1Consultation and scan review
The doctor checks your joint, reviews the X-ray, MRI or ultrasound and makes the decision on whether the procedure is suitable for you. If scans already exist, you can send them before the visit.
Joint Treatment for Patients from Nagoya
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 joint treatment uses material from your own body — platelet-rich plasma (PRP) from blood and the stromal vascular fraction (SVF) from a small sample of adipose tissue. It is injected into the affected joint to reduce pain and inflammation and to support the tissues inside it.
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
- Own tissue — your blood and adipose tissue
- Ultrasound guidance for every injection
Who the treatment suits
Examination and scan review come first; then the doctor decides whether the treatment suits you
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, a cold or the flu, inflammation of the skin over the joint to be 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 opinionA doctor will independently assess your X-rays, MRI or reports free of charge once you send them
How it works
How the procedure goes: step by step
1
2Blood 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.
3Adipose tissue sample
A small portion of adipose tissue (about 30 ml) is taken under local anaesthetic through a puncture on the abdomen or inner thigh. There is no need for stitches.
4Processing in a centrifuge
The centrifuge separates the sample into layers, the stromal vascular fraction is isolated, and it is then mixed with platelet-rich plasma.
5Injection into the joint
Using ultrasound guidance, the doctor places the prepared material precisely by injecting it straight into the affected joint.
6Follow-up
You need neither crutches nor a hospital stay. The doctor remains in contact afterwards and watches how the joint responds.
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
Your own blood and adipose tissue are the only materials — nothing donor-derived or synthetic
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.
It is usually the choice when changes in the joint are more marked and the aim is 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
Your blood, in a small amount, is used to separate plasma rich in platelets and growth factors. This plasma is injected into the joint to help calm inflammation and support tissue repair.
It is suitable as a separate injection course or in combination 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
Small joints and large ones alike — your scans guide the doctor's choice of joint, method and number of injections
KneeMeniscus trouble, worn cartilage, pain when using stairs or after walking
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderPain when you raise your arm, worn joint and surrounding tendons
ElbowPain following overuse or sports strain, wear of joint surfaces
Hand and wrist jointsAching and stiffness in the small wrist and finger joints
AnklePain and stiffness after sprains and old injuries
Advantages
Why patients choose City Medical Centre
Our aim is to keep your own joint, not replace it — treatment without surgery
Your own tissue
Your own blood and adipose tissue are the only materials — nothing donor-derived or synthetic
No crutches
Small punctures in place of incisions, local anaesthetic, no long recovery programme
Second opinion
A doctor will independently assess your X-rays, MRI or reports free of charge once you send them
Support after the procedure
Our care goes beyond the day of the injection: we stay in touch and follow the result
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
Cost varies with the joint, the stage of the condition and the method; 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.
The difference: PRP is plasma rich in platelets, obtained from your blood, and SVF is a cell fraction isolated from a little of your adipose tissue. Their mechanisms differ, so they are often combined for a stronger regenerative effect.
With both methods the tissue is your own, so the chance of rejection or an allergic reaction is very low. Any injection can bring temporary pain, swelling or bruising, and infection is rare. The doctor talks you through the risks in your case at the consultation.
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.
Contraindications include cancer, acute infections, blood clotting disorders, pregnancy and a flare-up of a serious chronic illness; in these cases the procedure is not performed. The doctor checks this at the consultation.
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.
In the early stages (1–2), SVF therapy may be considered to support the blood supply to the femoral head and put off the need for joint replacement. Later stages usually require surgery.
Keep in mind that replacement is major surgery with long rehabilitation, risks such as infection and implants that may eventually be redone. When changes are early or moderate, trying to preserve your own joint first often makes sense.
Yes — send your X-rays, MRI, CT or medical reports, and a doctor will look at them free of charge, then tell you whether the procedure could suit you and what else may be needed.
In most cases within a day or two. No crutches, no long rehabilitation — the doctor recommends how to manage load and exercise in the first weeks.
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.
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.