Joint treatment without surgery — with your own cells and plasma
Cell therapy (SVF) and PRP for the knee, hip, shoulder and other joints. A free review of your scans before any decision
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 option for people with joint pain who want to avoid or postpone surgery, or who have been told that joint replacement is the only choice. The earlier the stage of the condition, the better the chance of a lasting effect — the doctor assesses this 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
Large and small joints — the doctor chooses the joint, the method and the number of injections after reviewing your scans
Elbow
Pain after overuse or sports strain, wear of the joint surfaces
Hand and wrist joints
Stiffness and pain in the small joints of the fingers and wrist
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 when raising the arm, wear of the joint and surrounding 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
Plasma rich in platelets and growth factors is separated from a small amount of your blood and injected into the joint. It helps calm inflammation and creates better conditions for tissue repair.
It can be used on its own as a course of injections, or together with SVF.
How the procedure goes: step by step
Consultation and scan review
The doctor examines the joint, reviews your X-rays, MRI or ultrasound and decides whether the procedure suits you. If you already have scans, you can send them before the visit.
Blood sample for PRP
A small amount of blood is taken from a vein. Platelet-rich plasma with growth factors is later prepared from it.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Under local anaesthetic, a small portion of adipose tissue (about 30 ml) is taken through a puncture on the abdomen or inner thigh. No stitches are needed.
Processing 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.
The whole procedure is done in one day.
Injection into the joint
The prepared material is injected directly into the affected joint under ultrasound guidance, which helps place it precisely.
Follow-up
No crutches and no hospital stay. The doctor stays in touch after the procedure and follows how the joint responds.
Consultation and scan review
The doctor examines the joint, reviews your X-rays, MRI or ultrasound and decides whether the procedure suits you. If you already have scans, you can send them before the visit.
Blood sample for PRP
A small amount of blood is taken from a vein. Platelet-rich plasma with growth factors is later prepared from it.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Under local anaesthetic, a small portion of adipose tissue (about 30 ml) is taken through a puncture on the abdomen or inner thigh. No stitches are needed.
Processing 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.
The whole procedure is done in one day.
Injection into the joint
The prepared material is injected directly into the affected joint under ultrasound guidance, which helps place it precisely.
Follow-up
No crutches and no hospital stay. The doctor stays in touch after the procedure and follows how the joint responds.
Follow-up visits
Follow-up visits let the doctor see how the joint responds and adjust the plan — pain usually eases over the first month, mobility improves over about three months, and the full effect develops over around six months.
Conditions we treat
Whether the treatment suits you is decided by a doctor after an examination and a review of your scans
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, a cold or flu, skin inflammation 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
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
We work on keeping your own joint rather than replacing it — treatment without surgery
Your own tissue
Only your own blood and adipose tissue are used — no donor or synthetic material
No crutches
Punctures instead of incisions, local anaesthetic, no long rehabilitation
Second opinion
Send your X-rays, MRI or reports and a doctor will give an independent assessment 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 cost depends on the joint, the stage of the condition and the method, so the doctor names 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?
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 use your own tissue, so the risk of rejection or an allergic reaction is very low. As with any injection, temporary pain, swelling or bruising are possible, and infection is rare. The doctor explains the risks for 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 not done in people with cancer, acute infections, blood clotting disorders, during pregnancy or during a flare-up of a serious chronic illness. The doctor checks this at the consultation.
Can hip osteoarthritis (coxarthrosis) be treated without surgery?
At early stages, PRP or SVF injections combined with exercise therapy and physiotherapy can reduce pain and improve movement. If the joint is already badly damaged, replacement may be the more realistic option — the doctor will tell you honestly after seeing your scans.
Can avascular necrosis of the hip be treated?
At early stages (1–2), SVF therapy may be considered to support blood supply to the femoral head and delay the need for joint replacement. At later stages surgery is usually required.
Why try to avoid joint replacement?
Replacement is major surgery with long rehabilitation, risks such as infection, and implants that may eventually need to be redone. With early or moderate changes it often makes sense to try to preserve 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?
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.
Does the treatment help with shoulder pain?
PRP is used for problems of the shoulder joint and the rotator cuff, and SVF may be considered for more advanced arthritis of the shoulder. Whether it suits you depends on the cause of the pain, which the doctor establishes first.
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