Joint Treatment in Nansana: Methods and Steps
For the knee, hip, shoulder and other joints: PRP and cell therapy (SVF). Your scans are reviewed free before you commit
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?
Everything used in regenerative joint treatment comes from you: platelet-rich plasma (PRP) is made from your blood, and the stromal vascular fraction (SVF) from a little adipose tissue. The doctor injects it into the painful joint to lessen inflammation and pain and to support the joint's inner tissues.
It is an alternative for those with sore joints who prefer not to have surgery yet, or at all, and for those told they need a joint replacement. Earlier stages give a better chance of a durable effect; your scans show the doctor where you stand.
No surgery — an injection instead of an operation
Ultrasound guidance for every injection
Free consultation and review of your scans
Joints we treat
Large or small, each joint is assessed on your scans first — then the doctor chooses the method and how many injections are needed
Elbow
Joint surface wear and pain after overload or sports strain
Hand and wrist joints
Small joints of the wrist and fingers that are stiff and sore
Knee
Worn cartilage and meniscus issues, with pain on stairs and after walking
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Wear of the joint and its tendons, pain when raising the arm
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.
Usually it is selected where joint changes are more significant and a longer effect is the aim.
PRP — platelet-rich plasma from your own blood
Plasma rich in platelets and growth factors comes from a small amount of your blood; once injected into the joint, it helps reduce inflammation and sets up better conditions for tissue repair.
It may be given alone as a course of injections or combined with SVF.
How the procedure goes: step by step
Consultation and scan review
The doctor assesses the joint in person and reviews X-rays, MRI or ultrasound, then decides if you are a candidate for the procedure. Scans you have can be sent before the visit.
Blood sample for PRP
All it takes is a little venous blood; later on it becomes platelet-rich plasma containing growth factors.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Under local anaesthetic, a small portion of adipose tissue (about 30 ml) is taken through a puncture on the abdomen or inner thigh. No stitches are needed.
Processing in a centrifuge
Once spun in a centrifuge, the sample separates into layers, and the stromal vascular fraction isolated from it is 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
Afterwards there are no crutches and no hospital stay, and the doctor keeps in touch to follow how the joint is responding.
Consultation and scan review
The doctor assesses the joint in person and reviews X-rays, MRI or ultrasound, then decides if you are a candidate for the procedure. Scans you have can be sent before the visit.
Blood sample for PRP
All it takes is a little venous blood; later on it becomes platelet-rich plasma containing growth factors.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Under local anaesthetic, a small portion of adipose tissue (about 30 ml) is taken through a puncture on the abdomen or inner thigh. No stitches are needed.
Processing in a centrifuge
Once spun in a centrifuge, the sample separates into layers, and the stromal vascular fraction isolated from it is 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
Afterwards there are no crutches and no hospital stay, and the doctor keeps in touch to follow how the joint is responding.
Follow-up visits
Follow-up appointments let the doctor judge the joint's response and adjust the plan; pain generally eases in the first month, mobility improves over about three months and the full effect develops over roughly 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: a cold, flu or fever, skin inflammation above the joint being 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
Small dressings go over the puncture sites and, in most cases, you go home the same day and return to normal daily activity within a day or two. During the first week a little more aching in the joint is an expected reaction. Pain usually eases over the first month; mobility and activity improve over around three months; the full effect develops over about six months. Duration differs between individuals, depending on the stage of the condition, body weight, activity and other factors — no fixed result can be promised by anyone. The doctor gives individual advice on exercise and load for the first weeks.
Why patients choose City Medical Centre
Treatment without surgery: we work to save your own joint rather than replace it
Your own tissue
Nothing from donors and nothing synthetic — only your own blood and adipose tissue
No crutches
Punctures rather than incisions, local anaesthetic and no lengthy rehabilitation
Second opinion
Free of charge: a doctor's independent assessment of the X-rays, MRI or reports you send
Support after the procedure
After the procedure we keep in touch and follow the result, not only the day of the injection
Joint treatment prices
The joint, the method and the stage of the condition determine the cost, so it is set 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?
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?
Your own tissue is used in both methods, which keeps the risk of rejection or an allergic reaction very low. Any injection may cause temporary pain, swelling or bruising; infection is rare. The doctor explains your individual risks at the consultation.
How long does the effect last?
It varies. After PRP the effect often lasts from several months to about a year; after SVF it can last longer. Duration depends on the stage of the condition and on your body, so no one can promise a fixed result.
Who should not have the procedure?
Cancer, acute infections, blood clotting disorders, pregnancy and a flare-up of a serious chronic illness all rule the procedure out. The doctor checks this at the consultation.
Is there a way to treat hip osteoarthritis (coxarthrosis) without surgery?
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.
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 with long rehabilitation, risks such as infection, and implants that may eventually need to be redone. With early or moderate changes it often makes sense to try to preserve your own joint first.
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?
Generally in a day or two. No crutches are needed and there is no long rehabilitation; the doctor tells you how to handle load and exercise during the first weeks.
Does the treatment help with shoulder pain?
PRP is used for problems with the shoulder joint and rotator cuff, while SVF may be considered for more advanced shoulder arthritis. Whether it suits you depends on what causes the pain, which the doctor establishes first.
City Medical Centre licences
Other services at our clinic
How SVF and PRP therapy works for Nansana residents
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 Nansana, the doctor often combines the two.
The procedure in Nansana takes one day. Blood is taken from a vein for PRP, a small portion of adipose tissue is taken under local anaesthetic without stitches, the material is spun in a centrifuge, and the prepared mix is injected precisely into the affected joint.
A consultation is the first step for every patient from Nansana. It is free, and after it you know the method, the number of injections and the cost.
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