Osteoarthritis Treatment in Milan
Treatment of arthritic knees, hips and other joints using SVF and PRP. A doctor reviews your MRI or X-rays free to establish 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.
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
Treatment for both large and small joints — your scans guide the doctor's choice of joint, method and number of injections
Elbow
Pain after sports strain or overuse, plus wear of the joint surfaces
Hand and wrist joints
Painful, stiff small joints of the wrist and fingers
Knee
Stairs and walking cause pain; cartilage wear and meniscus problems
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Lifting the arm hurts; the joint and surrounding tendons are worn
Methods we use
Cell therapy (SVF) from your own adipose tissue
Your adipose tissue, in a small sample, is processed to isolate the stromal vascular fraction (SVF): a combination of cells that take part in tissue repair. With your own plasma added, it is injected into the joint in question.
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.
It is a common option in mild osteoarthritis and is combined with SVF where a stronger effect is needed.
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
The nurse takes a little blood from a vein. Platelet-rich plasma with growth factors is prepared from this blood later.
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
Centrifugation separates the sample into layers, and the stromal vascular fraction is isolated, then combined with platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
The prepared material goes straight into the affected joint; ultrasound guidance helps position it precisely.
Follow-up
No crutches, no stay in hospital. The doctor keeps in contact after the procedure and watches how your 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
The nurse takes a little blood from a vein. Platelet-rich plasma with growth factors is prepared from this blood later.
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
Centrifugation separates the sample into layers, and the stromal vascular fraction is isolated, then combined with platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
The prepared material goes straight into the affected joint; ultrasound guidance helps position it precisely.
Follow-up
No crutches, no stay in hospital. The doctor keeps in contact after the procedure and watches how your 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
A doctor examines you, reviews your scans and then decides whether the treatment is suitable
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, flu or a cold, inflamed skin over the joint that is 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
Typically you go home the same day and return to normal activity within a day or two; the punctures are covered with small dressings. It is expected that the joint may ache a little more in the first week. Pain usually eases over the first month, mobility and activity improve over about three months, and around six months are needed for the full effect. The result's duration is individual and depends on the stage of the condition, body weight, activity and other factors — a fixed outcome cannot be promised. Regular joint-friendly exercise and a healthy weight help it last longer.
Why patients choose City Medical Centre
Instead of replacing your joint, we work to keep it — 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
An independent assessment from a doctor, free of charge — send your X-rays, MRI or reports
Support after the procedure
We follow the result and keep in touch after the procedure, not only on 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?
It means gradual wear of the cartilage on the ends of the bones in a joint. With thinning cartilage the joint loses cushioning, bones rub against each other and pain, stiffness and crunching set in — a degenerative, not an inflammatory, condition.
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?
Around 2–3 weeks after the procedure, many patients feel the first changes. A stable result builds over about six months and lasts from several months to several years, which varies individually. Since osteoarthritis is chronic, a single injection is not enough — it needs an ongoing plan.
At which stage does the treatment work best?
The early and moderate stages. As a rule, the milder the stage, the faster and longer the effect, and regular hyaluronic acid injections may be needed less. A lasting effect cannot be expected at the most advanced stage, when the joint space has almost vanished.
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 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?
You can. Once you send your X-rays, MRI or test results, a doctor reviews them free of charge, assesses the osteoarthritis stage and suggests a non-surgical plan if it fits.
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
Osteoarthritis treatment in Milan: a short guide
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 Milan honestly if joint replacement is the more realistic option.
During the first week the joint may ache a little more — this is an expected reaction. Pain usually eases over the first month, and mobility improves over about three months. Patients from Milan go home the same day.
Book a free consultation in Milan to find out whether SVF or PRP could slow your osteoarthritis. The doctor names the price after examining the joint.
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