Joint Treatment in New York Without Surgery
PRP and SVF cell therapy for many joints, from knee and hip to shoulder. First step: a free review of your imaging
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?
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.
Joint pain and a wish to avoid or put off surgery, or a verdict that replacement is the only route — these are the typical reasons people come. An earlier stage of the condition means a better chance of lasting relief, and the doctor assesses it 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
Treatment covers large and small joints, with the joint, the method and the number of injections chosen after the doctor reviews your scans
Elbow
Pain after overload or sports strain, worn surfaces of the joint
Hand and wrist joints
Stiffness and pain in the small joints of the fingers and wrist
Knee
Pain on stairs and after walking, meniscus problems, cartilage wear
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
SVF (stromal vascular fraction) is a mixture of cells involved in tissue repair, isolated from a small sample of your adipose tissue. Combined with plasma from your own body, it is injected directly into the affected joint.
It is usually chosen when the changes in the joint are more pronounced and a longer-lasting effect is the goal.
PRP — platelet-rich plasma from your own blood
The doctor separates plasma rich in platelets and growth factors from a small amount of your blood and injects it into the joint. This helps to calm inflammation and supports tissue repair.
Either on its own, as a series of injections, or together with SVF.
How the procedure goes: step by step
Consultation 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.
Blood sample for PRP
A little blood is drawn from a vein; platelet-rich plasma with growth factors is prepared from it later.
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
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
The doctor injects the prepared material directly into the affected joint, using ultrasound to place it precisely.
Follow-up
There are no crutches and you do not stay in hospital. After the procedure the doctor stays in contact and tracks the joint's response.
Consultation 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.
Blood sample for PRP
A little blood is drawn from a vein; platelet-rich plasma with growth factors is prepared from it later.
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
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
The doctor injects the prepared material directly into the affected joint, using ultrasound to place it precisely.
Follow-up
There are no crutches and you do not stay in hospital. After the procedure the doctor stays in contact and tracks 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.
Conditions we treat
Whether this treatment is right for you is decided by a doctor after an examination and a scan review
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: skin inflammation over the joint to be treated, a fever, a cold or flu
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
The majority of people are discharged the same day and resume normal daily activity within a day or two; the puncture sites are simply covered with small dressings. Expect the joint to ache somewhat more in the first week — that reaction is normal. Pain usually eases in the first month, mobility and activity improve over roughly three months, and the full effect develops over around six months. The duration varies 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. Individual advice on exercise and load for the first weeks comes from your doctor.
Why patients choose City Medical Centre
Treatment without surgery: we work to save your own joint rather than replace it
Your own tissue
Only your own blood and adipose tissue are used — no donor or synthetic material
No crutches
Done through punctures instead of incisions, under local anaesthetic, without long 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 stay in contact once the procedure is over and follow how the result develops
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
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?
SVF is a cell fraction isolated from a small sample of your adipose tissue, whereas PRP is platelet-rich plasma prepared from your blood. They work differently and are frequently combined for a stronger regenerative effect in the joint.
Is the treatment safe?
The risk of rejection or allergy is very low, since both methods use your own tissue. Like any injection, they can cause temporary pain, swelling or bruising, while infection happens rarely. At the consultation the doctor explains what the risks are for 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?
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?
Early-stage osteoarthritis often responds to PRP or SVF injections together with exercise therapy and physiotherapy, which can reduce pain and improve movement. If the joint is badly damaged already, replacement may be the more realistic option, as the doctor will honestly tell you after seeing your scans.
Can avascular necrosis of the hip be treated?
Stages 1–2 are early enough for SVF therapy to be considered, supporting blood supply to the femoral head and delaying joint replacement. At later stages, surgery is usually unavoidable.
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, 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?
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?
PRP is an option for rotator cuff and shoulder joint problems, and SVF can be considered for more advanced arthritis of the shoulder. The doctor first pins down the cause of the pain, and suitability depends on it.
City Medical Centre licences
Other services at our clinic
What New York residents ask about joint treatment
We treat arthritis, arthrosis, osteoarthritis of the knee and hip, avascular necrosis, meniscus problems and inflammatory joint conditions, and help with rehabilitation after injuries and surgery. Patients from New York can have the elbow, hand and wrist, knee, hip, ankle or shoulder treated.
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 New York.
Leave a request, and a coordinator will contact you to arrange a free consultation and scan review. The price of joint treatment in New York is set individually and explained before any procedure.
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