Non-Surgical Joint Treatment in Los Angeles
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?
Instead of implants or foreign substances, regenerative joint treatment uses you as the source: platelet-rich plasma (PRP) from your blood and the stromal vascular fraction (SVF) from a small adipose tissue sample. It is injected into the troubled joint to lower pain and inflammation and support the tissues inside.
It is an alternative for those with sore joints who prefer not to have surgery yet, or at all, and for those told they need a joint replacement. Earlier stages give a better chance of a durable effect; your scans show the doctor where you stand.
No surgery — an injection instead of an operation
Ultrasound guidance for every injection
Free consultation and review of your scans
Joints we treat
From large joints to small ones: the doctor picks the joint, the technique and the injection count after studying your scans
Elbow
Joint surface wear and pain after overload or sports strain
Hand and wrist joints
Finger and wrist joints that feel stiff and painful
Knee
Worn cartilage, meniscus problems, pain on stairs or after walking
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Arm-raising pain, with wear of the joint and the tendons around it
Methods we use
Cell therapy (SVF) from your own adipose tissue
Processing a small sample of adipose tissue yields the stromal vascular fraction (SVF), a blend of cells that help tissue repair. The doctor combines it with your plasma and injects it into the problem joint.
It is typically chosen for more pronounced joint changes, with a longer-lasting result in mind.
PRP — platelet-rich plasma from your own blood
The doctor separates plasma rich in platelets and growth factors from a small amount of your blood and injects it into the joint. This helps to calm inflammation and supports tissue repair.
It is suitable as a separate injection course or in combination with SVF.
How the procedure goes: step by step
Consultation and scan review
Before anything else, the doctor examines the joint and goes through your X-rays, MRI or ultrasound to see if the procedure is suitable. Scans can be sent to us ahead of time.
Blood sample for PRP
Blood is drawn from a vein — only a small amount. Later, platelet-rich plasma with growth factors is made from it.
The doctor tells you in advance which tests are needed.
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 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
Directly into the affected joint: the prepared material is injected under ultrasound guidance for precise placement.
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
Before anything else, the doctor examines the joint and goes through your X-rays, MRI or ultrasound to see if the procedure is suitable. Scans can be sent to us ahead of time.
Blood sample for PRP
Blood is drawn from a vein — only a small amount. Later, platelet-rich plasma with growth factors is made from it.
The doctor tells you in advance which tests are needed.
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 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
Directly into the affected joint: the prepared material is injected under ultrasound guidance for precise placement.
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
During follow-up visits the doctor checks the joint's response and adapts the plan: pain usually subsides in the first month, movement improves over about three months and the full effect develops over around six months.
Conditions we treat
Only after an examination and a review of your scans does the doctor decide 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: inflamed skin over the treatment joint, fever, a cold or flu
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 focus on preserving your own joint instead of replacing it, without surgery
Your own tissue
We use nothing but your own blood and adipose tissue, with no donor or synthetic material
No crutches
Punctures, not incisions; local anaesthetic; no prolonged rehabilitation
Second opinion
Share your X-rays, MRI or reports, and a doctor will give an independent opinion free of charge
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?
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?
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 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.
Who should not have the procedure?
It is not carried out if you have cancer, an acute infection or a blood clotting disorder, if you are pregnant, or during a flare-up of a serious chronic illness. 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?
SVF therapy at early stages (1–2) may be considered to support blood flow to the femoral head and push back the need for joint replacement. Later stages generally need surgery.
Why try to avoid joint replacement?
Replacement is major surgery that brings long rehabilitation, risks including infection, and implants that may eventually need redoing. So with early or moderate changes it often makes sense to first try preserving your own joint.
Can I get a second opinion on my scans?
Yes, you can. A doctor reviews the X-rays, MRI, CT or medical reports you send free of charge and tells you if 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?
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.
City Medical Centre licences
Other services at our clinic
Joint treatment in Los Angeles: a short guide
Joint pain does not always mean surgery. In Los Angeles, 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.
Most patients from Los Angeles go home the same day and return to normal daily activity within a day or two. During the first week the joint may ache a little more — this is an expected reaction. Pain usually eases over the first month.
Book a free consultation in Los Angeles 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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