SVF and PRP Joint Therapy in Bucharest
For the knee, hip, shoulder and other joints: PRP and cell therapy (SVF). Your scans are reviewed free before you commit
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.
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
Large or small, each joint is assessed on your scans first — then the doctor chooses the method and how many injections are needed
Elbow
Joint surface wear and pain after overload or sports strain
Hand and wrist joints
Stiff, painful small joints in the fingers and wrist
Knee
Meniscus trouble, worn cartilage, pain when using stairs or after walking
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Pain when you raise your arm, worn joint and surrounding tendons
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 is usually the choice when changes in the joint are more marked and the aim is a longer-lasting effect.
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.
It can be given as its own course of injections or combined with SVF.
How the procedure goes: step by step
Consultation and scan review
At the consultation the joint is examined and your X-rays, MRI or ultrasound are reviewed to decide if the procedure suits you. You can send existing scans before you come.
Blood sample for PRP
All it takes is a little venous blood; later on it becomes platelet-rich plasma containing growth factors.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Around 30 ml of adipose tissue is taken through a single puncture on the abdomen or inner thigh under local anaesthetic, and the site needs no stitches.
Processing in a centrifuge
After centrifuging, the sample forms separate layers; the stromal vascular fraction is taken from them and combined with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
The doctor injects the prepared material directly into the affected joint, using ultrasound to place it precisely.
Follow-up
The procedure needs no crutches or hospital stay. Afterwards the doctor remains in touch and follows the joint's response.
Consultation and scan review
At the consultation the joint is examined and your X-rays, MRI or ultrasound are reviewed to decide if the procedure suits you. You can send existing scans before you come.
Blood sample for PRP
All it takes is a little venous blood; later on it becomes platelet-rich plasma containing growth factors.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Around 30 ml of adipose tissue is taken through a single puncture on the abdomen or inner thigh under local anaesthetic, and the site needs no stitches.
Processing in a centrifuge
After centrifuging, the sample forms separate layers; the stromal vascular fraction is taken from them and combined with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
The doctor injects the prepared material directly into the affected joint, using ultrasound to place it precisely.
Follow-up
The procedure needs no crutches or hospital stay. Afterwards the doctor remains in touch and follows the joint's response.
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
A doctor examines you and reviews your scans, 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: fever, flu or a cold, skin inflammation over the joint being 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
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
The goal is your own joint kept, not replaced, through treatment without surgery
Your own tissue
We use nothing but your own blood and adipose tissue, with no donor or synthetic material
No crutches
Local anaesthetic, punctures instead of incisions, and 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
After the procedure we keep in touch and follow the result, not only 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?
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?
With both methods the tissue is your own, so the chance of rejection or an allergic reaction is very low. Any injection can bring temporary pain, swelling or bruising, and infection is rare. The doctor talks you through the risks in your case at the consultation.
How long does the effect last?
It is different for everyone: after PRP the effect frequently lasts from several months to roughly a year, and SVF can give a longer effect. The stage of the condition and your body decide the duration, so no fixed result can be promised.
Who should not have the procedure?
We do not perform the procedure in cases of cancer, acute infection, blood clotting disorders, pregnancy or a flare-up of a serious chronic illness. The doctor checks all of this at the consultation.
Does hip osteoarthritis (coxarthrosis) always need surgery, or can it be treated without?
Early on, PRP or SVF injections plus exercise therapy and physiotherapy can lessen pain and improve how the joint moves. For a joint that is already badly damaged, replacement may be the more realistic option; after reviewing your scans the doctor will tell you honestly.
Can avascular necrosis of the hip be treated?
At stages 1–2, SVF therapy can be considered to help the blood supply to the femoral head and delay joint replacement; at later stages surgery is usually necessary.
Why try to avoid joint replacement?
Replacement is major surgery with long rehabilitation, risks such as infection, and implants that may eventually need to be redone. With early or moderate changes it often makes sense to try to preserve your own joint first.
Can I get a second opinion on my scans?
Yes, you can. A doctor reviews the X-rays, MRI, CT or medical reports you send free of charge and tells you if the procedure could suit you and what else may be needed.
How soon can I return to normal life?
In most cases within a day or two. No crutches, no long rehabilitation — the doctor recommends how to manage load and exercise in the first weeks.
Does the treatment help with shoulder pain?
PRP is used for problems of the shoulder joint and the rotator cuff, and SVF may be considered for more advanced arthritis of the shoulder. Whether it suits you depends on the cause of the pain, which the doctor establishes first.
City Medical Centre licences
Other services at our clinic
Joint treatment in Bucharest step by step
SVF and PRP work in different ways. PRP helps calm inflammation and creates better conditions for repair; SVF contains cells involved in tissue repair and is chosen when changes are more pronounced. For patients from Bucharest, the doctor often combines the two.
Before the procedure, the doctor tells you which tests are needed. If you already have X-rays, MRI or ultrasound results, patients from Bucharest can send them in advance and receive a preliminary answer on whether the treatment could suit them.
Do not put off joint pain for years. Book a free consultation in Bucharest: the doctor reviews your scans, assesses the stage and suggests a non-surgical plan if it is appropriate. The price is set at the consultation.
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