1Consultation 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.
PRP Injections for Joints in Tokyo
Cell therapy (SVF) and platelet-rich plasma for knee, hip and shoulder joints and beyond, plus a free look at your scans first
Consultation and review of your scansFree
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What it is
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.
The option is aimed at patients with joint pain who wish to avoid or postpone surgery, or who have only been offered a replacement. The chance of a lasting effect is best at an early stage, which the doctor checks on your scans.
- No surgery — an injection instead of an operation
- Own tissue — your blood and adipose tissue
- Ultrasound guidance for every injection
Who the treatment suits
A doctor decides whether the treatment suits you after examining you and reviewing your scans
Suitable
- Pain, crunching or stiffness in a joint
- Painkillers only help for a short time
- Recovery after injuries and surgery
- You need a second opinion on your scans
- You want to avoid or postpone joint replacement
- Early or moderate arthrosis or arthritis
- High load on the joints — sport or physical work
Not suitable
- Cancer
- Pregnancy
- Blood clotting disorders
- Acute infections, including infection in or near the joint
- Flare-up of a serious chronic illness
- Temporary contraindications: having a fever, a cold or flu, or inflamed skin over the joint to be treated
Not sure the treatment is right for you?
Leave your number — the coordinator will ask for your scans (X-ray, MRI or ultrasound), and the doctor will tell you whether treatment without surgery suits you.
Find out if it suits meWhat we treat
Conditions we treat
Arthritis
Arthrosis
Avascular necrosis
Osteoarthritis
Coxarthrosis (hip osteoarthritis)
Gonarthrosis (knee osteoarthritis)
Meniscus pathology and injury
Rehabilitation after injuries and surgery
Inflammatory joint conditions- Second opinionA doctor will independently assess your X-rays, MRI or reports free of charge once you send them
How it works
How the procedure goes: step by step
1
2Blood sample for PRP
We take a small blood sample from a vein. From it, platelet-rich plasma containing growth factors is prepared later on.
3Adipose tissue sample
Under local anaesthetic, a small amount of adipose tissue — roughly 30 ml — is removed through a puncture on the abdomen or inner thigh, with no stitches needed.
4Processing in a centrifuge
The sample is spun in a centrifuge and separates into layers. The stromal vascular fraction is isolated and mixed with the platelet-rich plasma.
5Injection into the joint
The prepared material is injected directly into the affected joint under ultrasound guidance, which helps place it precisely.
6Follow-up
You go without crutches and without a hospital stay; the doctor keeps in contact after the procedure and follows your joint's progress.
Book a consultation
Call or message us — our coordinator will contact you shortly and book your consultation
Results
After the procedure
1 week
The joint may ache a little more — this is an expected reaction.
1 month
The pain usually eases.
~3 months
Mobility and activity improve.
~6 months
The full effect develops.
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.
Comparison
Methods we use
Just your blood and your adipose tissue; donor and synthetic materials are not used
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.
It is usually the choice when changes in the joint are more marked and the aim is a longer-lasting effect.
- Material
- Your adipose tissue and plasma
- How it is given
- Into the joint, under ultrasound
- Duration
- The whole procedure is done in one day.
PRP — platelet-rich plasma from your own blood
Platelet- and growth-factor-rich plasma is obtained from a little of your blood and injected into the joint, where it helps calm inflammation and improves the conditions for tissue repair.
It works either as a stand-alone course of injections or alongside SVF.
- Material
- Your blood from a vein
- How it is given
- Into the joint, under ultrasound
- Duration
- The whole procedure is done in one day.
The benefits and timings shown are averaged and given for guidance: the plan and recovery depend on your joint and individual features, and the doctor confirms them at the consultation.
At the consultation the doctor will review your scans and suggest a treatment plan
Free consultation
Joints
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
KneeCartilage wear, meniscus issues, pain after walking and on stairs
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderPain on lifting the arm, wear of the joint and nearby tendons
ElbowSports strain or overuse pain and worn-down joint surfaces
Hand and wrist jointsFinger and wrist joints that feel stiff and painful
AnklePain and stiffness after sprains and old injuries
Advantages
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
About the clinic
A clinic where you can feel at ease
Modern equipment, comfortable rooms and care for every patient
Contact us the way that suits you
We will answer your questions and find a convenient time for a consultation
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Request a free callPrice
Joint treatment prices
Cost varies with the joint, the stage of the condition and the method; the doctor names it after the consultation
Consultation and review of your scans
Free
Book — Consultation and review of your scansPRP therapy (platelet-rich plasma)
Price at consultation
Book — PRP therapy (platelet-rich plasma)Cell therapy (SVF + PRP), one joint
Price at consultation
Book — Cell therapy (SVF + PRP), one joint
FAQ
Joint treatment: frequently asked questions
Often, yes. For meniscus damage and knee osteoarthritis, PRP and SVF injections are used to ease pain and support the joint. The doctor reviews your MRI first and says whether this suits you.
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.
Both approaches use tissue from your own body, which makes rejection or an allergic reaction very unlikely. Temporary pain, swelling or bruising may occur, as after any injection, and infection is rare. The risks for your particular case are explained by the doctor at the consultation.
It varies between patients. After PRP the effect commonly lasts from several months to about a year, and after SVF possibly longer. Because duration depends on the stage of the condition and your body, nobody can promise a fixed result.
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.
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.
SVF therapy at early stages (1–2) may be considered to support blood flow to the femoral head and push back the need for joint replacement. Later stages generally need surgery.
Joint replacement involves major surgery and a long rehabilitation, carries risks such as infection, and the implants may eventually have to be redone. With changes that are early or moderate, trying to preserve your own joint first often makes sense.
Yes — just send whatever X-rays, MRI, CT or medical reports you have. The review by a doctor costs nothing, and you learn whether the procedure could suit you and what else is needed.
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.
Problems of the shoulder joint and rotator cuff are treated with PRP, and more advanced shoulder arthritis may call for SVF. It depends on the cause of your pain, which the doctor has to establish first.
About the conditions
More about these conditions
Arthritis is an inflammatory disease of the joints. Typical signs are pain at rest and at night, morning stiffness lasting more than 30 minutes, swelling, redness and warmth over the joint. Causes include autoimmune conditions such as rheumatoid arthritis, infections, gout and psoriasis.
It is gradual wear of the cartilage that covers the ends of the bones in a joint. When the cartilage thins, the joint loses its cushioning, the bones rub against each other, and pain, stiffness and crunching appear. It is a degenerative condition, not an inflammatory one.
Osteoarthritis is wear of the cartilage: aching pain on movement, crunching, stiffness after rest. Arthritis is inflammation: pain at rest and at night, swelling, redness and warmth over the joint. The approach to treatment differs, so the diagnosis comes first.