and you learn whether the procedure could suit you and what else is needed.
How soon can I return to normal life?
Usually after a day or two. Crutches and long rehabilitation are not needed; for the first weeks you get recommendations on load and exercise from the doctor.
Does the treatment help with shoulder pain?
PRP is an option for rotator cuff and shoulder joint problems, and SVF can be considered for more advanced arthritis of the shoulder. The doctor first pins down the cause of the pain, and suitability depends on it.
City Medical Centre licences
Other services at our clinic
Joint treatment in Baltimore: a short guide
We treat arthritis, arthrosis, osteoarthritis of the knee and hip, avascular necrosis, meniscus problems and inflammatory joint conditions, and help with rehabilitation after injuries and surgery. Patients from Baltimore can have the elbow, hand and wrist, knee, hip, ankle or shoulder treated.
Follow-up visits help the doctor see how the joint responds and adjust the plan. In Baltimore, you receive recommendations on load and exercise for the first weeks, and the doctor stays in touch after the procedure.
To get started, send your scans or book a visit. Patients from Baltimore receive a free review, a clear answer on whether treatment is suitable, and the price for their case.
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