Joint Treatment in Prague: Methods and Steps
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?
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.
People with joint pain choose it to avoid surgery or push it back, including those told a joint replacement is the only way. A lasting effect is more likely the earlier the condition is caught; the doctor evaluates this using 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
Both large and small joints are treated; the joint, the method and the number of injections are chosen by the doctor once your scans are reviewed
Elbow
Pain from overuse or sports strain, worn joint surfaces
Hand and wrist joints
Stiffness and pain in the small joints of the hand and wrist
Knee
Worn cartilage, meniscus problems, pain on stairs or after walking
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Arm-raising pain, with wear of the joint and the tendons around it
Methods we use
Cell therapy (SVF) from your own adipose tissue
A little of your adipose tissue is processed to isolate SVF — the stromal vascular fraction, which contains cells involved in repairing tissue. It is then combined with your own plasma and injected into the joint.
It is typically chosen for more pronounced joint changes, with a longer-lasting result in mind.
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 may be given alone as a course of injections or combined with SVF.
How the procedure goes: step by step
Consultation and scan review
First comes an examination: the doctor checks the joint and your X-ray, MRI or ultrasound images and decides whether the procedure fits. If you have scans already, send them in advance.
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
A small portion of adipose tissue (about 30 ml) is taken under local anaesthetic through a puncture on the abdomen or inner thigh. There is no need for stitches.
Processing in a centrifuge
The sample goes into a centrifuge, where it separates into layers. The stromal vascular fraction is isolated and mixed with your platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Ultrasound guidance allows the prepared material to be injected precisely, directly into the affected joint.
Follow-up
No stay in hospital and no crutches are needed. The doctor stays in touch after the procedure to see how the joint responds.
Consultation and scan review
First comes an examination: the doctor checks the joint and your X-ray, MRI or ultrasound images and decides whether the procedure fits. If you have scans already, send them in advance.
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
A small portion of adipose tissue (about 30 ml) is taken under local anaesthetic through a puncture on the abdomen or inner thigh. There is no need for stitches.
Processing in a centrifuge
The sample goes into a centrifuge, where it separates into layers. The stromal vascular fraction is isolated and mixed with your platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Ultrasound guidance allows the prepared material to be injected precisely, directly into the affected joint.
Follow-up
No stay in hospital and no crutches are needed. The doctor stays in touch after the procedure to see how the joint responds.
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
The decision on whether the treatment suits you is made by a doctor, after an examination and a look at 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: having a fever, a cold or flu, or 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
Most patients return home that same day and get back to their usual daily activity in a day or two, with small dressings on the puncture sites. It is an expected reaction for the joint to ache slightly more in the first week. Over the first month the pain usually eases, over about three months mobility and activity get better, and over around six months the full effect develops. How long it lasts is individual — the stage of the condition, body weight, activity and other factors all play a part — and no one can promise a fixed result. In the first weeks, your doctor advises you individually on exercise and load.
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 your own blood and adipose tissue are used — no donor or synthetic material
No crutches
No incisions — just punctures under local anaesthetic, with no long rehabilitation
Second opinion
Forward your X-rays, MRI or reports to get a free, independent assessment from a doctor
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
The price depends on the joint, the stage of the condition and the method, so the doctor gives it 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?
Platelet-rich plasma (PRP) is prepared from your blood, while SVF is a cell fraction taken from a small adipose tissue sample. Because they work differently, they are often combined to strengthen 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?
Cancer, acute infections, blood clotting disorders, pregnancy and a flare-up of a serious chronic illness all rule the procedure out. The doctor checks this at the consultation.
Can coxarthrosis (hip osteoarthritis) be managed 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?
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?
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. Send your X-rays, MRI, CT or medical reports, and a doctor will review them free of charge and tell you whether the procedure could suit you and what else may be needed.
How soon can I return to normal life?
Usually within a day or two. There are no crutches and no long rehabilitation; the doctor gives you recommendations on load and exercise for 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.
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Joint treatment in Prague: methods, steps and price
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 Prague, it is an option to ease pain and inflammation and support the tissues inside the joint without an operation.
The procedure in Prague takes one day. Blood is taken from a vein for PRP, a small portion of adipose tissue is taken under local anaesthetic without stitches, the material is spun in a centrifuge, and the prepared mix is injected precisely into the affected joint.
Book a free consultation in Prague to find out whether regenerative joint treatment suits you. The doctor names the price after examining the joint and reviewing your scans.
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