Joint Treatment for Patients from Louisville
SVF cell therapy and PRP for knees, hips, shoulders and other joints — with a free scan review before you decide anything
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.
The option is aimed at patients with joint pain who wish to avoid or postpone surgery, or who have only been offered a replacement. The chance of a lasting effect is best at an early stage, which the doctor checks on 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 — the doctor chooses the joint, the method and the number of injections after reviewing your scans
Elbow
Pain caused by overuse or sports strain; worn joint surfaces
Hand and wrist joints
Finger and wrist joints that feel stiff and painful
Knee
Pain climbing stairs or after walking, cartilage wear, meniscus trouble
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Pain on lifting the arm, wear of the joint and nearby tendons
Methods we use
Cell therapy (SVF) from your own adipose tissue
The stromal vascular fraction (SVF) — a combination of cells involved in tissue repair — is isolated by processing a small sample of your adipose tissue. It is combined with your plasma and injected into the joint that needs treatment.
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
Plasma containing many platelets and growth factors is prepared from a small amount of your blood and injected into the joint, helping inflammation settle and creating better conditions for 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
At the consultation the joint is examined and your X-rays, MRI or ultrasound are reviewed to decide if the procedure suits you. You can send existing scans before you come.
Blood sample for PRP
From a vein, a small amount of blood is taken. It is later used to prepare plasma rich in platelets and growth factors.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Under local anaesthetic, a small amount of adipose tissue — roughly 30 ml — is removed through a puncture on the abdomen or inner thigh, with no stitches needed.
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.
The whole procedure is done in one day.
Injection into the joint
The doctor injects the prepared material directly into the affected joint, using ultrasound to place it precisely.
Follow-up
You go without crutches and without a hospital stay; the doctor keeps in contact after the procedure and follows your joint's progress.
Consultation and scan review
At the consultation the joint is examined and your X-rays, MRI or ultrasound are reviewed to decide if the procedure suits you. You can send existing scans before you come.
Blood sample for PRP
From a vein, a small amount of blood is taken. It is later used to prepare plasma rich in platelets and growth factors.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Under local anaesthetic, a small amount of adipose tissue — roughly 30 ml — is removed through a puncture on the abdomen or inner thigh, with no stitches needed.
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.
The whole procedure is done in one day.
Injection into the joint
The doctor injects the prepared material directly into the affected joint, using ultrasound to place it precisely.
Follow-up
You go without crutches and without a hospital stay; the doctor keeps in contact after the procedure and follows your joint's progress.
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
The decision on whether the treatment suits you is made by a doctor, after an examination and a look at your scans
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
Recovery is short: most people go home the same day and are back to normal daily activity within a day or two, and the puncture sites only need small dressings. A slight increase in joint ache during the first week is an expected reaction. Typically pain 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 with the person, the stage of the condition, body weight, activity and other factors — no one can promise a fixed result. For the first weeks the doctor gives you individual advice on exercise and load.
Why patients choose City Medical Centre
The goal is your own joint kept, not replaced, through treatment without surgery
Your own tissue
Only your own blood and adipose tissue — no donor or synthetic material is used
No crutches
Local anaesthetic, punctures instead of incisions, and no long rehabilitation
Second opinion
A doctor gives a free, independent assessment of the X-rays, MRI or reports you send us
Support after the procedure
Contact continues after the procedure — we track the result, not just the injection itself
Joint treatment prices
The cost is named by the doctor after the consultation, since it depends on the joint, the stage of the condition and the method
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 approaches use tissue from your own body, which makes rejection or an allergic reaction very unlikely. Temporary pain, swelling or bruising may occur, as after any injection, and infection is rare. The risks for your particular case are explained by the doctor at the consultation.
How long does the effect last?
Results vary. The effect of PRP often holds for several months to about a year; SVF can keep working longer. How long it lasts depends on the stage of the condition and your own body — 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 there a way to treat hip osteoarthritis (coxarthrosis) without surgery?
At an early stage, combining PRP or SVF injections with exercise therapy and physiotherapy can reduce pain and help movement. When the joint is already badly damaged, replacement may be more realistic, and the doctor will say so honestly after seeing your scans.
Can avascular necrosis of the hip be treated?
At an early stage (1–2), SVF therapy may help support the blood supply to the femoral head and delay the need for joint replacement. Surgery is usually required at later stages.
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. 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.
How soon can I return to normal life?
Most people return within a day or two. There is no long rehabilitation and no need for crutches; the doctor gives advice on load and exercise for the first weeks.
Does the treatment help with shoulder pain?
Shoulder joint and rotator cuff problems are treated with PRP; in more advanced shoulder arthritis, SVF may be an option. The doctor first finds the cause of the pain, and that decides whether it suits you.
City Medical Centre licences
Other services at our clinic
Joint treatment in Louisville step by step
Joint pain does not always mean surgery. In Louisville, 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.
Keeping a healthy weight and regular, joint-friendly exercise help the result last longer. The doctor explains which activities suit your joint and which loads to avoid — the same advice applies to every patient in Louisville.
Joint treatment in Louisville: 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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