Joint Treatment in Boston 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?
Your blood provides platelet-rich plasma (PRP), and a small sample of adipose tissue provides the stromal vascular fraction (SVF). In regenerative joint treatment this material goes into the affected joint by injection, helping to reduce pain and inflammation and to support the tissues inside it.
It can help if your joints hurt and you want to put off or avoid surgery, or if you have heard that replacement is your only choice. Chances of a lasting effect are higher at earlier stages of the condition, and your doctor assesses the stage from the 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 — after looking at your scans, the doctor selects the joint, the method and how many injections you need
Elbow
Wear of the joint surfaces, pain after overuse or sports strain
Hand and wrist joints
Small joints of the wrist and fingers that are stiff and sore
Knee
Cartilage wearing down, meniscus problems, pain after walking or on stairs
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
A small sample of adipose tissue is taken and processed to obtain the stromal vascular fraction (SVF), a mix of cells that take part in tissue repair. Mixed with your own plasma, it is then injected 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 containing many platelets and growth factors is prepared from a small amount of your blood and injected into the joint, helping inflammation settle and creating 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
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
The nurse takes a small amount of venous blood; platelet-rich plasma with growth factors is prepared from it afterwards.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Under local anaesthetic the doctor takes roughly 30 ml of adipose tissue through a small puncture in the abdomen or inner thigh; stitches are not needed.
Processing in a centrifuge
The sample is spun in a centrifuge and separates into layers. The stromal vascular fraction is isolated and mixed with the 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
You need neither crutches nor a hospital stay. The doctor remains in contact afterwards and watches how the joint responds.
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
The nurse takes a small amount of venous blood; platelet-rich plasma with growth factors is prepared from it afterwards.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Under local anaesthetic the doctor takes roughly 30 ml of adipose tissue through a small puncture in the abdomen or inner thigh; stitches are not needed.
Processing in a centrifuge
The sample is spun in a centrifuge and separates into layers. The stromal vascular fraction is isolated and mixed with the 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
You need neither crutches nor a hospital stay. The doctor remains in contact afterwards and watches how the joint responds.
Follow-up visits
Follow-up visits let the doctor see how the joint responds and adjust the plan — pain usually eases over the first month, mobility improves over about three months, and the full effect develops over around six months.
Conditions we treat
Whether the treatment suits you is decided by a doctor 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: a fever, a cold or flu, inflamed skin 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
Recovery is short: most people go home the same day and are back to normal daily activity within a day or two, and the puncture sites only need small dressings. A slight increase in joint ache during the first week is an expected reaction. Typically pain eases over the first month, mobility and activity improve over about three months, and the full effect develops over around six months. How long it lasts varies with the person, the stage of the condition, body weight, activity and other factors — no one can promise a fixed result. For the first weeks the doctor gives you individual advice on exercise and load.
Why patients choose City Medical Centre
Rather than replacing the joint, we work to keep your own — treatment without surgery
Your own tissue
Only your own blood and adipose tissue are used — no donor or synthetic material
No crutches
Punctures instead of incisions, local anaesthetic, no long rehabilitation
Second opinion
Send X-rays, MRI or medical reports for an independent assessment by a doctor 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
Joint treatment prices
The price depends on the joint, the stage of the condition and the method, so the doctor gives 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 a platelet-rich plasma produced from your blood, and SVF is a fraction of cells isolated from a small sample of adipose tissue. They have different modes of action and are often combined to enhance the regenerative effect in the joint.
Is the treatment safe?
The tissue comes from you in both methods, so the risk of rejection or allergy is very low. As after any injection, temporary pain, swelling or bruising are possible; infection is rare. At the consultation, the doctor explains the risks that apply to you.
How long does the effect last?
Duration is individual. PRP often works for several months to about a year, while SVF may last longer. It depends on the stage of the condition and your body, which is why no one can promise a fixed result.
Who should not have the procedure?
It is not carried out if you have cancer, an acute infection or a blood clotting disorder, if you are pregnant, or during a flare-up of a serious chronic illness. The doctor checks this at the consultation.
Is it possible to treat hip osteoarthritis (coxarthrosis) without surgery?
At an early stage, combining PRP or SVF injections with exercise therapy and physiotherapy can reduce pain and help movement. When the joint is already badly damaged, replacement may be more realistic, and the doctor will say so honestly after seeing your scans.
Can avascular necrosis of the hip be treated?
SVF therapy at early stages (1–2) may be considered to support blood flow to the femoral head and push back the need for joint replacement. Later stages generally need surgery.
Why try to avoid joint replacement?
Joint replacement involves major surgery and a long rehabilitation, carries risks such as infection, and the implants may eventually have to be redone. With changes that are early or moderate, trying to preserve your own joint first often makes sense.
Can I get a second opinion on my scans?
Yes. Send your X-rays, MRI, CT or medical reports, and a doctor will review them free of charge and tell you whether the procedure could suit you and what else may be needed.
How soon can I return to normal life?
Usually in a day or two. There are no crutches and no long rehabilitation; for the first weeks the doctor gives recommendations on load and exercise.
Does the treatment help with shoulder pain?
The doctor first establishes what is causing the pain: PRP is used for shoulder joint and rotator cuff problems, and SVF may be considered for more advanced arthritis of the shoulder. Suitability depends on that cause.
City Medical Centre licences
Other services at our clinic
How SVF and PRP therapy works for Boston residents
Joint pain does not always mean surgery. In Boston, 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.
Before the procedure, the doctor tells you which tests are needed. If you already have X-rays, MRI or ultrasound results, patients from Boston can send them in advance and receive a preliminary answer on whether the treatment could suit them.
The cost of joint treatment depends on the joint, the stage of the condition and the method, so the price is set at the consultation. The initial consultation and review of your scans are free for patients from Boston. Leave your name and phone number, and a coordinator will contact you.
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