Joint Treatment in Ottawa Without Surgery
Cell therapy (SVF) and platelet-rich plasma for knee, hip and shoulder joints and beyond, plus a free look at your scans first
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?
Instead of implants or foreign substances, regenerative joint treatment uses you as the source: platelet-rich plasma (PRP) from your blood and the stromal vascular fraction (SVF) from a small adipose tissue sample. It is injected into the troubled joint to lower pain and inflammation and support the tissues inside.
For someone with joint pain who wants to avoid surgery or delay it, or who has been told replacement is the only choice, this is worth considering. The doctor reviews your scans to assess the stage — earlier stages give a better chance of a lasting result.
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
Wear of the joint surfaces, pain after overuse or sports strain
Hand and wrist joints
Finger and wrist joints that feel stiff and painful
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
Pain when you raise your arm, worn joint and surrounding tendons
Methods we use
Cell therapy (SVF) from your own adipose tissue
A small sample of adipose tissue is taken and processed to obtain the stromal vascular fraction (SVF), a mix of cells that take part in tissue repair. Mixed with your own plasma, it is then injected into the affected joint.
It tends to be used when the joint is more visibly changed and a longer-lasting effect is being sought.
PRP — platelet-rich plasma from your own blood
The joint receives an injection of plasma rich in platelets and growth factors, separated from a small amount of your blood. It helps soothe inflammation and creates better conditions for the tissues to repair.
It can be a course of injections on its own or be combined with SVF.
How the procedure goes: step by step
Consultation and scan review
Whether the procedure is for you is decided after the doctor examines the joint and reviews your X-rays, MRI or ultrasound. Any scans you already have can be sent before your visit.
Blood sample for PRP
A small amount of blood is taken from a vein. Platelet-rich plasma with growth factors is later prepared from it.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
With local anaesthetic, a small amount of adipose tissue (around 30 ml) is taken via a puncture on the abdomen or inner thigh — without stitches.
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
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
Whether the procedure is for you is decided after the doctor examines the joint and reviews your X-rays, MRI or ultrasound. Any scans you already have can be sent before your visit.
Blood sample for PRP
A small amount of blood is taken from a vein. Platelet-rich plasma with growth factors is later prepared from it.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
With local anaesthetic, a small amount of adipose tissue (around 30 ml) is taken via a puncture on the abdomen or inner thigh — without stitches.
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
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
During follow-up visits the doctor checks the joint's response and adapts the plan: pain usually subsides in the first month, movement improves over about three months and the full effect develops over around six months.
Conditions we treat
A doctor examines you and reviews your scans, then decides whether the treatment is suitable
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 fever, a cold or flu, inflamed 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
Recovery is short: most people go home the same day and are back to normal daily activity within a day or two, and the puncture sites only need small dressings. A slight increase in joint ache during the first week is an expected reaction. Typically pain 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 with the person, the stage of the condition, body weight, activity and other factors — no one can promise a fixed result. For the first weeks the doctor gives you individual advice on exercise and load.
Why patients choose City Medical Centre
No surgery: our work is about keeping your own joint, not swapping it for an implant
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
Share your X-rays, MRI or reports, and a doctor will give an independent opinion free of charge
Support after the procedure
We stay in touch after the procedure and follow the result, not just the day of the injection
Joint treatment prices
Pricing depends on the joint, the condition's stage and the method; you learn it from the doctor 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?
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?
Both methods use your own tissue, so the risk of rejection or an allergic reaction is very low. As with any injection, temporary pain, swelling or bruising are possible, and infection is rare. The doctor explains the risks for 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?
People with cancer, acute infections or blood clotting disorders cannot have the procedure, nor can pregnant women or anyone in a flare-up of a serious chronic illness. The doctor checks this at the consultation.
Is there a way to treat hip osteoarthritis (coxarthrosis) without surgery?
At early stages, PRP or SVF injections combined with exercise therapy and physiotherapy can reduce pain and improve movement. If the joint is already badly damaged, replacement may be the more realistic option — the doctor will tell you honestly after seeing your scans.
Can avascular necrosis of the hip be treated?
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.
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. A doctor will review your X-rays, MRI, CT or medical reports free of charge once you send them, and explain whether the procedure could suit you and what else might 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
What Ottawa residents ask about joint treatment
The method relies on your own tissue only, so there is no donor or synthetic material. Plasma is prepared from a small blood sample, and SVF from about 30 ml of adipose tissue taken through a puncture. This is how non-surgical joint treatment works for everyone in Ottawa.
The puncture sites are small and covered with dressings, and no general anaesthetic is used. This is why joint treatment in Ottawa does not require crutches or a long rehabilitation period.
The price depends on how many joints are treated and which method is chosen. For patients from Ottawa, the doctor explains the plan and the cost at the consultation, which is free.
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