Osteoarthritis Treatment for Patients from Fresno
SVF cell therapy and PRP for knee, hip and other joints affected by arthrosis. A free review of your X-rays or MRI to check 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 (osteoarthritis) means slow, chronic wear of the cartilage lining the joint. Healthy cartilage softens impact; when it thins, the bones rub on each other and the joint hurts, stiffens and moves less. Although flare-ups with swelling happen, this is a degenerative disease rather than an inflammatory one.
It 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. Treatment works best at early and moderate stages, before the joint surfaces are badly damaged; at an advanced stage the doctor will tell you honestly 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
Any joint, large or small — once your scans are reviewed, the doctor settles on the joint, the method and the injection count
Elbow
Pain after overuse or sports strain, wear of the joint surfaces
Hand and wrist joints
Stiff and sore small joints in the wrist and the fingers
Knee
Meniscus issues, wearing cartilage, stairs and walking bring pain
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Pain as the arm goes up, wear in 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 chosen mostly for early and moderate osteoarthritis, where it slows cartilage wear and reduces friction between joint surfaces.
PRP — platelet-rich plasma from your own blood
Your own blood, in a small amount, is processed to separate plasma rich in platelets and growth factors, which goes into the joint to calm inflammation and improve conditions for tissue repair.
Used often in mild osteoarthritis, it is added to SVF when a more pronounced effect is required.
How the procedure goes: step by step
Consultation and scan review
An examination of the joint and a review of your X-rays, MRI or ultrasound let the doctor decide if the procedure is suitable. Existing scans can be sent in advance of the visit.
Blood sample for PRP
Blood in a small amount is drawn from a vein, and later platelet-rich plasma rich in growth factors is 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
Layers form as the sample is spun in a centrifuge. The stromal vascular fraction is isolated and blended with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Under ultrasound guidance the prepared material is injected straight into the affected joint, which helps to 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
An examination of the joint and a review of your X-rays, MRI or ultrasound let the doctor decide if the procedure is suitable. Existing scans can be sent in advance of the visit.
Blood sample for PRP
Blood in a small amount is drawn from a vein, and later platelet-rich plasma rich in growth factors is 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
Layers form as the sample is spun in a centrifuge. The stromal vascular fraction is isolated and blended with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Under ultrasound guidance the prepared material is injected straight into the affected joint, which helps to 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 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
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: a fever, a cold or flu, or 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
You will most likely go home that same day and be back to normal activity within a day or two; small dressings are placed over the puncture sites. For the first week the joint may ache a little more than before, which is expected. Pain generally eases over the first month, mobility and activity improve over about three months, and the full effect takes around six months. The result lasts differently for each person, depending on the stage of the condition, body weight, activity and other factors, so no fixed result can be promised. Staying at a healthy weight and exercising regularly in a joint-friendly way helps.
Why patients choose City Medical Centre
Your own joint is kept, not replaced — we treat without surgery
Your own tissue
Only material from your body — blood and adipose tissue — no donor or synthetic products
No crutches
Instead of incisions we use punctures, under local anaesthetic, with no long rehabilitation
Second opinion
Free of charge, a doctor gives an independent assessment of the X-rays, MRI or reports you send
Support after the procedure
Not just the injection day — we stay in touch after the procedure and follow your result
Osteoarthritis treatment prices
The doctor names the cost after the consultation — it depends on the joint, the method and how advanced the osteoarthritis is
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?
In many cases yes, if you start treatment on time. Injections of SVF and PRP are aimed at easing pain and supporting cartilage without an operation. The last option, joint replacement, is for joints 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?
At the early and moderate stages. Usually the effect comes faster and lasts longer the milder the stage is, and it may reduce the need for regular hyaluronic acid injections. A lasting effect cannot be expected at the most advanced stage, when the joint space has nearly disappeared.
Which joints are most often affected?
The most heavily loaded joints: the knees, hips and ankles, plus the small joints of the hand and the spine. Regenerative treatment is used for all of them.
What happens if osteoarthritis is left untreated?
The condition usually progresses. Pain becomes constant, movement becomes restricted, deformity of the joint may develop and walking can become difficult. Early diagnosis, exercise, weight control and working with a doctor do make a real difference.
Which tests and scans are needed?
An X-ray is the key test and shows the stage. A detailed view of the cartilage and soft tissues comes from MRI, ultrasound shows fluid and inflammation in the joint, and blood tests help rule out inflammatory diseases. Results you already have can be reviewed by the doctor free of charge.
How is osteoarthritis different from arthritis?
Osteoarthritis is wear of the cartilage, with aching pain on moving, crunching and stiffness after rest; arthritis is inflammation, with pain at rest and at night, swelling, redness and warmth over the joint. The treatment is not the same, so diagnosis must come first.
Can I get a consultation about my case?
Yes — send X-rays, MRI or test results, and a doctor will review them at no charge, assess the stage of osteoarthritis and, if appropriate, suggest a non-surgical plan.
Can I exercise with osteoarthritis?
Yes, and it helps. Well-chosen activity strengthens the muscles that unload the joint, improves the cartilage's nutrition and keeps you mobile. Swimming, water aerobics, cycling, Nordic walking and yoga work well, while running on hard surfaces, jumping, heavy lifting and sudden movements are best avoided.
City Medical Centre licences
Other services at our clinic
How osteoarthritis is treated without surgery for Fresno residents
The stage matters most. At early and moderate stages, SVF and PRP injections aim to ease pain, reduce friction between the joint surfaces and slow cartilage wear. At the most advanced stage, the doctor will tell patients in Fresno honestly if joint replacement is the more realistic option.
Many patients in Fresno 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 treatment in Fresno: price at consultation, free scan review, own tissue only. Leave your name and phone number, or message us in any messenger.
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