Joint Treatment in Evaton: Methods and Steps
We treat the knee, hip, shoulder and other joints with SVF and PRP. Before anything is decided, your scans are reviewed at no cost
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
Large and small joints can be treated; the doctor settles the joint, the method and the injection count after checking your scans
Elbow
Pain following overuse or sports strain, wear of joint surfaces
Hand and wrist joints
Aching and stiffness in the small wrist and finger 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
Wear of the joint and its tendons, pain when raising the arm
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 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
Platelet- and growth-factor-rich plasma is obtained from a little of your blood and injected into the joint, where it helps calm inflammation and improves the conditions for tissue repair.
As a course of injections it can be used alone, or it can be added to SVF.
How the procedure goes: step by step
Consultation and scan review
An examination of the joint and a review of your X-ray, MRI or ultrasound results let the doctor decide whether the procedure suits you. Please send any scans you have before the visit.
Blood sample for PRP
We take a small blood sample from a vein. From it, platelet-rich plasma containing growth factors is prepared later on.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
A small portion of adipose tissue (about 30 ml) is taken under local anaesthetic through a puncture on the abdomen or inner thigh. There is no need for stitches.
Processing in a centrifuge
Centrifugation divides the sample into layers, so the stromal vascular fraction can be isolated and then mixed with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Under ultrasound guidance, the ready material goes directly into the affected joint, so it can be placed accurately.
Follow-up
No stay in hospital and no crutches are needed. The doctor stays in touch after the procedure to see how the joint responds.
Consultation and scan review
An examination of the joint and a review of your X-ray, MRI or ultrasound results let the doctor decide whether the procedure suits you. Please send any scans you have before the visit.
Blood sample for PRP
We take a small blood sample from a vein. From it, platelet-rich plasma containing growth factors is prepared later on.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
A small portion of adipose tissue (about 30 ml) is taken under local anaesthetic through a puncture on the abdomen or inner thigh. There is no need for stitches.
Processing in a centrifuge
Centrifugation divides the sample into layers, so the stromal vascular fraction can be isolated and then mixed with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Under ultrasound guidance, the ready material goes directly into the affected joint, so it can be placed accurately.
Follow-up
No stay in hospital and no crutches are needed. The doctor stays in touch after the procedure to see 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
Your suitability for the treatment is decided by a doctor following an examination and a scan review
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: flu, a cold or fever, and skin inflammation over the joint that will 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
Going home the same day is the norm, and normal daily activity usually resumes within a day or two; small dressings protect the puncture sites. The joint can ache a little more during the first week — this is expected. Pain tends to ease over the first month, mobility and activity improve over about three months, and the full effect develops over around six months. The duration varies from person to person with the stage of the condition, body weight, activity and other factors, so a fixed result cannot be promised. The doctor gives individual guidance on exercise and load for the first weeks.
Why patients choose City Medical Centre
Keeping your natural joint instead of replacing it is our goal — no surgery involved
Your own tissue
We rely solely on your own blood and adipose tissue, without donor or synthetic material
No crutches
Done through punctures instead of incisions, under local anaesthetic, without long rehabilitation
Second opinion
Forward your X-rays, MRI or reports to get a free, independent assessment from a doctor
Support after the procedure
Not just the injection day: we keep in touch after the procedure and monitor the result
Joint treatment prices
Pricing depends on the joint, the condition's stage and the method; you learn it from the doctor 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?
SVF is a cell fraction isolated from a small sample of your adipose tissue, whereas PRP is platelet-rich plasma prepared from your blood. They work differently and are frequently combined for a stronger regenerative effect in the joint.
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?
It depends. PRP usually gives an effect lasting from several months to about a year; with SVF it can last longer. Because the stage of the condition and your body affect the duration, no one can promise a fixed result.
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.
Is it possible to treat hip osteoarthritis (coxarthrosis) without surgery?
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?
Stages 1–2 are early enough for SVF therapy to be considered, supporting blood supply to the femoral head and delaying joint replacement. At later stages, surgery is usually unavoidable.
Why try to avoid joint replacement?
A replacement is major surgery: rehabilitation is long, there are risks such as infection, and the implant may eventually need redoing. If changes are early or moderate, it often makes sense to try saving your own joint first.
Can I get a second opinion on my scans?
Yes. Send us your X-rays, MRI, CT or medical reports; a doctor will review them free of charge and tell you whether the procedure could suit you and what else might be needed.
How soon can I return to normal life?
Usually a day or two is enough. There is no long rehabilitation and no crutches, and in the first weeks you follow the doctor's recommendations on load and exercise.
Does the treatment help with shoulder pain?
PRP is used for problems with the shoulder joint and rotator cuff, while SVF may be considered for more advanced shoulder arthritis. Whether it suits you depends on what causes the pain, which the doctor establishes first.
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Other services at our clinic
Joint treatment in Evaton: from scan review to follow-up
Joint pain does not always mean surgery. In Evaton, 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.
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 Evaton, everything is done in one day.
A consultation is the first step for every patient from Evaton. It is free, and after it you know the method, the number of injections and the cost.
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