Knee and Hip Treatment in Detroit Without Surgery
SVF cell therapy and PRP for knees, hips, shoulders and other joints — with a free scan review before you decide anything
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 joint treatment uses material from your own body — platelet-rich plasma (PRP) from blood and the stromal vascular fraction (SVF) from a small sample of adipose tissue. It is injected into the affected joint to reduce pain and inflammation and to support the tissues inside it.
Suitable for people with joint pain who would rather avoid or postpone surgery, or who were told a joint replacement is inevitable. The earlier the condition, the better the odds of a lasting effect — something the doctor judges 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 — the doctor chooses the joint, the method and the number of injections after reviewing your scans
Elbow
Pain following overuse or sports strain, wear of joint surfaces
Hand and wrist joints
Pain and stiffness affecting the small finger and wrist joints
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
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 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
The joint receives an injection of plasma rich in platelets and growth factors, separated from a small amount of your blood. It helps soothe inflammation and creates better conditions for the tissues to repair.
It can be used on its own as a course of injections, or together with SVF.
How the procedure goes: step by step
Consultation and scan review
The doctor checks your joint, reviews the X-ray, MRI or ultrasound and makes the decision on whether the procedure is suitable for you. If scans already exist, you can send them before 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
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
The prepared material is injected straight into the affected joint under ultrasound guidance, which helps to place it precisely.
Follow-up
No crutches, no hospital stay — and after the procedure the doctor keeps in touch to follow the joint's response.
Consultation and scan review
The doctor checks your joint, reviews the X-ray, MRI or ultrasound and makes the decision on whether the procedure is suitable for you. If scans already exist, you can send them before 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
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
The prepared material is injected straight into the affected joint under ultrasound guidance, which helps to place it precisely.
Follow-up
No crutches, no hospital stay — and after the procedure the doctor keeps in touch to follow the joint's response.
Follow-up visits
The plan is adjusted at follow-up visits, where the doctor sees how the joint is responding. Pain tends to ease within the first month, mobility improves over about three months, and the full effect develops 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: having a fever, a cold or flu, or 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
Most people go home on the same day and are back to normal daily activity within a day or two; small dressings cover the puncture sites. In the first week the joint may ache a bit more, which is an expected reaction. Pain usually 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 between people and depends on the stage of the condition, body weight, activity and other factors — nobody can promise a fixed result. Your doctor gives individual advice on exercise and load for the first weeks.
Why patients choose City Medical Centre
We try to preserve the joint you have rather than replace it, using treatment without surgery
Your own tissue
Only material from your own blood and adipose tissue is used, with no donor or synthetic components
No crutches
No incisions — just punctures under local anaesthetic, with no long rehabilitation
Second opinion
Your X-rays, MRI or reports get a free independent assessment from a doctor — just send them
Support after the procedure
We stay in contact once the procedure is over and follow how the result develops
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 platelet-rich plasma prepared from your blood; SVF is a cell fraction isolated from a small sample of your adipose tissue. They work in different ways and are often combined for a stronger regenerative effect in the joint.
Is the treatment safe?
Using your own tissue in both methods means a very low risk of rejection or an allergic reaction. Temporary pain, swelling or bruising can happen with any injection, and infection is rare. The doctor explains the risks for your case during the consultation.
How long does the effect last?
It differs from person to person. After PRP the effect often lasts from several months to around a year, and after SVF it may last longer. How long depends on the stage of the condition and on your body, so nobody 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.
Can coxarthrosis (hip osteoarthritis) be managed without surgery?
Early-stage osteoarthritis often responds to PRP or SVF injections together with exercise therapy and physiotherapy, which can reduce pain and improve movement. If the joint is badly damaged already, replacement may be the more realistic option, as the doctor will honestly tell you after seeing your scans.
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?
Joint replacement is a major operation: rehabilitation takes long, infection is among the risks, and an implant may one day have to be redone. With early or moderate changes it is often sensible to try keeping your own joint first.
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?
Generally in a day or two. No crutches are needed and there is no long rehabilitation; the doctor tells you how to handle load and exercise during 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
Everything about regenerative joint treatment in Detroit
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 Detroit, the doctor often combines the two.
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 Detroit, everything is done in one day.
Book a free consultation in Detroit to find out whether regenerative joint treatment suits you. The doctor names the price after examining the joint and reviewing your scans.
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