Non-Surgical Joint Treatment in Madrid
Cell therapy (SVF) and PRP for the knee, hip, shoulder and other joints. A free review of your scans before any decision
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.
Suitable for people with joint pain who would rather avoid or postpone surgery, or who were told a joint replacement is inevitable. The earlier the condition, the better the odds of a lasting effect — something the doctor judges from 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
From large joints to small ones: the doctor picks the joint, the technique and the injection count after studying your scans
Elbow
Pain caused by overuse or sports strain; worn 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
Arm-raising pain, with wear of the joint and the tendons around it
Methods we use
Cell therapy (SVF) from your own adipose tissue
A little of your adipose tissue is processed to isolate SVF — the stromal vascular fraction, which contains cells involved in repairing tissue. It is then combined with your own plasma and injected into the 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
A little of your blood is enough to separate platelet-rich plasma full of growth factors. Injected into the joint, it calms inflammation and improves conditions for 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
The doctor examines the joint, reviews your X-rays, MRI or ultrasound and decides whether the procedure suits you. If you already have scans, you can send them before the visit.
Blood sample for PRP
A little blood is drawn from a vein; platelet-rich plasma with growth factors is prepared from it later.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
About 30 ml of adipose tissue is collected through a puncture on the abdomen or the inner thigh under local anaesthetic. The puncture needs no stitches.
Processing in a centrifuge
Centrifugation divides the sample into layers, so the stromal vascular fraction can be isolated and then mixed 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
The procedure needs no crutches or hospital stay. Afterwards the doctor remains in touch and follows the joint's response.
Consultation and scan review
The doctor examines the joint, reviews your X-rays, MRI or ultrasound and decides whether the procedure suits you. If you already have scans, you can send them before the visit.
Blood sample for PRP
A little blood is drawn from a vein; platelet-rich plasma with growth factors is prepared from it later.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
About 30 ml of adipose tissue is collected through a puncture on the abdomen or the inner thigh under local anaesthetic. The puncture needs no stitches.
Processing in a centrifuge
Centrifugation divides the sample into layers, so the stromal vascular fraction can be isolated and then mixed 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
The procedure needs no crutches or hospital stay. Afterwards the doctor remains in touch and follows the joint's response.
Follow-up visits
Follow-up visits allow the doctor to track the joint's response and fine-tune the plan. Pain tends to ease during the first month, movement improves over about three months, and the full effect builds over around six months.
Conditions we treat
A doctor decides whether the treatment suits you after examining you and reviewing 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 cold or flu, fever, inflamed skin above 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
The majority of people are discharged the same day and resume normal daily activity within a day or two; the puncture sites are simply covered with small dressings. Expect the joint to ache somewhat more in the first week — that reaction is normal. Pain usually eases in the first month, mobility and activity improve over roughly three months, and the full effect develops over around six months. The duration varies 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. Individual advice on exercise and load for the first weeks comes from your doctor.
Why patients choose City Medical Centre
We work on keeping your own joint rather than replacing it — treatment without surgery
Your own tissue
Just your blood and your adipose tissue; donor and synthetic materials are not used
No crutches
Instead of incisions, punctures under local anaesthetic, and no long rehabilitation afterwards
Second opinion
Forward your X-rays, MRI or reports to get a free, independent assessment from a doctor
Support after the procedure
We follow the result after the procedure and stay in contact, not only on the day of the injection
Joint treatment prices
The doctor names the cost after the consultation, as it depends on the joint, the method and the stage of the condition
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?
One is plasma, one is cells: PRP is platelet-rich plasma from your blood, SVF a cell fraction from a small adipose tissue sample. As they act in different ways, doctors often combine them to boost the regenerative effect in the joint.
Is the treatment safe?
The tissue comes from you in both methods, so the risk of rejection or allergy is very low. As after any injection, temporary pain, swelling or bruising are possible; infection is rare. At the consultation, the doctor explains the risks that apply to you.
How long does the effect last?
There is no single answer. The effect of PRP often lasts several months to about a year, and SVF can last longer. Duration depends on your body and the stage of the condition, and no one can promise a fixed result.
Who should not have the procedure?
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.
Can hip osteoarthritis (coxarthrosis) be treated 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?
When the condition is at an early stage (1–2), SVF therapy may be considered to support blood supply to the femoral head and delay a joint replacement; at later stages surgery is usually required.
Why try to avoid joint replacement?
A replacement is major surgery: rehabilitation is long, there are risks such as infection, and the implant may eventually need redoing. If changes are early or moderate, it often makes sense to try saving your own joint first.
Can I get a second opinion on my scans?
Yes. After you send your X-rays, MRI, CT or medical reports, a doctor reviews them at no cost and tells you whether the procedure could be suitable and what else may be required.
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
Joint treatment in Madrid: what you should know
Knee problems are the most familiar reason to seek help: cartilage wear, meniscus damage, pain on stairs and after walking. Patients from Madrid with hip, shoulder, ankle, elbow or wrist pain follow the same path — scan review, examination and a clear plan.
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 Madrid.
Book a free consultation in Madrid 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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