1Consultation and scan review
An examination of the joint and a review of your X-ray, MRI or ultrasound results let the doctor decide whether the procedure suits you. Please send any scans you have before the visit.
Joint Treatment for Patients from Naples
PRP and SVF cell therapy for the knee, hip, shoulder and more. We review your scans free of charge before any decision
Consultation and review of your scansFree
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What it is
What is regenerative
joint treatment?
This approach uses your own biological material — PRP, the platelet-rich plasma separated from blood, and SVF, the stromal vascular fraction taken from a small portion of adipose tissue. Injected into the affected joint, it helps reduce pain and inflammation and supports the tissues inside.
The option is aimed at patients with joint pain who wish to avoid or postpone surgery, or who have only been offered a replacement. The chance of a lasting effect is best at an early stage, which the doctor checks on 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
Whether this treatment is right for you is decided by a doctor after 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: having a fever, a cold or flu, or inflamed 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 opinionShare your X-rays, MRI or reports, and a doctor will give an independent opinion free of charge
How it works
How the procedure goes: step by step
1
2Blood sample for PRP
Blood is taken from a vein in a small amount, and it is later used to prepare platelet-rich plasma with growth factors.
3Adipose tissue sample
A puncture on the abdomen or inner thigh, made under local anaesthetic, is used to take a small portion of adipose tissue, about 30 ml. No stitches follow.
4Processing in a centrifuge
In a centrifuge the sample separates into layers. The stromal vascular fraction is then isolated and combined with the platelet-rich plasma.
5Injection into the joint
The prepared material is injected directly into the affected joint under ultrasound guidance, which helps place it precisely.
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
No donor or synthetic material: only your own blood and adipose tissue are used
Cell therapy (SVF) from your own adipose tissue
Your adipose tissue, taken in a small sample, is processed so that the stromal vascular fraction (SVF) can be isolated: a mixture of cells that play a role in tissue repair. Together with your own plasma, it goes into the affected 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
A small amount of your blood is processed to separate plasma rich in platelets and growth factors, which is then injected into the joint. It helps settle inflammation and gives the tissues better conditions for repair.
Used by itself as an injection course, or together 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
Large and small joints — after looking at your scans, the doctor selects the joint, the method and how many injections you need
KneeWorn cartilage and meniscus issues, with pain on stairs and after walking
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderWear of the joint and its tendons, pain when raising the arm
ElbowJoint surface wear and pain after overload or sports strain
Hand and wrist jointsStiffness and pain in the small joints of the fingers and wrist
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
No donor or synthetic material: only your own blood and adipose tissue are used
No crutches
Small punctures in place of incisions, local anaesthetic, no long recovery programme
Second opinion
Share your X-rays, MRI or reports, and a doctor will give an independent opinion free of charge
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
The doctor names the cost after the consultation, as it depends on the joint, the method and the stage of the condition
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.
PRP is a platelet-rich plasma produced from your blood, and SVF is a fraction of cells isolated from a small sample of adipose tissue. They have different modes of action and are often combined to enhance the 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.
Each case differs. A PRP effect often lasts from several months to around a year, and an SVF effect can last longer. It depends on your body and the stage of the condition, so no one can promise you a fixed result.
The procedure is not performed in people with cancer, acute infections or blood clotting disorders, in pregnancy, or during a flare-up of a serious chronic illness. The doctor checks for this at the consultation.
In the early stages, PRP or SVF injections together with exercise therapy and physiotherapy can ease pain and improve movement. If the joint is already severely damaged, a replacement may be the more realistic choice — the doctor will tell you honestly once they have seen your scans.
At stages 1–2, SVF therapy can be considered to help the blood supply to the femoral head and delay joint replacement; at later stages surgery is usually necessary.
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. 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 in a day or two. There are no crutches and no long rehabilitation; for the first weeks the doctor gives 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.