Knee and Hip Treatment in Dallas Without Surgery
Free scan review first, then SVF cell therapy or PRP for the knee, hip, shoulder or other joints if they suit you
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?
The treatment is regenerative and uses only what your body supplies: PRP (platelet-rich plasma from the blood) and SVF (the stromal vascular fraction from a small piece of adipose tissue). Injected into the joint that hurts, it aims to calm inflammation, ease pain and support the tissue within.
Joint pain and a wish to avoid or put off surgery, or a verdict that replacement is the only route — these are the typical reasons people come. An earlier stage of the condition means a better chance of lasting relief, and the doctor assesses it 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
We treat large and small joints — which joint, which method and how many injections is decided by the doctor after a scan review
Elbow
Joint surface wear and pain after overload or sports strain
Hand and wrist joints
Stiffness and pain in the small joints of the fingers and wrist
Knee
Wear of the cartilage, meniscus problems, pain on the stairs and after walks
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Raising the arm hurts; wear of the joint and the tendons around it
Methods we use
Cell therapy (SVF) from your own adipose tissue
Your adipose tissue, taken in a small sample, is processed so that the stromal vascular fraction (SVF) can be isolated: a mixture of cells that play a role in tissue repair. Together with your own plasma, it goes into the affected joint.
It is usually chosen when the changes in the joint are more pronounced and a longer-lasting effect is the goal.
PRP — platelet-rich plasma from your own blood
A little of your blood is enough to separate platelet-rich plasma full of growth factors. Injected into the joint, it calms inflammation and improves conditions for tissue repair.
Either on its own, as a series of injections, or together 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 blood draw from a vein provides the material from which platelet-rich plasma with growth factors is later prepared.
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
Spinning the sample in a centrifuge separates it into layers, after which the stromal vascular fraction is isolated and added to the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Ultrasound guidance allows the prepared material to be injected precisely, directly into the affected joint.
Follow-up
You go without crutches and without a hospital stay; the doctor keeps in contact after the procedure and follows your joint's progress.
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 blood draw from a vein provides the material from which platelet-rich plasma with growth factors is later prepared.
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
Spinning the sample in a centrifuge separates it into layers, after which the stromal vascular fraction is isolated and added to the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Ultrasound guidance allows the prepared material to be injected precisely, directly into the affected joint.
Follow-up
You go without crutches and without a hospital stay; the doctor keeps in contact after the procedure and follows your joint's progress.
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
The decision on whether the treatment suits you is made by a doctor, after an examination and a look at 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 cold or flu, fever, inflamed skin above 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
The puncture sites are covered with small dressings, and most patients go home the same day, returning to normal daily life within a day or two. A little extra aching in the joint during the first week is an expected reaction. Pain generally eases in the first month, mobility and activity improve over about three months, and the full effect develops over around six months. How long the effect lasts differs from person to person — it depends on the stage of the condition, body weight, activity and other factors, and 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
The goal is your own joint kept, not replaced, through treatment without surgery
Your own tissue
We rely solely on your own blood and adipose tissue, without donor or synthetic material
No crutches
Punctures rather than incisions, local anaesthetic and no lengthy rehabilitation
Second opinion
Free of charge: a doctor's independent assessment of the X-rays, MRI or reports you send
Support after the procedure
Our care goes beyond the day of the injection: we stay in touch and follow the result
Joint treatment prices
The cost depends on the joint, the stage of the condition and the method, so 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 comes from your blood and is plasma rich in platelets; SVF is a cellular fraction from a small sample of your adipose tissue. Each works in its own way, and combining them often gives the joint a stronger regenerative effect.
Is the treatment safe?
Both methods use your own tissue, so the risk of rejection or an allergic reaction is very low. As with any injection, temporary pain, swelling or bruising are possible, and infection is rare. The doctor explains the risks for your case 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?
Contraindications include cancer, acute infections, blood clotting disorders, pregnancy and a flare-up of a serious chronic illness; in these cases the procedure is not performed. The doctor checks this at the consultation.
Hip osteoarthritis (coxarthrosis): can it 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?
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. Once we receive your X-rays, MRI, CT or medical reports, a doctor reviews them free of charge and tells you whether the procedure could be right for you and what else may be needed.
How soon can I return to normal life?
Within a day or two, as a rule. There are no crutches and no lengthy rehabilitation; the doctor provides recommendations on exercise and load for the first weeks.
Does the treatment help with shoulder pain?
For the rotator cuff and the shoulder joint, PRP is used; SVF may be considered in more advanced shoulder arthritis. Whether this is right for you depends on the cause of the pain, which the doctor determines first.
City Medical Centre licences
Other services at our clinic
Joint treatment in Dallas: methods, steps and price
Non-surgical joint treatment is not for everyone. It is not done with cancer, acute infections, blood clotting disorders, during pregnancy or during a flare-up of a serious chronic illness. The doctor checks this for every patient in Dallas at the consultation.
It starts with a consultation: the doctor examines the joint and reviews your X-rays, MRI or ultrasound. Then a small blood sample and an adipose tissue sample are taken, processed in a centrifuge and injected into the joint under ultrasound guidance. For patients from Dallas, everything is done in one day.
How much does joint treatment cost in Dallas? The answer comes after the doctor has seen your scans and examined the joint: PRP, SVF or a combination are priced differently. The first consultation is free. Send a request or message us in any messenger.
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