Gonarthrosis and Coxarthrosis Treatment in Baltimore
SVF therapy and PRP injections for arthrosis in knees, hips and other joints — and a complimentary review of your MRI or X-rays to find the stage
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)?
Arthrosis, or osteoarthritis, is chronic: the cartilage inside the joint gets thinner and gradually disappears. Without this shock-absorbing layer the bones rub together, and pain, stiffness and a narrower range of motion follow. The process is degenerative; inflammation is not its cause, although swollen flare-ups are possible.
Knees (gonarthrosis) and hips (coxarthrosis) are affected most, since they carry the greatest load, followed by the ankle and the small joints of the hand. The treatment works best early or at a moderate stage, before the joint surfaces are badly worn; in advanced cases the doctor will tell you frankly if a joint replacement is more realistic.
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
Worn joint surfaces and pain following overuse or sports strain
Hand and wrist joints
Stiffness and pain in the small joints of the fingers and wrist
Knee
Meniscus problems, cartilage wear and pain when walking or on 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
SVF — the stromal vascular fraction — is a mixture of repair-related cells isolated from a small sample of your own adipose tissue. It is injected into the affected joint together with your plasma.
Early and moderate osteoarthritis is where it is mostly used — to slow cartilage wear and reduce friction between the surfaces of the joint.
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.
Mild osteoarthritis is a common indication; when a stronger effect is needed, it is used together with SVF.
How the procedure goes: step by step
Consultation and scan review
Your joint is examined and your X-rays, MRI or ultrasound are reviewed; then the doctor decides if the procedure suits you. You may send any scans you have before you come.
Blood sample for PRP
We take a small amount of blood from a vein, which is later used to prepare platelet-rich plasma with growth factors.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
About 30 ml of adipose tissue is taken through a puncture in the abdomen or inner thigh, with local anaesthetic. The puncture needs no stitches.
Processing in a centrifuge
The sample goes into a centrifuge and divides into layers; the stromal vascular fraction is taken out and mixed with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
The doctor injects the prepared material directly into the affected joint, with ultrasound guidance helping place it precisely.
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
Your joint is examined and your X-rays, MRI or ultrasound are reviewed; then the doctor decides if the procedure suits you. You may send any scans you have before you come.
Blood sample for PRP
We take a small amount of blood from a vein, which is later used to prepare platelet-rich plasma with growth factors.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
About 30 ml of adipose tissue is taken through a puncture in the abdomen or inner thigh, with local anaesthetic. The puncture needs no stitches.
Processing in a centrifuge
The sample goes into a centrifuge and divides into layers; the stromal vascular fraction is taken out and mixed with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
The doctor injects the prepared material directly into the affected joint, with ultrasound guidance helping place it precisely.
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
Follow-up visits show the doctor how your joint responds so the plan can be adjusted; usually pain eases within the first month, mobility improves over about three months, and the full effect takes around six months to develop.
Conditions we treat
Your scans are reviewed and you are examined — then a doctor decides whether the treatment suits you
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: a cold, flu or fever, or inflamed skin over the joint planned for treatment
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. Keeping a healthy weight and regular, joint-friendly exercise help the result last longer.
Why patients choose City Medical Centre
Instead of replacing your joint, we work to keep it — treatment without surgery
Your own tissue
Only your own adipose tissue and blood — no synthetic or donor material
No crutches
Punctures instead of incisions, local anaesthetic, no long rehabilitation
Second opinion
A doctor will assess your X-rays, MRI or reports independently and free of charge — just send them
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
The price depends on the joint, the method and the stage of osteoarthritis, so the doctor gives 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?
In a joint, the ends of the bones are covered with cartilage, and in this condition it gradually wears. When it thins, the joint's cushioning goes, the bones rub together and pain, stiffness and crunching follow. The condition is degenerative, not inflammatory.
Can hip osteoarthritis be treated without surgery?
Many patients can, if treatment is not delayed. The aim of SVF and PRP injections is to ease pain and support the cartilage without an operation, and joint replacement is the last option — for a joint already destroyed.
How soon will I notice a result?
Many patients report the first changes 2–3 weeks after the procedure. A stable result develops over about six months and lasts from several months to several years depending on the individual. Because osteoarthritis is chronic, the approach is 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?
Load-bearing joints are most at risk: knees, hips, ankles — and also the spine and small hand joints. Regenerative treatment is used across all of these joints.
What happens if osteoarthritis is left untreated?
In most cases it progresses: the pain becomes constant, movement narrows, the joint may deform and walking can get difficult. A real difference comes from early diagnosis, weight control, exercise and working with a doctor.
Which tests and scans are needed?
Diagnosis relies mainly on an X-ray, which shows the stage. MRI adds a detailed view of the cartilage and soft tissues, ultrasound picks up inflammation and fluid in the joint, and blood tests help exclude inflammatory conditions. Any results you have 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. Send us your X-rays, MRI or test results and a doctor will review them free of charge, assess the stage of osteoarthritis and propose a non-surgical plan where appropriate.
Can I exercise with osteoarthritis?
Yes, it is worth doing. The right exercise strengthens the muscles unloading the joint, improves nutrition of the cartilage and maintains mobility. Swimming, water aerobics, cycling, Nordic walking and yoga suit well; running on hard surfaces, jumping, heavy lifting and sudden movements should be avoided.
City Medical Centre licences
Other services at our clinic
Osteoarthritis treatment in Baltimore: a short guide
Osteoarthritis most often affects the joints that carry the most load: the knee (gonarthrosis) and the hip (coxarthrosis), as well as the ankle and the small joints of the hand. Patients from Baltimore with any of these joints can have their scans reviewed free of charge.
PRP is often used for mild osteoarthritis, and SVF with PRP when a stronger effect is needed. The method and the number of injections are chosen for each patient in Baltimore after the examination.
Knee or hip osteoarthritis? Patients from Baltimore can send their X-rays or MRI and get a free assessment of the stage and a clear answer on suitable treatment and its price.
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