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 in Milan Without Surgery
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 treatment of the joints relies on material taken from your own body: platelet-rich plasma (PRP) prepared from blood, and the stromal vascular fraction (SVF) obtained from a small sample of adipose tissue. This material is injected into the problem joint to ease pain and inflammation and to support the tissues within it.
People with joint pain choose it to avoid surgery or push it back, including those told a joint replacement is the only way. A lasting effect is more likely the earlier the condition is caught; the doctor evaluates this using 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
Your suitability for the treatment is decided by a doctor following 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: fever, flu or a cold, skin inflammation over the joint being 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 opinionYour X-rays, MRI or reports get a free independent assessment from a doctor — just send them
How it works
How the procedure goes: step by step
1
2Blood sample for PRP
A small blood draw from a vein provides the material from which platelet-rich plasma with growth factors is later prepared.
3Adipose 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.
4Processing in a centrifuge
After centrifuging, the sample forms separate layers; the stromal vascular fraction is taken from them and combined with the platelet-rich plasma.
5Injection into the joint
The doctor injects the prepared material directly into the affected joint, using ultrasound to place it precisely.
6Follow-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
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
The material comes only from your own blood and adipose tissue, never from donors or synthetics
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.
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
Plasma rich in platelets and growth factors is separated from a small amount of your blood and injected into the joint. It helps calm inflammation and creates better conditions for tissue repair.
It may be given alone as a course of injections or combined 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
KneePain on stairs and after walking, meniscus problems, cartilage wear
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderWear of the joint and its tendons, pain when raising the arm
ElbowPain caused by overuse or sports strain; worn joint surfaces
Hand and wrist jointsPain and stiffness affecting the small finger and wrist joints
AnklePain and stiffness after sprains and old injuries
Advantages
Why patients choose City Medical Centre
We focus on preserving your own joint instead of replacing it, without surgery
Your own tissue
The material comes only from your own blood and adipose tissue, never from donors or synthetics
No crutches
Punctures rather than incisions, local anaesthetic and no lengthy rehabilitation
Second opinion
Your X-rays, MRI or reports get a free independent assessment from a doctor — just send them
Support after the procedure
After the procedure we keep in touch and follow the result, not only 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
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
The cost depends on the joint, the stage of the condition and the method, so the doctor names it 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.
Your blood gives PRP, a platelet-rich plasma, and a small sample of adipose tissue gives SVF, a fraction of cells. Their actions differ, which is why they are often combined for a stronger regenerative effect in the joint.
Because both methods use your own tissue, the risk of rejection or allergy is very low. As with any injection, there may be temporary pain, swelling or bruising, and infection is rare. At the consultation the doctor explains the risks in your case.
It differs from person to person. After PRP the effect often lasts from several months to around a year, and after SVF it may last longer. How long depends on the stage of the condition and on your body, so nobody can promise a fixed result.
The procedure is ruled out for cancer, acute infections and blood clotting disorders, during pregnancy and during a flare-up of a serious chronic illness. This is checked by the doctor at the consultation.
When the condition is at an early stage, injections of PRP or SVF alongside exercise therapy and physiotherapy can ease pain and improve mobility. With a badly damaged joint, replacement may be the realistic option, and the doctor will be honest about this after seeing your scans.
Early on (stages 1–2), the doctor may consider SVF therapy to support the femoral head's blood supply and delay joint replacement. In later stages surgery is generally required.
Replacing a joint is major surgery, with long rehabilitation, risks such as infection and implants that may one day need replacing again. For early or moderate changes, it is often worth trying to keep 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 a day or two is enough. There is no long rehabilitation and no crutches, and in the first weeks you follow the doctor's recommendations on load and exercise.
For the rotator cuff and the shoulder joint, PRP is used; SVF may be considered in more advanced shoulder arthritis. Whether this is right for you depends on the cause of the pain, which the doctor determines first.
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.