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
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?
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
Ultrasound guidance for every injection
Free consultation and review of your scans
Joints we treat
Small joints and large ones alike — your scans guide the doctor's choice of joint, method and number of injections
Elbow
Pain following overuse or sports strain, wear of 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
Pain when you raise your arm, worn joint and surrounding tendons
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.
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
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.
How the procedure goes: step by step
Consultation 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.
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
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.
Processing 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.
The whole procedure is done in one day.
Injection into the joint
Using ultrasound guidance, the doctor places the prepared material precisely by injecting it straight into the affected joint.
Follow-up
You need neither crutches nor a hospital stay. The doctor remains in contact afterwards and watches how the joint responds.
Consultation 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.
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
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.
Processing 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.
The whole procedure is done in one day.
Injection into the joint
Using ultrasound guidance, the doctor places the prepared material precisely by injecting it straight into the affected joint.
Follow-up
You need neither crutches nor a hospital stay. The doctor remains in contact afterwards and watches how the joint responds.
Follow-up visits
Check-ups after the procedure show the doctor how the joint responds, so the plan can be adjusted — typically pain eases in the first month, mobility improves within about three months and the full effect develops over around six months.
Conditions we treat
Examination and scan review come first; then the doctor decides 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: fever, a cold or the flu, inflammation of the 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
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
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
Joint treatment prices
Cost varies with the joint, the stage of the condition and the method; the doctor names 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?
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.
Is the treatment safe?
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.
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?
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.
Can I 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?
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.
Why try to avoid joint replacement?
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.
Can I get a second opinion on my scans?
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.
How soon can I return to normal life?
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.
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 Nagoya: a short guide
SVF and PRP work in different ways. PRP helps calm inflammation and creates better conditions for repair; SVF contains cells involved in tissue repair and is chosen when changes are more pronounced. For patients from Nagoya, the doctor often combines the two.
Follow-up visits help the doctor see how the joint responds and adjust the plan. In Nagoya, you receive recommendations on load and exercise for the first weeks, and the doctor stays in touch after the procedure.
Patients from Nagoya can start with a free second opinion: send your X-rays, MRI, CT or reports, and a doctor will tell you whether SVF or PRP could help. The price of treatment is named at the consultation.
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