Hip Osteoarthritis Treatment in Lisbon
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 (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.
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
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
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
Pain on raising the arm; wear of the joint and the tendons around it
Methods we use
Cell therapy (SVF) from your own adipose tissue
We take a small sample of your adipose tissue and process it to isolate the stromal vascular fraction (SVF), a mix of cells that take part in tissue repair. It is combined with your own plasma and injected into the affected joint.
It is mainly indicated for early and moderate stages of osteoarthritis, where it slows cartilage wear and eases friction between the joint surfaces.
PRP — platelet-rich plasma from your own blood
Taken from a small amount of your blood, plasma rich in platelets and growth factors is injected into the joint. There it helps calm inflammation and sets up better conditions for tissue repair.
It is frequently used for mild osteoarthritis, and combined with SVF when a stronger effect is required.
How the procedure goes: step by step
Consultation and scan review
The doctor checks the joint, studies your X-rays, MRI or ultrasound and decides if this procedure fits your case. If scans are already done, send them before the visit.
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
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
With ultrasound guiding the needle, the prepared material is injected directly into the affected joint and placed 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
The doctor checks the joint, studies your X-rays, MRI or ultrasound and decides if this procedure fits your case. If scans are already done, send them before the visit.
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
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
With ultrasound guiding the needle, the prepared material is injected directly into the affected joint and placed 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
The doctor uses follow-up visits to see how the joint responds and to fine-tune the plan. Typically pain eases over the first month, movement improves over about three months and the full effect builds 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; a cold or the flu; skin inflammation above 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
Same-day discharge is typical, and most people are back to normal daily activity in a day or two; small dressings cover the puncture sites. The joint may ache a little more in week one — an expected reaction. Pain usually eases across the first month, mobility and activity improve over about three months, and the full effect develops over around six months. The duration varies from person to person and depends on the stage of the condition, body weight, activity and other factors, so a fixed result cannot be promised. Keeping a healthy weight and exercising regularly with the joint in mind helps it last.
Why patients choose City Medical Centre
We work on keeping your own joint rather than replacing it — treatment without surgery
Your own tissue
Just your blood and your adipose tissue — no synthetic material and nothing from donors
No crutches
Instead of incisions we use punctures, under local anaesthetic, with 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
Osteoarthritis treatment prices
Pricing depends on which joint, which method and the stage of osteoarthritis; the doctor gives the cost 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?
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 see the first changes 2–3 weeks after the procedure. A stable result takes about six months to form and can last from several months to several years, depending on the person. Because osteoarthritis is chronic, it needs an ongoing plan, not a single injection.
At which stage does the treatment work best?
It works at early and moderate stages: a milder stage usually means a faster and more durable effect and may reduce the need for regular hyaluronic acid injections. At the most advanced stage, with the joint space almost gone, you cannot expect a lasting effect.
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?
The stage is shown by an X-ray, the main method. MRI gives a close look at the cartilage and soft tissues, ultrasound detects inflammation and fluid in the joint, and blood tests help exclude inflammatory conditions. Already have results? The doctor reviews them free of charge.
How is osteoarthritis different from arthritis?
With osteoarthritis the cartilage wears down: you get aching pain on movement, crunching and stiffness after rest. With arthritis there is inflammation: pain at rest and at night, swelling, redness and warmth over the joint. The treatment approach is different, so diagnosis comes first.
Can I get a consultation about my case?
Of course. A doctor reviews your X-rays, MRI or test results free of charge, assesses the stage of osteoarthritis and suggests a non-surgical plan when it is appropriate — just send them.
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 Lisbon 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 Lisbon honestly if joint replacement is the more realistic option.
Blood tests help rule out inflammatory conditions before treatment. If you are a patient from Lisbon, the doctor tells you in advance which tests are needed so you can prepare.
Book a free consultation in Lisbon to find out whether SVF or PRP could slow your osteoarthritis. The doctor names the price after examining the joint.
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