Knee Osteoarthritis Treatment in Philadelphia
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)?
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.
Joints carrying the greatest load are affected most frequently — the knee (gonarthrosis), the hip (coxarthrosis), the ankle and the small hand joints. Treatment is most successful at an early or moderate stage, before the joint surfaces are badly damaged; with advanced disease the doctor will honestly say if joint replacement is the more realistic route.
No surgery — an injection instead of an operation
Ultrasound guidance for every injection
Free consultation and review of your scans
Joints we treat
Small and large joints are treated; the doctor determines the joint, method and number of injections after looking at your scans
Elbow
Wear of joint surfaces, pain after heavy use or sports strain
Hand and wrist joints
Small finger and wrist joints that are stiff and painful
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 on raising the arm; wear of the joint and the tendons around it
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
We separate plasma rich in platelets and growth factors from a small blood sample and inject it into the joint. This helps quieten inflammation and supports 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
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
A small amount of blood is taken from a vein. Platelet-rich plasma with growth factors is later prepared from it.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
A small portion of adipose tissue (about 30 ml) is taken under local anaesthetic through a puncture on the abdomen or inner thigh. There is no need for 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
Prepared material is delivered by injection straight into the affected joint, and ultrasound guidance helps with 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
A small amount of blood is taken from a vein. Platelet-rich plasma with growth factors is later prepared from it.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
A small portion of adipose tissue (about 30 ml) is taken under local anaesthetic through a puncture on the abdomen or inner thigh. There is no need for 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
Prepared material is delivered by injection straight into the affected joint, and ultrasound guidance helps with 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
At follow-up visits the doctor checks how the joint is responding and adjusts the plan. Pain usually eases during the first month, mobility improves over about three months, and the full effect develops over around six months.
Conditions we treat
After an examination and a review of your scans, a doctor decides whether the 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 raised temperature, a cold or flu, inflamed skin above the target joint
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 people leave on the day of the procedure and get back to daily routines within a day or two, with small dressings covering the puncture sites. A little extra aching in the first week is an expected reaction. The pain usually eases over the first month; mobility and activity improve over about three months; the full effect develops over around six months. How long it lasts is individual, shaped by the stage, body weight, activity and other factors — nobody can promise a fixed result. A healthy weight and regular joint-friendly exercise help the result last longer.
Why patients choose City Medical Centre
We work on keeping your own joint rather than replacing it — treatment without surgery
Your own tissue
Your own blood and adipose tissue only; donor and synthetic material are not used
No crutches
Punctures instead of incisions, local anaesthetic, no long rehabilitation
Second opinion
Get a free, independent doctor's assessment of your X-rays, MRI or reports — simply send them over
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
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?
Gradual wear of the cartilage covering the ends of the bones is what happens in this condition. Thinning cartilage removes the joint's cushioning, the bones rub together, and pain, stiffness and crunching result. It is degenerative, not inflammatory.
Can hip osteoarthritis be treated without surgery?
Frequently yes, if treatment is not delayed. With SVF and PRP injections the aim is pain relief and cartilage support without an operation. Joint replacement remains the last option, used when the joint is already destroyed.
How soon will I notice a result?
Many patients 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 is chronic, so it needs an ongoing plan rather than a single 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?
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?
X-ray is the main method and it shows the stage; MRI provides detail on the cartilage and soft tissues; ultrasound shows inflammation and joint fluid; blood tests help rule out inflammatory conditions. The doctor can review your existing results 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?
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.
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Other services at our clinic
Everything about arthrosis treatment in Philadelphia
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 Philadelphia.
PRP is often used for mild osteoarthritis, and SVF with PRP when a stronger effect is needed. The method and the number of injections are chosen for each patient in Philadelphia after the examination.
Knee or hip osteoarthritis? Patients from Philadelphia can send their X-rays or MRI and get a free assessment of the stage and a clear answer on suitable treatment and its price.
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