Joint Treatment in San Jose Without Surgery
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 treatment of the joints relies on material taken from your own body: platelet-rich plasma (PRP) prepared from blood, and the stromal vascular fraction (SVF) obtained from a small sample of adipose tissue. This material is injected into the problem joint to ease pain and inflammation and to support the tissues within it.
If you live with joint pain and hope to postpone or avoid surgery — or were told that replacement is the only option — this may be for you. How early the condition is matters for a lasting effect, and the doctor determines the stage from 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
We treat large and small joints — which joint, which method and how many injections is decided by the doctor after a scan review
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
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
Wear of the joint and its tendons, pain when raising the arm
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.
Doctors tend to choose it when the joint shows more pronounced changes and a more durable effect is wanted.
PRP — platelet-rich plasma from your own blood
Plasma containing many platelets and growth factors is prepared from a small amount of your blood and injected into the joint, helping inflammation settle and creating better conditions for repair.
It is suitable as a separate injection course or in combination with SVF.
How the procedure goes: step by step
Consultation and scan review
Your joint is examined and the doctor studies your X-rays, MRI or ultrasound to judge whether the procedure is suitable. Existing scans can be sent before the appointment.
Blood sample for PRP
We take a small blood sample from a vein. From it, platelet-rich plasma containing growth factors is prepared later on.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Under local anaesthetic the doctor takes roughly 30 ml of adipose tissue through a small puncture in the abdomen or inner thigh; stitches are not needed.
Processing in a centrifuge
Centrifugation divides the sample into layers, so the stromal vascular fraction can be isolated and then mixed with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
With ultrasound guiding the needle, the prepared material is injected directly and precisely into the affected joint.
Follow-up
No crutches, no hospital stay — and after the procedure the doctor keeps in touch to follow the joint's response.
Consultation and scan review
Your joint is examined and the doctor studies your X-rays, MRI or ultrasound to judge whether the procedure is suitable. Existing scans can be sent before the appointment.
Blood sample for PRP
We take a small blood sample from a vein. From it, platelet-rich plasma containing growth factors is prepared later on.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Under local anaesthetic the doctor takes roughly 30 ml of adipose tissue through a small puncture in the abdomen or inner thigh; stitches are not needed.
Processing in a centrifuge
Centrifugation divides the sample into layers, so the stromal vascular fraction can be isolated and then mixed with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
With ultrasound guiding the needle, the prepared material is injected directly and precisely into the affected joint.
Follow-up
No crutches, no hospital stay — and after the procedure the doctor keeps in touch to follow the joint's response.
Follow-up visits
You come back for follow-up visits so the doctor can see how the joint responds and refine the plan. Pain usually settles over the first month, mobility improves over about three months, and the effect is complete 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: fever, flu or a cold, skin inflammation over the joint being 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
The puncture sites are covered with small dressings, and most patients go home the same day, returning to normal daily life within a day or two. A little extra aching in the joint during the first week is an expected reaction. Pain generally eases in the first month, mobility and activity improve over about three months, and the full effect develops over around six months. How long the effect lasts differs from person to person — it depends on the stage of the condition, body weight, activity and other factors, and 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
Keeping your natural joint instead of replacing it is our goal — no surgery involved
Your own tissue
Only your own blood and adipose tissue — no donor or synthetic material is used
No crutches
No incisions — just punctures under local anaesthetic, with no long rehabilitation
Second opinion
Send any X-rays, MRI or reports and receive an independent assessment from a doctor for free
Support after the procedure
Contact continues after the procedure — we track the result, not just the injection itself
Joint treatment prices
Because the joint, the stage of the condition and the method all affect the cost, the doctor states 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?
Your blood gives PRP, a platelet-rich plasma, and a small sample of adipose tissue gives SVF, a fraction of cells. Their actions differ, which is why they are often combined for a stronger regenerative effect in the joint.
Is the treatment safe?
Rejection and allergic reactions are very unlikely because the material in both methods is your own tissue. Temporary pain, swelling or bruising are possible, as with any injection, and infection is rare. Your doctor explains the risks for your case at the consultation.
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?
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?
In early stages, a combination of PRP or SVF injections, exercise therapy and physiotherapy can reduce pain and improve movement. Where the joint is already badly damaged, replacement may be more realistic; the doctor will be honest with you once your scans are reviewed.
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?
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, 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?
Usually after a day or two. Crutches and long rehabilitation are not needed; for the first weeks you get recommendations on load and exercise from the doctor.
Does the treatment help with shoulder pain?
PRP is applied to shoulder joint and rotator cuff problems, and SVF may be considered if arthritis of the shoulder is more advanced. Whether it suits you depends on the cause of the pain — the first thing the doctor establishes.
City Medical Centre licences
Other services at our clinic
What San Jose residents ask about joint treatment
If you have been told that joint replacement is the only choice, a second opinion is worth getting. In San Jose, you can send your scans and reports for a free independent assessment before making any decision about surgery.
Keeping a healthy weight and regular, joint-friendly exercise help the result last longer. The doctor explains which activities suit your joint and which loads to avoid — the same advice applies to every patient in San Jose.
To get started, send your scans or book a visit. Patients from San Jose receive a free review, a clear answer on whether treatment is suitable, and the price for their case.
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