Knee and Hip Treatment in Fresno Without Surgery
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?
This approach uses your own biological material — PRP, the platelet-rich plasma separated from blood, and SVF, the stromal vascular fraction taken from a small portion of adipose tissue. Injected into the affected joint, it helps reduce pain and inflammation and supports the tissues inside.
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
Any joint, large or small — once the scans are reviewed, the doctor decides on the joint, the method and the number of injections
Elbow
Pain after overuse or sports strain, wear of the joint surfaces
Hand and wrist joints
Aching and stiffness in the small wrist and finger joints
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 on raising the arm and wear of the joint and nearby tendons
Methods we use
Cell therapy (SVF) from your own adipose tissue
A small sample of your adipose tissue is processed to isolate the stromal vascular fraction (SVF) — a mix of cells involved in tissue repair. Combined with your own plasma, it is injected into the affected joint.
When the joint has more noticeable changes and you want the effect to last longer, this is the usual choice.
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
First comes an examination: the doctor checks the joint and your X-ray, MRI or ultrasound images and decides whether the procedure fits. If you have scans already, send them in advance.
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
Under local anaesthetic, a small portion of adipose tissue (about 30 ml) is taken through a puncture on the abdomen or inner thigh. No stitches are needed.
Processing in a centrifuge
Once spun in a centrifuge, the sample separates into layers, and the stromal vascular fraction isolated from it is 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 and no hospital stay. The doctor stays in touch after the procedure and follows how the joint responds.
Consultation and scan review
First comes an examination: the doctor checks the joint and your X-ray, MRI or ultrasound images and decides whether the procedure fits. If you have scans already, send them in advance.
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
Under local anaesthetic, a small portion of adipose tissue (about 30 ml) is taken through a puncture on the abdomen or inner thigh. No stitches are needed.
Processing in a centrifuge
Once spun in a centrifuge, the sample separates into layers, and the stromal vascular fraction isolated from it is 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 and no hospital stay. The doctor stays in touch after the procedure and follows how the joint responds.
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
Examination and scan review come first; then the doctor decides whether the treatment suits you
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
Most people go home the same day and return to normal daily activity within a day or two; the puncture sites are covered with small dressings. During the first week the joint may ache a little more — this is an expected reaction. Over the first month the pain usually eases, over about three months mobility and activity improve, and the full effect develops over around six months. How long it lasts differs from person to person and depends on the stage of the condition, body weight, activity and other factors — no one can promise a fixed result. The doctor gives you individual advice 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
Nothing from donors and nothing synthetic — only your own blood and adipose tissue
No crutches
Local anaesthetic and punctures in place of incisions mean no long rehabilitation
Second opinion
Forward your X-rays, MRI or reports to get a free, independent assessment from a doctor
Support after the procedure
Contact continues after the procedure — we track the result, not just the injection itself
Joint treatment prices
Because the joint, the stage of the condition and the method all affect the cost, the doctor states 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?
Platelet-rich plasma (PRP) is prepared from your blood, while SVF is a cell fraction taken from a small adipose tissue sample. Because they work differently, they are often combined to strengthen the regenerative effect in the joint.
Is the treatment safe?
Rejection and allergic reactions are very unlikely because the material in both methods is your own tissue. Temporary pain, swelling or bruising are possible, as with any injection, and infection is rare. Your doctor explains the risks for your case at the consultation.
How long does the effect last?
It varies between patients. After PRP the effect commonly lasts from several months to about a year, and after SVF possibly longer. Because duration depends on the stage of the condition and your body, nobody can promise a fixed result.
Who should not have the procedure?
The procedure is ruled out for cancer, acute infections and blood clotting disorders, during pregnancy and during a flare-up of a serious chronic illness. This is checked by the doctor at the consultation.
Hip osteoarthritis (coxarthrosis): can it be treated without surgery?
In the early stages, PRP or SVF injections together with exercise therapy and physiotherapy can ease pain and improve movement. If the joint is already severely damaged, a replacement may be the more realistic choice — the doctor will tell you honestly once they have seen 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?
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. 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?
Typically within a day or two. You need no crutches and no long rehabilitation, and the doctor advises you on exercise and load for the first weeks.
Does the treatment help with shoulder pain?
Problems of the shoulder joint and rotator cuff are treated with PRP, and more advanced shoulder arthritis may call for SVF. It depends on the cause of your pain, which the doctor has to establish first.
City Medical Centre licences
Other services at our clinic
How SVF and PRP therapy works for Fresno residents
The method relies on your own tissue only, so there is no donor or synthetic material. Plasma is prepared from a small blood sample, and SVF from about 30 ml of adipose tissue taken through a puncture. This is how non-surgical joint treatment works for everyone in Fresno.
The procedure in Fresno takes one day. Blood is taken from a vein for PRP, a small portion of adipose tissue is taken under local anaesthetic without stitches, the material is spun in a centrifuge, and the prepared mix is injected precisely into the affected joint.
Joint treatment in Fresno: price at consultation, free scan review, own tissue only. Leave your name and phone number, or message us in any messenger.
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