City Medical Centre · multi-specialty surgery clinicOpen 24/7

PRP Injections for Joints in Liverpool

Free scan review first, then SVF cell therapy or PRP for the knee, hip, shoulder or other joints if they suit you

Consultation and review of your scansFree

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Knee joint: regenerative treatment without surgery
Joint treatment without surgery. Free consultation and review of your scans

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What it is

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.

  • No surgery — an injection instead of an operation
  • Own tissue — your blood and adipose tissue
  • Ultrasound guidance for every injection
Knee joint: an injection under ultrasound guidance

Who the treatment suits

Suitability is decided by a doctor once you have been examined and your scans reviewed

Suitable

A doctor reviews knee X-rays with a patient
  • 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

A doctor examines a patient's knee
  • Cancer
  • Pregnancy
  • Blood clotting disorders
  • Acute infections, including infection in or near the joint
  • Flare-up of a serious chronic illness
  • Temporary contraindications: inflamed skin over the treatment joint, fever, a cold or flu

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 me

How it works

How the procedure goes: step by step

Consultation and scan review1

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 PRP2

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.

Adipose tissue sample3

Adipose tissue sample

Through a puncture on the abdomen or inner thigh, about 30 ml of adipose tissue is taken under local anaesthetic, and no stitches are required.

Processing in a centrifuge4

Processing in a centrifuge

A centrifuge splits the sample into layers. From these, the stromal vascular fraction is isolated and blended with the platelet-rich plasma.

Injection into the joint5

Injection into the joint

Ultrasound guidance allows the prepared material to be injected precisely, directly into the affected joint.

Follow-up6

Follow-up

No crutches, no hospital stay — and after the procedure the doctor keeps in touch to follow the joint's response.

Book a consultation

Call or message us — our coordinator will contact you shortly and book your consultation

A doctor talks with a patient about joint treatment
Book a consultation
A doctor talks with a patient about joint treatment

Results

After the procedure

  • Doctor talking warmly with a patient after the procedure

    1 week

    The joint may ache a little more — this is an expected reaction.

  • Doctor consulting an older patient one month after treatment

    1 month

    The pain usually eases.

  • Doctor explaining progress to a patient using a knee joint model

    ~3 months

    Mobility and activity improve.

  • Doctor and patient walking together at a follow-up visit

    ~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

Just your blood and your adipose tissue; donor and synthetic materials are not used

Cell therapy (SVF) from your own adipose tissue

The method starts with a small adipose tissue sample, which is processed to separate the stromal vascular fraction (SVF), a mix of cells active in tissue repair. With your own plasma added, it is injected into the affected joint.

A doctor explains SVF cell therapy for the knee to a patient on a tablet

The usual reason to choose it: more pronounced changes in the joint and the goal of a longer-lasting effect.

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

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.

A doctor explains PRP therapy for joints to a patient on a monitor

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

Book a consultation

Joints

Joints we treat

Large and small joints — the doctor chooses the joint, the method and the number of injections after reviewing your scans

  • KneeKneeCartilage wear, meniscus problems, pain on stairs and after walking
  • HipHipEarly hip osteoarthritis, groin pain, limited rotation
  • ShoulderShoulderWorn joint and surrounding tendons, pain when lifting the arm
  • ElbowElbowPain after overuse or sports strain, wear of the joint surfaces
  • Hand and wrist jointsHand and wrist jointsPain and stiffness in the small joints of the wrist and fingers
  • AnkleAnklePain and stiffness after sprains and old injuries

Advantages

Why patients choose City Medical Centre

Treatment without surgery, aimed at keeping your own joint instead of replacing it

Your own tissue

Your own tissue

Just your blood and your adipose tissue; donor and synthetic materials are not used

No crutches

No crutches

Punctures rather than incisions, local anaesthetic and no lengthy rehabilitation

Second opinion

Second opinion

Forward your X-rays, MRI or reports to get a free, independent assessment from a doctor

Support after the procedure

Support after the procedure

We follow the result after the procedure and stay in contact, not only on the day of the injection

About the clinic

A clinic where you can feel at ease

Modern equipment, comfortable rooms and care for every patient

A doctor and a patient at the clinic

Contact us the way that suits you

We will answer your questions and find a convenient time for a consultation

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Price

Joint treatment prices

The joint, the method and the stage of the condition determine the cost, so it is set after the consultation

FAQ

Joint treatment: frequently asked questions

About the conditions

More about these conditions

Everything about regenerative joint treatment in Liverpool

We treat arthritis, arthrosis, osteoarthritis of the knee and hip, avascular necrosis, meniscus problems and inflammatory joint conditions, and help with rehabilitation after injuries and surgery. Patients from Liverpool can have the elbow, hand and wrist, knee, hip, ankle or shoulder treated.

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 Liverpool, everything is done in one day.

To get started, send your scans or book a visit. Patients from Liverpool receive a free review, a clear answer on whether treatment is suitable, and the price for their case.

One day, one injection, no crutches: how the treatment fits an ordinary week

When people in Liverpool ask about injections for the knee, hip, shoulder or hand, their first practical worry is time: how many days of work, how much hobbling, how many appointments. The answer here is short. The treatment is done in one day, with no hospital stay and no crutches. The material for the injection is prepared from your own tissue, and it is placed into the joint under ultrasound so that it reaches the right spot.

There are two methods, and they can be combined. PRP is platelet-rich plasma from a small sample of your blood, separated so that it is rich in platelets and growth factors, which helps calm inflammation and supports tissue repair. SVF is the stromal vascular fraction, a group of cells involved in tissue repair, isolated from roughly 30 ml of adipose tissue that the doctor collects under local anaesthetic through a small puncture on the abdomen or inner thigh, with no stitches. The fraction is processed in a centrifuge and mixed with plasma before the injection.

Because both materials come from you, the risk of rejection or an allergic reaction is very low. As with any injection, temporary pain, swelling or bruising can occur and infection is rare. The doctor explains the risks for your own case at the consultation. The aim of the whole approach is to keep your own joint rather than replace it, and to do it without incisions.

Think about the practical side of the day. You will give a blood sample, and for SVF a small amount of adipose tissue, then wait while the material is prepared, and then have the injection. It is sensible to wear loose clothing that gives easy access to the joint, to eat normally unless told otherwise, and to bring a list of your medicines. Plan the rest of the day to be quiet, and ask the coordinator what activity is advised for the evening.

From a first message to a decision on your scans

The clinic does not decide anything before it has seen the joint. The first step is to message the coordinator in WhatsApp or Telegram. The coordinators reply around the clock, which suits people who finish work late or wake early because of pain. You are asked for the scans you already have: an X-ray, an MRI or an ultrasound report. A doctor reviews them, free of charge, even if you only want a second opinion.

The doctor decides whether the treatment suits you, which joint to treat, which method to use and how many injections to plan. The chances of a lasting effect are higher at earlier stages of the condition, and the doctor assesses the stage from the scans. If the joint is already badly damaged, the doctor will tell you honestly that replacement may be a more realistic option.

Prepare a short note with the joint, the side, the main symptom and when it began. Mention any injury or operation, and list your medicines. If you have a fever, a cold or flu, or inflamed skin over the joint, say so, because these are temporary reasons to wait, and acute infections, including an infection in or near the joint, rule the treatment out for the time being.

If you can, send a few lines on how the joint limits your life: the number of stairs you can climb, how far you walk before stopping, whether the night is disturbed. Doctors reading scans see structure, and your description adds function. Both together give a better plan than either on its own.

A calendar for the six months after an injection

The clinic describes the course of recovery in four milestones. In the first week the joint may ache a little more, which is an expected reaction. After about a month the pain usually eases. At around three months, mobility and activity improve, and at around six months the full effect develops. How long the effect lasts differs from person to person and depends on the stage of the condition, body weight, activity and other factors, so no one can promise a fixed result.

Lay those milestones against a year in Liverpool. Met Office normals at Crosby, about 11 km from the city centre, show a mean daily maximum of 12.8 °C in April and 15.9 °C in May, with 154.2 and 207.0 hours of sunshine. An injection in early spring gives you the first month of settling in March or April, and the improvement of month three arrives just as the lighter evenings return. An injection in autumn passes the first month in October, a month with 89.7 mm of rain at Crosby, when it is sensible to keep walks short and sheltered.

None of this is an instruction to wait for a season. It is a way of choosing the date so that the checks on your progress coincide with the activities you care about: the first long walk, the first stairs without a rail, the first game with the grandchildren. Tell the coordinator which activities those are, and the team will help you plan with them in mind.

Keep a short diary of the joint during the six months. A line a week is enough: pain on a scale of one to ten, the longest walk, the hardest task. When the three-month and six-month points come, the diary shows the trend even if a single day was poor. Share it with your coordinator, who follows how the joint responds.

Joints we treat and how each one is approached

Large and small joints can be treated, and the doctor settles the joint, the method and the number of injections after reviewing the scans. The knee is the commonest request: pain on climbing stairs or after walking, wear of the cartilage and trouble with the meniscus. The hip comes next, with early osteoarthritis, groin pain and limited rotation. The shoulder is treated for pain on raising the arm and wear of the joint and nearby tendons. The elbow and the ankle respond to aching after strain, overuse or old sprains. The small joints of the hand and wrist are treated for stiffness and pain.

Conditions that may be considered include coxarthrosis, which is osteoarthritis of the hip, gonarthrosis, which is osteoarthritis of the knee, meniscus injuries, avascular necrosis, inflammatory joint conditions and rehabilitation after injuries and operations. For each, the doctor says what the injections can and cannot do. In a joint that has changed a lot, the aim is a longer-lasting effect and the method may differ from that for a joint at an earlier stage.

Arranging joint treatment with the NHS and independently

The NHS offers physiotherapy, medicines, exercise advice and, where symptoms are severe and other treatments have not helped, surgery. For osteoarthritis, the NHS says that mild symptoms may be managed with regular exercise, weight loss where needed, suitable footwear and devices that reduce strain on the joint, and that more severe symptoms may need painkillers and a structured exercise plan with a physiotherapist. Your GP is the first contact for all of this, and a sensible starting point whatever else you decide.

Our consultation sits alongside that path. It is free and carries no obligation. If you have already been told that replacement is the only choice, or if you want to delay surgery, a review of your scans by a doctor gives you another opinion. Some people use the review to decide, others to prepare questions for their GP or for an NHS specialist. Both are good reasons to ask.

Injections can be combined with exercise therapy and physiotherapy, and the clinic keeps in touch after the procedure and tracks your result, not just the day of the injection. Ask your coordinator how the follow-up works and how often you will be asked for a progress photograph or a short description of your symptoms.

Whatever route you choose, keep your GP informed. Records of what has been tried help every doctor involved, and nothing in the clinic plan prevents you from continuing exercise advice and physiotherapy at the same time.

Do I need to bring my scans in person?

No. Send photographs of your X-ray, or the MRI or ultrasound report, to the coordinator in WhatsApp or Telegram. The doctor reviews them and tells you whether the treatment suits you.

Will I be able to walk home after the injection?

There is no hospital stay and no crutches. Ask your coordinator and doctor about getting home, and arrange for someone to go with you the first time.

Is it a problem if I have a cold?

A fever, a cold or flu, or inflamed skin over the joint are temporary reasons to postpone. Tell your coordinator, who will rearrange the date.

Can the treatment be repeated?

The doctor decides the number of injections after reviewing your scans, and a course can be done with PRP alone or paired with SVF. Ask at the consultation what repeat treatment would involve.

Does the NHS provide this kind of injection?

The NHS lists physiotherapy, medicines and, in severe cases, surgery for arthritis. Ask your GP what is available in your area, and use our free scan review as a second opinion.

Which joint hurts most in a damp climate?

We do not make claims about weather and pain. What matters for the plan is the joint, the stage shown on the scans and your activity, which the doctor judges at the consultation.

How do I prepare for the day of the injection?

Follow the coordinator's instructions, bring a list of medicines and tell the doctor about any fever or skin problem. The doctor takes a blood sample and, for SVF, a small amount of adipose tissue.

What can I do in the first week?

The joint may ache a little more in the first week, which is expected. Your doctor gives the guidance for activity, so ask the coordinator what is advised for your joint.