Joint Treatment for Patients from Washington D.C.
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.
Joint pain and a wish to avoid or put off surgery, or a verdict that replacement is the only route — these are the typical reasons people come. An earlier stage of the condition means a better chance of lasting relief, and the doctor assesses it 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
Treatment covers large and small joints, with the joint, the method and the number of injections chosen after the doctor reviews your scans
Elbow
Pain after overload or sports strain, worn surfaces of the joint
Hand and wrist joints
Stiffness and pain in the small joints of the hand and wrist
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 lifting the arm, wear of the joint and nearby tendons
Methods we use
Cell therapy (SVF) from your own adipose tissue
A small sample of your adipose tissue is processed to isolate the stromal vascular fraction (SVF) — a mix of cells involved in tissue repair. Combined with your own plasma, it is injected into the affected joint.
It is usually chosen when the changes in the joint are more pronounced and a longer-lasting effect is the goal.
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.
A course of injections can be done with it alone, or it can be paired 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
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
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
Once spun in a centrifuge, the sample separates into layers, and the stromal vascular fraction isolated from it is mixed with platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Directly into the affected joint: the prepared material is injected under ultrasound guidance for precise placement.
Follow-up
There are no crutches and you do not stay in hospital. After the procedure the doctor stays in contact and tracks the joint's response.
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
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
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
Once spun in a centrifuge, the sample separates into layers, and the stromal vascular fraction isolated from it is mixed with platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Directly into the affected joint: the prepared material is injected under ultrasound guidance for precise placement.
Follow-up
There are no crutches and you do not stay in hospital. After the procedure the doctor stays in contact and tracks 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: 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
Most people go home the same day and return to normal daily activity within a day or two; the puncture sites are covered with small dressings. During the first week the joint may ache a little more — this is an expected reaction. Over the first month the pain usually eases, over about three months mobility and activity improve, and the full effect develops over around six months. 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. The doctor gives you individual advice on exercise and load for the first weeks.
Why patients choose City Medical Centre
Our aim is to keep your own joint, not replace it — treatment without surgery
Your own tissue
The material comes only from your own blood and adipose tissue, never from donors or synthetics
No crutches
Punctures instead of incisions, local anaesthetic, no long rehabilitation
Second opinion
Share your X-rays, MRI or reports, and a doctor will give an independent opinion free of charge
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 joint, the method and the stage of the condition determine the cost, so it is set 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 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?
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?
It is different for everyone: after PRP the effect frequently lasts from several months to roughly a year, and SVF can give a longer effect. The stage of the condition and your body decide the duration, so no fixed result can be promised.
Who should not have the procedure?
Contraindications include cancer, acute infections, blood clotting disorders, pregnancy and a flare-up of a serious chronic illness; in these cases the procedure is not performed. The doctor checks this at the consultation.
Is it possible to treat hip osteoarthritis (coxarthrosis) without surgery?
PRP or SVF injections, combined with exercise therapy and physiotherapy, can reduce pain and improve movement at early stages. If damage to the joint is already severe, replacement may be more realistic — the doctor gives an honest answer after seeing your scans.
Can avascular necrosis of the hip be treated?
When the condition is at an early stage (1–2), SVF therapy may be considered to support blood supply to the femoral head and delay a joint replacement; at later stages surgery is usually 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. Once we receive your X-rays, MRI, CT or medical reports, a doctor reviews them free of charge and tells you whether the procedure could be right for you and what else may be needed.
How soon can I return to normal life?
Usually a day or two is enough. There is no long rehabilitation and no crutches, and in the first weeks you follow the doctor's recommendations on load and exercise.
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.
City Medical Centre licences
Other services at our clinic
Joint treatment in Washington D.C.: methods, steps and price
The earlier the stage, the better the chance of a lasting effect. That is why patients from Washington D.C. start with a review of their X-rays or MRI: the doctor assesses the joint and tells you honestly whether SVF or PRP is likely to help or whether another option is more realistic.
Ultrasound guidance helps place the material exactly where it is needed. For patients from Washington D.C., this is one of the steps that make an injection into the knee, hip or shoulder more precise.
To get started, send your scans or book a visit. Patients from Washington D.C. receive a free review, a clear answer on whether treatment is suitable, and the price for their case.
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