Gonarthrosis and Coxarthrosis Treatment in Charlotte
SVF cells and platelet-rich plasma for joints worn by arthrosis — knee, hip and others. Stage checked through a free review of your X-rays or MRI
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 (arthrosis) is a long-term condition where the cartilage covering a joint slowly thins and wears down. Because cartilage cushions the joint, its loss lets the bones grind against one another, bringing pain, stiffness and reduced movement. The disease is degenerative, not inflammatory, though swollen flare-ups can occur.
The knee (gonarthrosis) and the hip (coxarthrosis) are the most common sites, being the most loaded joints, together with the ankle and the small joints in the hand. Early and moderate stages are where treatment works best, before the joint surfaces are seriously harmed; at an advanced stage you will get an honest answer if 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
Treatment for both large and small joints — your scans guide the doctor's choice of joint, method and number of injections
Elbow
Wear of the joint surfaces and pain after overuse or sports strain
Hand and wrist joints
Stiffness and aching in the fingers' and wrist's small joints
Knee
Pain after walking and climbing stairs, worn cartilage, meniscus problems
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Wear of the joint and the tendons around it, painful arm raising
Methods we use
Cell therapy (SVF) from your own adipose tissue
First a small sample of adipose tissue is processed to isolate the stromal vascular fraction (SVF) — cells involved in tissue repair. This fraction, combined with your plasma, is then injected into the affected joint.
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
From a little of your blood, plasma rich in platelets and growth factors is separated and injected into the joint. It calms inflammation and gives tissue repair better conditions.
For mild osteoarthritis it is often used alone, and with SVF when the effect needs to be stronger.
How the procedure goes: step by step
Consultation and scan review
The doctor examines your joint, looks through your X-rays, MRI or ultrasound and decides whether the procedure is right for you. If you already have scans, you can send them ahead of the visit.
Blood sample for PRP
From a vein, a small amount of blood is taken — it will later be used to prepare platelet-rich plasma with growth factors.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Under local anaesthetic, the doctor collects a small portion of adipose tissue (roughly 30 ml) via a puncture on the abdomen or the inner thigh. Stitches are not needed.
Processing in a centrifuge
After spinning in a centrifuge, the sample forms layers. The stromal vascular fraction is isolated from them and mixed with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Directly into the affected joint, under ultrasound guidance — this is how the prepared material is injected for precise placement.
Follow-up
There are no crutches and no hospital stay. After the procedure the doctor keeps in touch and follows how the joint responds.
Consultation and scan review
The doctor examines your joint, looks through your X-rays, MRI or ultrasound and decides whether the procedure is right for you. If you already have scans, you can send them ahead of the visit.
Blood sample for PRP
From a vein, a small amount of blood is taken — it will later be used to prepare platelet-rich plasma with growth factors.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Under local anaesthetic, the doctor collects a small portion of adipose tissue (roughly 30 ml) via a puncture on the abdomen or the inner thigh. Stitches are not needed.
Processing in a centrifuge
After spinning in a centrifuge, the sample forms layers. The stromal vascular fraction is isolated from them and mixed with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Directly into the affected joint, under ultrasound guidance — this is how the prepared material is injected for precise placement.
Follow-up
There are no crutches and no hospital stay. After the procedure the doctor keeps in touch and follows how the joint responds.
Follow-up visits
Follow-up visits allow the doctor to track the joint's response and adjust the plan: pain usually lessens in the first month, mobility gets better over about three months, and the full effect takes around six months.
Conditions we treat
Only a doctor, after an examination and a review of scans, decides whether this 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: inflammation of the skin over the joint to be treated, fever, a cold or flu
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 patients are home the same day and resume normal daily life within a day or two, with small dressings on the punctures. Slightly more aching in the joint during the first week is an expected reaction. Over the first month pain usually eases; over about three months activity and mobility improve; over around six months the full effect develops. The duration of the result is individual, depending on the stage, body weight, activity and other factors — no one can promise a fixed outcome. Regular, joint-friendly exercise and a healthy weight help it last longer.
Why patients choose City Medical Centre
Treatment without surgery that works to keep your own joint rather than swap it for an implant
Your own tissue
Nothing synthetic, nothing from donors — only your own blood and adipose tissue are used
No crutches
No incisions, only punctures — local anaesthetic and no lengthy rehabilitation
Second opinion
Share your X-rays, MRI or medical reports and get a free, independent assessment from a doctor
Support after the procedure
We keep in contact after the procedure and monitor the result, rather than stopping on the day of the injection
Osteoarthritis treatment prices
After the consultation the doctor names the cost, which depends on the joint, the stage of osteoarthritis and the method
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?
This is the gradual wear of the cartilage that lines the bone ends in a joint. When cartilage thins, the joint is no longer cushioned; the bones rub, and pain, stiffness and crunching appear. The condition is degenerative and not inflammatory.
Can hip osteoarthritis be treated without surgery?
In many cases, yes — if treatment is not delayed. SVF and PRP injections aim to ease pain and support the cartilage without an operation. Joint replacement is the last option, for when the joint is already destroyed.
How soon will I notice a result?
For many patients, first changes come 2–3 weeks after the procedure; a stable result forms over about six months and may last from several months up to several years, depending on the person. Osteoarthritis is a chronic disease that needs an ongoing plan, not one injection.
At which stage does the treatment work best?
Early and moderate stages respond best. Generally, the milder the stage, the faster and longer-lasting the effect, which may cut the need for regular hyaluronic acid injections. When the joint space has almost disappeared at the most advanced stage, a lasting effect cannot be expected.
Which joints are most often affected?
Those that carry the most load: knees, hips, ankles, and also the small hand joints and the spine. Regenerative treatment is applied to every one of them.
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 is the primary method, and it shows the stage. MRI details the cartilage and soft tissues, ultrasound shows joint fluid and inflammation, and blood tests help to rule out inflammatory conditions. If you already have test results, the doctor will review them free of charge.
How is osteoarthritis different from arthritis?
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.
Can I get a consultation about my case?
Yes. After you send X-rays, MRI or test results, a doctor reviews them free of charge, gauges the stage of osteoarthritis and proposes a non-surgical plan if it suits your case.
Can I exercise with osteoarthritis?
Yes, and you should. The right activity strengthens the muscles that unload the joint, improves cartilage nutrition and keeps you mobile. Swimming, water aerobics, cycling, Nordic walking and yoga are good choices; avoid running on hard surfaces, jumping, heavy lifting and sudden movements.
City Medical Centre licences
Other services at our clinic
Osteoarthritis treatment in Charlotte step by step
Without treatment, osteoarthritis usually progresses: pain becomes constant, movement becomes limited and the joint may deform. Early diagnosis, weight control, exercise and working with a doctor make a real difference for every patient in Charlotte.
Many patients in Charlotte 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.
Leave a request, and a coordinator will contact you to arrange a free scan review. The price of osteoarthritis treatment in Charlotte is explained before treatment begins.
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