1Consultation 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.
Joint Treatment for Patients from Lima
We treat the knee, hip, shoulder and other joints with SVF and PRP. Before anything is decided, your scans are reviewed at no cost
Consultation and review of your scansFree
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What it is
What is regenerative
joint treatment?
Regenerative care for joints is based on your own material. Platelet-rich plasma (PRP) is obtained from blood, and the stromal vascular fraction (SVF) from a small amount of adipose tissue; the doctor then injects it into the affected joint to reduce pain and inflammation and to support its internal tissues.
This treatment suits people with painful joints who would like to avoid or delay surgery, or who have been told that only a joint replacement will help. The earlier the stage, the better the prospect of a lasting result — the doctor judges this from your scans.
- No surgery — an injection instead of an operation
- Own tissue — your blood and adipose tissue
- Ultrasound guidance for every injection
Who the treatment suits
Whether this treatment is right for you is decided by a doctor after an examination and a scan review
Suitable
- Pain, crunching or stiffness in a joint
- Painkillers only help for a short time
- Recovery after injuries and surgery
- You need a second opinion on your scans
- You want to avoid or postpone joint replacement
- Early or moderate arthrosis or arthritis
- High load on the joints — sport or physical work
Not suitable
- Cancer
- Pregnancy
- Blood clotting disorders
- Acute infections, including infection in or near the joint
- Flare-up of a serious chronic illness
- Temporary contraindications: flu, a cold or fever, and skin inflammation over the joint that will be treated
Not sure the treatment is right for you?
Leave your number — the coordinator will ask for your scans (X-ray, MRI or ultrasound), and the doctor will tell you whether treatment without surgery suits you.
Find out if it suits meWhat we treat
Conditions we treat
Arthritis
Arthrosis
Avascular necrosis
Osteoarthritis
Coxarthrosis (hip osteoarthritis)
Gonarthrosis (knee osteoarthritis)
Meniscus pathology and injury
Rehabilitation after injuries and surgery
Inflammatory joint conditions- Second opinionSend your X-rays, MRI or reports and a doctor will give an independent assessment free of charge
How it works
How the procedure goes: step by step
1
2Blood sample for PRP
A small volume of blood is drawn from a vein, which is later turned into platelet-rich plasma with growth factors.
3Adipose tissue sample
Under local anaesthetic the doctor takes roughly 30 ml of adipose tissue through a small puncture in the abdomen or inner thigh; stitches are not needed.
4Processing in a centrifuge
The sample is centrifuged and divides into layers; the stromal vascular fraction is isolated from it and mixed with platelet-rich plasma.
5Injection into the joint
The prepared material is injected straight into the affected joint under ultrasound guidance, which helps to place it precisely.
6Follow-up
Neither a hospital stay nor crutches are required. The doctor stays in contact after the procedure and monitors how the joint responds.
Book a consultation
Call or message us — our coordinator will contact you shortly and book your consultation
Results
After the procedure
1 week
The joint may ache a little more — this is an expected reaction.
1 month
The pain usually eases.
~3 months
Mobility and activity improve.
~6 months
The full effect develops.
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.
Comparison
Methods we use
No donor or synthetic material: only your own blood and adipose tissue are used
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.
More marked changes in the joint and the wish for a longer-lasting effect are the usual reasons to choose it.
- Material
- Your adipose tissue and plasma
- How it is given
- Into the joint, under ultrasound
- Duration
- The whole procedure is done in one day.
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.
A course of injections can be done with it alone, or it can be paired with SVF.
- Material
- Your blood from a vein
- How it is given
- Into the joint, under ultrasound
- Duration
- The whole procedure is done in one day.
The benefits and timings shown are averaged and given for guidance: the plan and recovery depend on your joint and individual features, and the doctor confirms them at the consultation.
At the consultation the doctor will review your scans and suggest a treatment plan
Free consultation
Joints
Joints we treat
Treatment covers large and small joints, with the joint, the method and the number of injections chosen after the doctor reviews your scans
KneeCartilage wear, meniscus problems, pain on stairs and after walking
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderWear of the joint and its tendons, pain when raising the arm
ElbowPain after overuse or sports strain, wear of the joint surfaces
Hand and wrist jointsStiffness and pain in the small joints of the hand and wrist
AnklePain and stiffness after sprains and old injuries
Advantages
Why patients choose City Medical Centre
We work on keeping your own joint rather than replacing it — treatment without surgery
Your own tissue
No donor or synthetic material: only your own blood and adipose tissue are used
No crutches
Instead of incisions, punctures under local anaesthetic, and no long rehabilitation afterwards
Second opinion
Send your X-rays, MRI or reports and a doctor will give an independent assessment free of charge
Support after the procedure
We remain in contact after the procedure and track the result, not just the injection day
About the clinic
A clinic where you can feel at ease
Modern equipment, comfortable rooms and care for every patient
Contact us the way that suits you
We will answer your questions and find a convenient time for a consultation
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Request a free callPrice
Joint treatment prices
How much it costs depends on the joint, the method and the stage of the condition — the doctor tells you after the consultation
Consultation and review of your scans
Free
Book — Consultation and review of your scansPRP therapy (platelet-rich plasma)
Price at consultation
Book — PRP therapy (platelet-rich plasma)Cell therapy (SVF + PRP), one joint
Price at consultation
Book — Cell therapy (SVF + PRP), one joint
FAQ
Joint treatment: frequently asked questions
Often, yes. For meniscus damage and knee osteoarthritis, PRP and SVF injections are used to ease pain and support the joint. The doctor reviews your MRI first and says whether this suits you.
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.
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.
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.
The doctor checks at the consultation that you have no cancer, acute infection or blood clotting disorder, are not pregnant and are not in a flare-up of a serious chronic illness — in these cases the procedure is not done.
PRP or SVF injections, combined with exercise therapy and physiotherapy, can reduce pain and improve movement at early stages. If damage to the joint is already severe, replacement may be more realistic — the doctor gives an honest answer after seeing your scans.
SVF therapy may be an option at early stages (1–2) to support blood supply to the femoral head and postpone joint replacement. At later stages, surgery is usually needed.
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.
Yes. Your X-rays, MRI, CT or medical reports are reviewed by a doctor free of charge, and you will hear whether the procedure could suit you and what else may be needed.
Usually after a day or two. Crutches and long rehabilitation are not needed; for the first weeks you get recommendations on load and exercise from the doctor.
The doctor first establishes what is causing the pain: PRP is used for shoulder joint and rotator cuff problems, and SVF may be considered for more advanced arthritis of the shoulder. Suitability depends on that cause.
About the conditions
More about these conditions
Arthritis is an inflammatory disease of the joints. Typical signs are pain at rest and at night, morning stiffness lasting more than 30 minutes, swelling, redness and warmth over the joint. Causes include autoimmune conditions such as rheumatoid arthritis, infections, gout and psoriasis.
It is gradual wear of the cartilage that covers the ends of the bones in a joint. When the cartilage thins, the joint loses its cushioning, the bones rub against each other, and pain, stiffness and crunching appear. It is a degenerative condition, not an inflammatory one.
Osteoarthritis is wear of the cartilage: aching pain on movement, crunching, stiffness after rest. Arthritis is inflammation: pain at rest and at night, swelling, redness and warmth over the joint. The approach to treatment differs, so the diagnosis comes first.