SVF and PRP Joint Therapy in Riga
Knee, hip, shoulder or another joint — SVF cell therapy and PRP, starting with a free assessment of your scans
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?
Regenerative joint treatment uses material from your own body — platelet-rich plasma (PRP) from blood and the stromal vascular fraction (SVF) from a small sample of adipose tissue. It is injected into the affected joint to reduce pain and inflammation and to support the tissues inside it.
It is an alternative for those with sore joints who prefer not to have surgery yet, or at all, and for those told they need a joint replacement. Earlier stages give a better chance of a durable effect; your scans show the doctor where you stand.
No surgery — an injection instead of an operation
Ultrasound guidance for every injection
Free consultation and review of your scans
Joints we treat
Any joint, large or small — once the scans are reviewed, the doctor decides on the joint, the method and the number of injections
Elbow
Pain following overuse or sports strain, wear of joint surfaces
Hand and wrist joints
Pain and stiffness affecting the small finger and wrist joints
Knee
Cartilage wear, meniscus problems, 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 on lifting the arm, wear of the joint and nearby tendons
Methods we use
Cell therapy (SVF) from your own adipose tissue
From a small sample of your adipose tissue, the stromal vascular fraction (SVF) is isolated — cells that are involved in tissue repair. This fraction, combined with your plasma, is injected into the affected joint.
This option is usually picked for more advanced changes in the joint, when the goal is an effect that lasts longer.
PRP — platelet-rich plasma from your own blood
Your blood, in a small amount, is used to separate plasma rich in platelets and growth factors. This plasma is injected into the joint to help calm inflammation and support tissue repair.
It works either as a stand-alone course of injections or alongside 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 blood draw from a vein provides the material from which platelet-rich plasma with growth factors is later prepared.
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 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
The prepared material is injected straight into the affected joint under ultrasound guidance, which helps to place it precisely.
Follow-up
Neither a hospital stay nor crutches are required. The doctor stays in contact after the procedure and monitors how the joint responds.
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 blood draw from a vein provides the material from which platelet-rich plasma with growth factors is later prepared.
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 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
The prepared material is injected straight into the affected joint under ultrasound guidance, which helps to place it precisely.
Follow-up
Neither a hospital stay nor crutches are required. The doctor stays in contact after the procedure and monitors how the joint responds.
Follow-up visits
Follow-up appointments let the doctor judge the joint's response and adjust the plan; pain generally eases in the first month, mobility improves over about three months and the full effect develops over roughly six months.
Conditions we treat
Your suitability for the treatment is decided by a doctor following 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: 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
Going home the same day is the norm, and normal daily activity usually resumes within a day or two; small dressings protect the puncture sites. The joint can ache a little more during the first week — this is expected. Pain tends to ease over the first month, mobility and activity improve over about three months, and the full effect develops over around six months. The duration varies from person to person with the stage of the condition, body weight, activity and other factors, so a fixed result cannot be promised. The doctor gives individual guidance on exercise and load for the first weeks.
Why patients choose City Medical Centre
The goal is your own joint kept, not replaced, through treatment without surgery
Your own tissue
Just your blood and your adipose tissue; donor and synthetic materials are not used
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 stay in contact once the procedure is over and follow how the result develops
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?
PRP is platelet-rich plasma made from your blood; SVF is a fraction of cells isolated from a small sample of your adipose tissue. They act in different ways and are often used together for a stronger regenerative effect in the joint.
Is the treatment safe?
With both methods the tissue is your own, so the chance of rejection or an allergic reaction is very low. Any injection can bring temporary pain, swelling or bruising, and infection is rare. The doctor talks you through the risks in your case at the consultation.
How long does the effect last?
It varies. After PRP the effect often lasts from several months to about a year; after SVF it can last longer. Duration depends on the stage of the condition and on your body, so no one can promise a fixed result.
Who should not have the procedure?
The procedure is ruled out for cancer, acute infections and blood clotting disorders, during pregnancy and during a flare-up of a serious chronic illness. This is checked by the doctor at the consultation.
Hip osteoarthritis (coxarthrosis): can it be treated without surgery?
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?
Early on (stages 1–2), the doctor may consider SVF therapy to support the femoral head's blood supply and delay joint replacement. In later stages surgery is generally required.
Why try to avoid joint replacement?
Replacing a joint is major surgery, with long rehabilitation, risks such as infection and implants that may one day need replacing again. For early or moderate changes, it is often worth trying to keep your own joint first.
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?
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?
The doctor first establishes what is causing the pain: PRP is used for shoulder joint and rotator cuff problems, and SVF may be considered for more advanced arthritis of the shoulder. Suitability depends on that cause.
City Medical Centre licences
Other services at our clinic
Joint treatment in Riga: a short guide
Joint pain does not always mean surgery. In Riga, 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.
Ultrasound guidance helps place the material exactly where it is needed. For patients from Riga, this is one of the steps that make an injection into the knee, hip or shoulder more precise.
Do not put off joint pain for years. Book a free consultation in Riga: the doctor reviews your scans, assesses the stage and suggests a non-surgical plan if it is appropriate. The price is set at the consultation.
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