Osteoarthritis in Amsterdam: Treatment by Stage
PRP and SVF cell therapy for the knee, hip and other arthritic joints, plus a free X-ray or MRI review to see which stage you are at
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 osteoarthritis
(arthrosis)?
Osteoarthritis — also known as arthrosis — is a chronic disease in which joint cartilage steadily wears thin. Cartilage acts as a cushion, so as it breaks down the bones begin to rub, leading to pain, stiffness and less movement. It is degenerative in nature rather than inflammatory, but flare-ups with swelling still occur.
Weight-bearing joints suffer most: the knee (gonarthrosis), the hip (coxarthrosis), and also the ankle and small hand joints. Results are strongest at early and moderate stages, before heavy damage to the joint surfaces. When the stage is advanced, the doctor will honestly explain if joint replacement is the more realistic option.
No surgery — an injection instead of an operation
Ultrasound guidance for every injection
Free consultation and review of your scans
Joints we treat
Small and large joints are treated; the doctor determines the joint, method and number of injections after looking at your scans
Elbow
Wear of the joint surfaces and pain after overuse or sports strain
Hand and wrist joints
Stiff and sore small joints in the wrist and the fingers
Knee
Worn cartilage and meniscus problems; pain after walking and on the stairs
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Raising the arm is painful; wear of the joint and nearby tendons
Methods we use
Cell therapy (SVF) from your own adipose tissue
A little of your adipose tissue is taken and processed so that the stromal vascular fraction (SVF) can be separated: cells that help tissues repair. This is combined with your own plasma and injected into the joint affected by the disease.
At early and moderate stages of osteoarthritis it is used mainly to reduce friction between the joint surfaces and slow cartilage wear.
PRP — platelet-rich plasma from your own blood
We separate plasma rich in platelets and growth factors from a small blood sample and inject it into the joint. This helps quieten inflammation and supports better conditions for tissue repair.
It is often used for mild osteoarthritis, and together with SVF when a stronger effect is needed.
How the procedure goes: step by step
Consultation and scan review
The doctor decides whether the procedure suits you after examining the joint and reviewing X-rays, MRI or ultrasound. Scans you already have can be sent ahead of your visit.
Blood sample for PRP
A little blood is drawn from a vein; platelet-rich plasma with growth factors is prepared from it later.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Through a puncture on the abdomen or inner thigh, and under local anaesthetic, about 30 ml of adipose tissue is collected. No stitches are required.
Processing in a centrifuge
Spinning in a centrifuge splits the sample into layers, after which 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
Prepared material is delivered by injection straight into the affected joint, and ultrasound guidance helps with precise placement.
Follow-up
There is no hospital stay and you will not need crutches. The doctor remains in contact after the procedure and follows the joint's response.
Consultation and scan review
The doctor decides whether the procedure suits you after examining the joint and reviewing X-rays, MRI or ultrasound. Scans you already have can be sent ahead of your visit.
Blood sample for PRP
A little blood is drawn from a vein; platelet-rich plasma with growth factors is prepared from it later.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Through a puncture on the abdomen or inner thigh, and under local anaesthetic, about 30 ml of adipose tissue is collected. No stitches are required.
Processing in a centrifuge
Spinning in a centrifuge splits the sample into layers, after which 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
Prepared material is delivered by injection straight into the affected joint, and ultrasound guidance helps with precise placement.
Follow-up
There is no hospital stay and you will not need crutches. The doctor remains in contact after the procedure and follows the joint's response.
Follow-up visits
The doctor follows the joint's response at follow-up visits and adjusts the plan as needed — pain tends to ease during the first month, mobility improves over about three months, and the full effect develops over around six months.
Conditions we treat
A doctor decides whether the treatment suits you after examining you and reviewing 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, cold or flu, and inflamed skin 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
Typically you go home the same day and return to normal activity within a day or two; the punctures are covered with small dressings. It is expected that the joint may ache a little more in the first week. Pain usually eases over the first month, mobility and activity improve over about three months, and around six months are needed for the full effect. The result's duration is individual and depends on the stage of the condition, body weight, activity and other factors — a fixed outcome cannot be promised. Regular joint-friendly exercise and a healthy weight help it last longer.
Why patients choose City Medical Centre
We work on keeping your own joint rather than replacing it — treatment without surgery
Your own tissue
Your own blood and adipose tissue only; donor and synthetic material are not used
No crutches
Punctures instead of incisions, local anaesthetic, no long rehabilitation
Second opinion
Send your reports, X-rays or MRI, and a doctor will independently assess them 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
Osteoarthritis treatment prices
Because the cost varies with the joint, the osteoarthritis stage and the method, 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 osteoarthritis in simple terms?
Put simply, the cartilage covering the bone ends in a joint wears down over time. Thin cartilage no longer cushions the joint, so the bones rub, causing pain, stiffness and crunching. It is a degenerative condition rather than an inflammatory one.
Can hip osteoarthritis be treated without surgery?
In many cases it can be, provided treatment starts in time. The goal of SVF and PRP injections is to ease pain and support cartilage without an operation; replacing the joint is the last resort once it is destroyed.
How soon will I notice a result?
Many patients notice the first changes 2–3 weeks after the procedure. A stable result forms over about six months and can last from several months to several years, depending on the individual. Osteoarthritis is chronic, so it needs an ongoing plan rather than a single injection.
At which stage does the treatment work best?
Early and moderate stages. In milder stages the effect is usually faster and longer-lasting, and it may reduce the need for regular injections of hyaluronic acid. At the most advanced stage, where the joint space has almost disappeared, a lasting effect is not to be expected.
Which joints are most often affected?
The joints with the highest load, namely knees, hips and ankles, as well as the small joints of the hand and the spine. Regenerative treatment covers all of these joints.
What happens if osteoarthritis is left untreated?
Generally it progresses — constant pain, increasingly limited movement, a possibly deformed joint and trouble walking. What makes a real difference is early diagnosis, weight control, exercise and working with a doctor.
Which tests and scans are needed?
An X-ray remains the main method and shows the stage, while MRI gives a detailed picture of cartilage and soft tissues. Ultrasound shows inflammation and fluid in the joint, and blood tests help rule out inflammatory diseases. Existing results can be reviewed by the doctor free of charge.
How is osteoarthritis different from arthritis?
Osteoarthritis is cartilage wear, with aching pain on movement, crunching and stiffness after rest. Arthritis is inflammation, with pain at rest and at night, swelling, redness and warmth over the joint. Treatment differs, so diagnosis comes first.
Can I get a consultation about my case?
Yes. Your X-rays, MRI or test results are reviewed by a doctor free of charge, the stage of osteoarthritis is assessed, and a non-surgical plan is suggested if appropriate.
Can I exercise with osteoarthritis?
You can, and you should. Suitable activity builds the muscles that unload the joint, feeds the cartilage better and keeps you moving. Choose swimming, water aerobics, cycling, Nordic walking or yoga, and avoid running on hard surfaces, jumping, heavy lifting and sudden movements.
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Everything about arthrosis treatment in Amsterdam
Osteoarthritis is not the same as arthritis. Arthrosis is wear of the cartilage; arthritis is inflammation with pain at rest, swelling and warmth. The approach differs, so the diagnosis comes first for everyone in Amsterdam.
Osteoarthritis is chronic, so it needs an ongoing plan rather than a single injection. In Amsterdam, the doctor combines SVF or PRP with advice on weight, exercise and load for the joint.
How much does arthrosis treatment cost in Amsterdam? The doctor names the price after assessing the stage from your X-ray or MRI and choosing PRP, SVF or a combination. Send a request or message us in any messenger.
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