Knee and Hip Treatment in Bhavnagar Without Surgery
PRP and SVF cell therapy for many joints, from knee and hip to shoulder. First step: a free review of your imaging
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?
Everything used in regenerative joint treatment comes from you: platelet-rich plasma (PRP) is made from your blood, and the stromal vascular fraction (SVF) from a little adipose tissue. The doctor injects it into the painful joint to lessen inflammation and pain and to support the joint's inner tissues.
The option is aimed at patients with joint pain who wish to avoid or postpone surgery, or who have only been offered a replacement. The chance of a lasting effect is best at an early stage, which the doctor checks on 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
Both large and small joints are treated; the joint, the method and the number of injections are chosen by the doctor once your scans are reviewed
Elbow
Joint surface wear and pain after overload or sports strain
Hand and wrist joints
Pain and stiffness in the small joints of the wrist and fingers
Knee
Worn cartilage, meniscus problems, pain on stairs or after walking
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Arm-raising pain, with wear of the joint and the tendons around it
Methods we use
Cell therapy (SVF) from your own adipose tissue
From a small sample of your adipose tissue, the stromal vascular fraction (SVF) is isolated — cells that are involved in tissue repair. This fraction, combined with your plasma, is injected into the affected joint.
It tends to be used when the joint is more visibly changed and a longer-lasting effect is being sought.
PRP — platelet-rich plasma from your own blood
A small amount of your blood is processed to separate plasma rich in platelets and growth factors, which is then injected into the joint. It helps settle inflammation and gives the tissues better conditions for repair.
A course of injections can be done with it alone, or it can be paired with SVF.
How the procedure goes: step by step
Consultation and scan review
The doctor examines your joint, looks at your X-rays, MRI or ultrasound and decides whether the procedure is right for you. Scans you already have can be sent ahead of the visit.
Blood sample for PRP
A small amount of blood is taken from a vein. Platelet-rich plasma with growth factors is later prepared from it.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Under local anaesthetic, a small amount of adipose tissue — roughly 30 ml — is removed through a puncture on the abdomen or inner thigh, with no stitches needed.
Processing in a centrifuge
In a centrifuge the sample separates into layers. The stromal vascular fraction is then isolated and combined with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
The prepared material is injected straight into the affected joint under ultrasound guidance, which helps to place it precisely.
Follow-up
You need neither crutches nor a hospital stay. The doctor remains in contact afterwards and watches how the joint responds.
Consultation and scan review
The doctor examines your joint, looks at your X-rays, MRI or ultrasound and decides whether the procedure is right for you. Scans you already have can be sent ahead of the visit.
Blood sample for PRP
A small amount of blood is taken from a vein. Platelet-rich plasma with growth factors is later prepared from it.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Under local anaesthetic, a small amount of adipose tissue — roughly 30 ml — is removed through a puncture on the abdomen or inner thigh, with no stitches needed.
Processing in a centrifuge
In a centrifuge the sample separates into layers. The stromal vascular fraction is then isolated and combined with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
The prepared material is injected straight into the affected joint under ultrasound guidance, which helps to place it precisely.
Follow-up
You need neither crutches nor a hospital stay. The doctor remains in contact afterwards and watches how the joint responds.
Follow-up visits
The doctor uses follow-up visits to see the joint's response and change the plan if needed. Usually pain eases during the first month, mobility gets better over about three months, and the full effect takes around six months.
Conditions we treat
A doctor decides whether the treatment suits you after examining you and reviewing 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: skin inflammation over the joint to be treated, a 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 work on keeping your own joint rather than replacing it — treatment without surgery
Your own tissue
We use nothing but your own blood and adipose tissue, with no donor or synthetic material
No crutches
Instead of incisions, punctures under local anaesthetic, and no long rehabilitation afterwards
Second opinion
Send any X-rays, MRI or reports and receive an independent assessment from a doctor for free
Support after the procedure
We stay in contact once the procedure is over and follow how the result develops
Joint treatment prices
Cost varies with the joint, the stage of the condition and the method; 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 the difference between PRP and SVF?
PRP is platelet-rich plasma made from your blood; SVF is a fraction of cells isolated from a small sample of your adipose tissue. They act in different ways and are often used together for a stronger 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?
Results vary. The effect of PRP often holds for several months to about a year; SVF can keep working longer. How long it lasts depends on the stage of the condition and your own body — no one can promise a fixed result.
Who should not have the procedure?
Cancer, acute infections, blood clotting disorders, pregnancy and a flare-up of a serious chronic illness all rule the procedure out. The doctor checks this at the consultation.
Can osteoarthritis of the hip (coxarthrosis) be treated without surgery?
PRP or SVF injections combined with exercise therapy and physiotherapy can, at early stages, reduce pain and improve movement. For a joint that is already badly damaged, replacement may be the more realistic option — after seeing your scans, the doctor will tell you honestly.
Can avascular necrosis of the hip be treated?
When the condition is at an early stage (1–2), SVF therapy may be considered to support blood supply to the femoral head and delay a joint replacement; at later stages surgery is usually required.
Why try to avoid joint replacement?
Keep in mind that replacement is major surgery with long rehabilitation, risks such as infection and implants that may eventually be redone. When changes are early or moderate, trying to preserve your own joint first often makes sense.
Can I get a second opinion on my scans?
Yes. After you send your X-rays, MRI, CT or medical reports, a doctor reviews them at no cost and tells you whether the procedure could be suitable and what else may be required.
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?
Problems of the shoulder joint and rotator cuff are treated with PRP, and more advanced shoulder arthritis may call for SVF. It depends on the cause of your pain, which the doctor has to establish first.
City Medical Centre licences
Other services at our clinic
How SVF and PRP therapy works for Bhavnagar residents
Joint pain does not always mean surgery. In Bhavnagar, many people with early or moderate changes in the knee, hip or shoulder first try to preserve their own joint. SVF and PRP injections aim to reduce pain and inflammation and to slow further wear of the cartilage.
Ultrasound guidance helps place the material exactly where it is needed. For patients from Bhavnagar, this is one of the steps that make an injection into the knee, hip or shoulder more precise.
A consultation is the first step for every patient from Bhavnagar. It is free, and after it you know the method, the number of injections and the cost.
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