Joint Treatment in Rotterdam Without Surgery
SVF cell therapy and PRP for knees, hips, shoulders and other joints — with a free scan review before you decide anything
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?
Everything used in regenerative joint treatment comes from you: platelet-rich plasma (PRP) is made from your blood, and the stromal vascular fraction (SVF) from a little adipose tissue. The doctor injects it into the painful joint to lessen inflammation and pain and to support the joint's inner tissues.
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
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
Aching after strain from sport or overuse, joint surface wear
Hand and wrist joints
Pain and stiffness in the small joints of the wrist and fingers
Knee
Pain climbing stairs or after walking, cartilage wear, meniscus trouble
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Pain on raising the arm and wear of the joint and nearby tendons
Methods we use
Cell therapy (SVF) from your own adipose tissue
To obtain SVF, the stromal vascular fraction, a small amount of your adipose tissue is processed; this cell mix takes part in repairing tissue. It is injected into the affected joint together with plasma from your own blood.
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
A small amount of your blood is processed to separate plasma rich in platelets and growth factors, which is then injected into the joint. It helps settle inflammation and gives the tissues better conditions for repair.
It can be given as its own course of injections or combined with SVF.
How the procedure goes: step by step
Consultation and scan review
The doctor checks your joint, reviews the X-ray, MRI or ultrasound and makes the decision on whether the procedure is suitable for you. If scans already exist, you can send them before the visit.
Blood sample for PRP
The nurse takes a small amount of venous blood; platelet-rich plasma with growth factors is prepared from it afterwards.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
The doctor numbs the area with local anaesthetic and takes about 30 ml of adipose tissue through a puncture on the abdomen or inner thigh. Stitches are not 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
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
The doctor checks your joint, reviews the X-ray, MRI or ultrasound and makes the decision on whether the procedure is suitable for you. If scans already exist, you can send them before the visit.
Blood sample for PRP
The nurse takes a small amount of venous blood; platelet-rich plasma with growth factors is prepared from it afterwards.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
The doctor numbs the area with local anaesthetic and takes about 30 ml of adipose tissue through a puncture on the abdomen or inner thigh. Stitches are not 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
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
Suitability is decided by a doctor once you have been examined and your scans reviewed
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: flu, a cold or fever, and skin inflammation over the joint that will 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
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
A doctor will independently assess your X-rays, MRI or reports free of charge once you send them
Support after the procedure
We follow the result after the procedure and stay in contact, not only on the day of the injection
Joint treatment prices
The cost is named by the doctor after the consultation, since it depends on the joint, the stage of the condition and the method
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 prepared from your blood; SVF is a cell fraction isolated from a small sample of your adipose tissue. They work in different ways and are often combined for a stronger regenerative effect in the joint.
Is the treatment safe?
The tissue comes from you in both methods, so the risk of rejection or allergy is very low. As after any injection, temporary pain, swelling or bruising are possible; infection is rare. At the consultation, the doctor explains the risks that apply to you.
How long does the effect last?
That varies. Often the effect after PRP lasts several months up to about a year, and after SVF it can be longer. The duration depends on the stage of the condition and on your body, so a fixed result cannot be promised.
Who should not have the procedure?
We do not perform the procedure in cases of cancer, acute infection, blood clotting disorders, pregnancy or a flare-up of a serious chronic illness. The doctor checks all of this at the consultation.
Is it possible to treat hip osteoarthritis (coxarthrosis) without surgery?
When the condition is at an early stage, injections of PRP or SVF alongside exercise therapy and physiotherapy can ease pain and improve mobility. With a badly damaged joint, replacement may be the realistic option, and the doctor will be honest about this 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?
With early or moderate changes, trying to keep your own joint first is often the sensible path — a replacement means major surgery, lengthy rehabilitation, risks such as infection and implants that might eventually be redone.
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?
Most people return within a day or two. There is no long rehabilitation and no need for crutches; the doctor gives advice on load and exercise for the first weeks.
Does the treatment help with shoulder pain?
For the rotator cuff and the shoulder joint, PRP is used; SVF may be considered in more advanced shoulder arthritis. Whether this is right for you depends on the cause of the pain, which the doctor determines first.
City Medical Centre licences
Other services at our clinic
Joint treatment in Rotterdam: from scan review to follow-up
If you have been told that joint replacement is the only choice, a second opinion is worth getting. In Rotterdam, you can send your scans and reports for a free independent assessment before making any decision about surgery.
Most patients from Rotterdam go home the same day and return to normal daily activity within a day or two. During the first week the joint may ache a little more — this is an expected reaction. Pain usually eases over the first month.
Leave a request, and a coordinator will contact you to arrange a free consultation and scan review. The price of joint treatment in Rotterdam is set individually and explained before any procedure.
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