Cell therapy (SVF) and PRP for the knee, hip, shoulder and other joints. A free review of your scans before any decision
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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
Material from your own body is at the heart of regenerative joint treatment — PRP, a platelet-rich plasma derived from blood, and SVF, the stromal vascular fraction derived from a small sample of adipose tissue. Placed into the affected joint by injection, it reduces pain and inflammation and supports the joint's tissues.
It can help if your joints hurt and you want to put off or avoid surgery, or if you have heard that replacement is your only choice. Chances of a lasting effect are higher at earlier stages of the condition, and your doctor assesses the stage from the scans.

No surgery — an injection instead of an operation

Ultrasound guidance for every injection

Free consultation and review of your scans
Any joint, large or small — once the scans are reviewed, the doctor decides on the joint, the method and the number of injections
Elbow
Overuse or sports-related pain and wear of the joint surfaces
Hand and wrist joints
Aching and stiffness in the small wrist and finger joints
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
Raising the arm hurts; wear of the joint and the tendons around it

Cell therapy (SVF) from your own adipose tissue
A small sample of your adipose tissue is processed to isolate the stromal vascular fraction (SVF) — a mix of cells involved in tissue repair. Combined with your own plasma, it is injected into the affected joint.
When the joint has more noticeable changes and you want the effect to last longer, this is the usual choice.

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.

Consultation and scan review
Before anything else, the doctor examines the joint and goes through your X-rays, MRI or ultrasound to see if the procedure is suitable. Scans can be sent to us ahead of time.

Blood sample for PRP
Blood is drawn from a vein — only a small amount. Later, platelet-rich plasma with growth factors is made from it.
The doctor tells you in advance which tests are needed.

Adipose tissue sample
Around 30 ml of adipose tissue is taken through a single puncture on the abdomen or inner thigh under local anaesthetic, and the site needs no stitches.

Processing in a centrifuge
The sample is spun in a centrifuge and separates into layers. The stromal vascular fraction is isolated and mixed with the platelet-rich plasma.
The whole procedure is done in one day.

Injection into the joint
Directly into the affected joint: the prepared material is injected under ultrasound guidance for precise placement.

Follow-up
The procedure needs no crutches or hospital stay. Afterwards the doctor remains in touch and follows the joint's response.

Consultation and scan review
Before anything else, the doctor examines the joint and goes through your X-rays, MRI or ultrasound to see if the procedure is suitable. Scans can be sent to us ahead of time.

Blood sample for PRP
Blood is drawn from a vein — only a small amount. Later, platelet-rich plasma with growth factors is made from it.
The doctor tells you in advance which tests are needed.

Adipose tissue sample
Around 30 ml of adipose tissue is taken through a single puncture on the abdomen or inner thigh under local anaesthetic, and the site needs no stitches.

Processing in a centrifuge
The sample is spun in a centrifuge and separates into layers. The stromal vascular fraction is isolated and mixed with the platelet-rich plasma.
The whole procedure is done in one day.

Injection into the joint
Directly into the affected joint: the prepared material is injected under ultrasound guidance for precise placement.

Follow-up
The procedure needs no crutches or hospital stay. Afterwards the doctor remains in touch and follows the joint's response.
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.
Send a request before year-end and get a consultation paid by the clinic!
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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: flu, a cold or fever, and skin inflammation over the joint that will 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
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.
Treatment without surgery: we work to save your own joint rather than replace it

Your own tissue
We use nothing but your own blood and adipose tissue, with no donor or synthetic material

No crutches
Punctures, not incisions; local anaesthetic; no prolonged rehabilitation

Second opinion
A doctor will independently assess your X-rays, MRI or reports free of charge once you send them

Support after the procedure
We follow the result after the procedure and stay in contact, not only on the day of the injection
Send a request before year-end and get a consultation paid by the clinic!
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The cost depends on the joint, the stage of the condition and the method, so the doctor names it after the consultation
Service
Price
Consultation and review of your scans
Free
Send a request before year-end and get a consultation paid by the clinic!
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PRP therapy (platelet-rich plasma)
Price at consultation
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Cell therapy (SVF + PRP), one joint
Price at consultation
Send a request before year-end and get a consultation paid by the clinic!
Message our coordinator on Telegram
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Or message us in any messenger
Send a request before year-end and get a consultation paid by the clinic!
Message our coordinator on Telegram
We reply right in the chat — you can send photos
Message us on TelegramBy sending a message, you agree to the privacy policy
Or message us in any messenger
Send a request before year-end and get a consultation paid by the clinic!
Message our coordinator on Telegram
We reply right in the chat — you can send photos
Message us on TelegramBy sending a message, you agree to the privacy policy
Or message us in any messenger
Send a request before year-end and get a consultation paid by the clinic!
Message our coordinator on Telegram
We reply right in the chat — you can send photos
Message us on TelegramBy sending a message, you agree to the privacy policy
Or message us in any messenger
Send a request before year-end and get a consultation paid by the clinic!
Message our coordinator on Telegram
We reply right in the chat — you can send photos
Message us on TelegramBy sending a message, you agree to the privacy policy
Or message us in any messenger
Consultation and review of your scans
Free
Send a request before year-end and get a consultation paid by the clinic!
Message our coordinator on Telegram
We reply right in the chat — you can send photos
Message us on TelegramBy sending a message, you agree to the privacy policy
Or message us in any messenger
PRP therapy (platelet-rich plasma)
Price at consultation
Send a request before year-end and get a consultation paid by the clinic!
Message our coordinator on Telegram
We reply right in the chat — you can send photos
Message us on TelegramBy sending a message, you agree to the privacy policy
Or message us in any messenger
Cell therapy (SVF + PRP), one joint
Price at consultation
Send a request before year-end and get a consultation paid by the clinic!
Message our coordinator on Telegram
We reply right in the chat — you can send photos
Message us on TelegramBy sending a message, you agree to the privacy policy
Or message us in any messenger
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
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?
The tissue comes from you in both methods, so the risk of rejection or allergy is very low. As after any injection, temporary pain, swelling or bruising are possible; infection is rare. At the consultation, the doctor explains the risks that apply to you.
How long does the effect last?
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.
Who should not have the procedure?
The procedure is not done in people with cancer, acute infections, blood clotting disorders, during pregnancy or during a flare-up of a serious chronic illness. The doctor checks this at the consultation.
Is non-surgical treatment possible for hip osteoarthritis (coxarthrosis)?
At early stages, pain can be reduced and movement improved with PRP or SVF injections combined with exercise therapy and physiotherapy. Should the joint already be badly damaged, a replacement may be more realistic — the doctor tells you honestly after looking at your scans.
Can avascular necrosis of the hip be treated?
SVF therapy may be an option at early stages (1–2) to support blood supply to the femoral head and postpone joint replacement. At later stages, surgery is usually needed.
Why try to avoid joint replacement?
A replacement is major surgery: rehabilitation is long, there are risks such as infection, and the implant may eventually need redoing. If changes are early or moderate, it often makes sense to try saving your own joint first.
Can I get a second opinion on my scans?
Yes, you can. A doctor reviews the X-rays, MRI, CT or medical reports you send free of charge and tells you if the procedure could suit you and what else may be needed.
How soon can I return to normal life?
Typically within a day or two. You need no crutches and no long rehabilitation, and the doctor advises you on exercise and load for the first weeks.
Does the treatment help with shoulder pain?
PRP is used for problems of the shoulder joint and the rotator cuff, and SVF may be considered for more advanced arthritis of the shoulder. Whether it suits you depends on the cause of the pain, which the doctor establishes first.
Regenerative joint treatment uses material from your own body: platelet-rich plasma from blood and the stromal vascular fraction (SVF) from a small sample of adipose tissue. For patients from Narela, it is an option to ease pain and inflammation and support the tissues inside the joint without an operation.
Keeping a healthy weight and regular, joint-friendly exercise help the result last longer. The doctor explains which activities suit your joint and which loads to avoid — the same advice applies to every patient in Narela.
The cost of joint treatment depends on the joint, the stage of the condition and the method, so the price is set at the consultation. The initial consultation and review of your scans are free for patients from Narela. Leave your name and phone number, and a coordinator will contact you.
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Apply before the end of the year and get a consultation at the clinic's expense!
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