Non-Surgical Osteoarthritis Treatment in Manhattan
Arthrosis of the knee, hip or another joint treated with SVF cells and PRP. Your X-rays or MRI are reviewed free of charge to confirm 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)?
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.
Typically the condition affects the joints that take the most strain — the knee (gonarthrosis) and hip (coxarthrosis), plus the ankle and small joints of the hand. It is most effective to treat at early and moderate stages, while the joint surfaces are not yet badly damaged; at a late stage the doctor will tell you openly whether joint replacement makes more sense.
No surgery — an injection instead of an operation
Ultrasound guidance for every injection
Free consultation and review of your scans
Joints we treat
Large and small joints alike. The joint, the technique and the number of injections are chosen by the doctor based on your scans
Elbow
Pain that follows sports strain or overuse, and joint surface wear
Hand and wrist joints
Finger and wrist small joints affected by pain and stiffness
Knee
Cartilage wearing down, meniscus problems, pain on stairs and after a walk
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
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.
Most often it is applied in early and moderate osteoarthritis, helping slow the wear of cartilage and reduce friction in 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.
It is often applied in mild osteoarthritis, and alongside SVF when a stronger effect is called for.
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
A small volume of venous blood is collected; from it, platelet-rich plasma with growth factors is prepared later on.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
A puncture on the abdomen or inner thigh, under local anaesthetic, is used to take a small portion of adipose tissue (about 30 ml). No stitches afterwards.
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
With ultrasound guiding the needle, the prepared material is injected directly into the affected joint and placed precisely.
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
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
A small volume of venous blood is collected; from it, platelet-rich plasma with growth factors is prepared later on.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
A puncture on the abdomen or inner thigh, under local anaesthetic, is used to take a small portion of adipose tissue (about 30 ml). No stitches afterwards.
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
With ultrasound guiding the needle, the prepared material is injected directly into the affected joint and placed precisely.
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
It is up to the doctor, after examining you and reviewing your scans, to decide whether the treatment fits
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
Our focus is saving your own joint, not replacing it — through treatment without surgery
Your own tissue
We use your own adipose tissue and blood only, with no donor or synthetic material
No crutches
Local anaesthetic, punctures rather than incisions, and 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 remain in touch after the procedure and track the outcome, not merely on the injection day
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?
The cartilage over the bone ends of a joint gradually wears out. As it becomes thinner, cushioning is lost and the bones rub against each other, bringing pain, stiffness and crunching. This is a degenerative disease, not 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?
First changes usually appear 2–3 weeks after the procedure for many patients. It takes about six months for a stable result to form, and it may last from several months to several years, individually. As a chronic condition, osteoarthritis needs a continuing plan instead of a single injection.
At which stage does the treatment work best?
At early and moderate stages. The milder the stage, the quicker and more lasting the effect tends to be, and it may reduce how often hyaluronic acid injections are needed. At the most advanced stage, when the joint space has nearly gone, a lasting effect should not 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?
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?
The main method is an X-ray, which shows the stage. MRI gives a detailed picture of cartilage and soft tissues, ultrasound reveals inflammation and fluid in the joint, and blood tests help exclude inflammatory conditions. If you already have results, the doctor can review them free of charge.
How is osteoarthritis different from arthritis?
The difference: osteoarthritis is wear of the cartilage (aching pain on movement, crunching, stiffness after rest), while arthritis is inflammation (pain at rest and at night, swelling, redness, warmth over the joint). Treatment differs, which is why diagnosis comes first.
Can I get a consultation about my case?
Certainly. Send your MRI, X-rays or test results for a free review: a doctor will assess the stage of osteoarthritis and suggest a non-surgical plan if it is appropriate.
Can I exercise with osteoarthritis?
You can and should. Appropriate activity strengthens the supporting muscles that unload the joint, improves cartilage nutrition and keeps mobility. Good options: swimming, water aerobics, cycling, Nordic walking, yoga. Avoid: running on hard surfaces, jumping, heavy lifting, sudden movements.
City Medical Centre licences
Other services at our clinic
What Manhattan residents ask about osteoarthritis
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 Manhattan.
The right activity strengthens the muscles that unload the joint and helps cartilage nutrition. Patients from Manhattan are advised swimming, cycling, Nordic walking or yoga, and to avoid running on hard surfaces, jumping and heavy lifting.
Book a free consultation in Manhattan to find out whether SVF or PRP could slow your osteoarthritis. The doctor names the price after examining the joint.
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