Joint Treatment in Palermo Without Surgery
Free scan review first, then SVF cell therapy or PRP for the knee, hip, shoulder or other joints if they suit you
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?
In regenerative joint therapy, two materials from your own body are used — platelet-rich plasma (PRP), taken from blood, and the stromal vascular fraction (SVF), taken from a small adipose tissue sample. Once injected into the affected joint, they work to cut pain and inflammation and support the tissues there.
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 and small joints can be treated; the doctor settles the joint, the method and the injection count after checking your scans
Elbow
Pain after overuse or sports strain, wear of the joint surfaces
Hand and wrist joints
Painful, stiff small joints of the fingers and the wrist
Knee
Meniscus trouble, worn cartilage, pain when using stairs or after walking
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Pain as the arm goes up, wear of the joint and adjacent tendons
Methods we use
Cell therapy (SVF) from your own adipose tissue
The method starts with a small adipose tissue sample, which is processed to separate the stromal vascular fraction (SVF), a mix of cells active in tissue repair. With your own plasma added, it is injected into the affected joint.
More marked changes in the joint and the wish for a longer-lasting effect are the usual reasons to choose it.
PRP — platelet-rich plasma from your own blood
From a small blood sample, plasma rich in platelets and growth factors is separated and injected into the joint. It helps ease inflammation and creates a better environment for tissues to 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
The doctor examines the joint, reviews your X-rays, MRI or ultrasound and decides whether the procedure suits you. If you already have scans, you can send them 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
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.
Processing in a centrifuge
The sample is centrifuged and divides into layers; the stromal vascular fraction is isolated from it and 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
The doctor examines the joint, reviews your X-rays, MRI or ultrasound and decides whether the procedure suits you. If you already have scans, you can send them 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
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.
Processing in a centrifuge
The sample is centrifuged and divides into layers; the stromal vascular fraction is isolated from it and 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
Follow-up visits let the doctor see how the joint responds and adjust the plan — pain usually eases over the first month, mobility improves over about three months, and the full effect develops over around six months.
Conditions we treat
It is a doctor who decides if the treatment fits you — after an examination and a review of your scans
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
Most people go home the same day and return to normal daily activity within a day or two; the puncture sites are covered with small dressings. During the first week the joint may ache a little more — this is an expected reaction. Over the first month the pain usually eases, over about three months mobility and activity improve, and the full effect develops over around six months. 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. The doctor gives you individual advice on exercise and load for the first weeks.
Why patients choose City Medical Centre
We try to preserve the joint you have rather than replace it, using treatment without surgery
Your own tissue
Only material from your own blood and adipose tissue is used, with no donor or synthetic components
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 keep following the result and stay in touch after the procedure, not only on injection day
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?
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?
Both methods rely on your own tissue, so rejection or an allergic reaction is very unlikely. Temporary pain, swelling or bruising can occur as with any injection, and infection is rare. The doctor goes through the risks for your case at the consultation.
How long does the effect last?
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.
Who should not have the procedure?
It is not done during pregnancy, in people with cancer, acute infections or blood clotting disorders, or while a serious chronic illness is flaring up. The consultation is where the doctor checks this.
Is it possible to 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?
When the condition is at an early stage (1–2), SVF therapy may be considered to support blood supply to the femoral head and delay a joint replacement; at later stages surgery is usually required.
Why try to avoid joint replacement?
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.
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?
Normally within a day or two. You will not need crutches or long rehabilitation, and the doctor gives you load and exercise recommendations for 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.
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Other services at our clinic
Everything about regenerative joint treatment in Palermo
Joint pain does not always mean surgery. In Palermo, many people with early or moderate changes in the knee, hip or shoulder first try to preserve their own joint. SVF and PRP injections aim to reduce pain and inflammation and to slow further wear of the cartilage.
Before the procedure, the doctor tells you which tests are needed. If you already have X-rays, MRI or ultrasound results, patients from Palermo can send them in advance and receive a preliminary answer on whether the treatment could suit them.
A consultation is the first step for every patient from Palermo. It is free, and after it you know the method, the number of injections and the cost.
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