Osteoarthritis Treatment in Prague: Steps and Results
For knees, hips and other joints with arthrosis: SVF cell therapy and PRP. We check the stage from your X-rays or MRI at no cost
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, or osteoarthritis, is chronic: the cartilage inside the joint gets thinner and gradually disappears. Without this shock-absorbing layer the bones rub together, and pain, stiffness and a narrower range of motion follow. The process is degenerative; inflammation is not its cause, although swollen flare-ups are possible.
The knee (gonarthrosis) and the hip (coxarthrosis) are the most common sites, being the most loaded joints, together with the ankle and the small joints in the hand. Early and moderate stages are where treatment works best, before the joint surfaces are seriously harmed; at an advanced stage you will get an honest answer if 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
Large or small joints: your scans come first, then the doctor decides on the joint, the method and the number of injections
Elbow
Wear of the joint surfaces and pain after overuse or sports strain
Hand and wrist joints
Small joints of the fingers and wrist: pain and stiffness
Knee
Worn cartilage, meniscus problems, pain after walking and on stairs
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Wear of the joint and the tendons around it, painful arm raising
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.
Doctors use it chiefly in early and moderate osteoarthritis, aiming to slow cartilage wear and cut friction between the 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.
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
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
From a vein, a small amount of blood is taken — it will later be used to prepare platelet-rich plasma with growth factors.
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
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
Using ultrasound guidance, the doctor injects the prepared material directly into the affected joint so it is placed precisely.
Follow-up
No crutches are needed and there is no hospital stay. The doctor keeps in touch after the procedure to see 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
From a vein, a small amount of blood is taken — it will later be used to prepare platelet-rich plasma with growth factors.
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
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
Using ultrasound guidance, the doctor injects the prepared material directly into the affected joint so it is placed precisely.
Follow-up
No crutches are needed and there is no hospital stay. The doctor keeps in touch after the procedure to see how the joint responds.
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
The doctor decides on suitability once you have been examined and your scans have been reviewed
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: flu or a cold, fever, or skin inflammation over the joint being 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
Most people go home the same day and return to normal daily activity within a day or two; the puncture sites are covered with small dressings. During the first week the joint may ache a little more — this is an expected reaction. Over the first month the pain usually eases, over about three months mobility and activity improve, and the full effect develops over around six months. How long it lasts differs from person to person and depends on the stage of the condition, body weight, activity and other factors — no one can promise a fixed result. Keeping a healthy weight and regular, joint-friendly exercise help the result last longer.
Why patients choose City Medical Centre
Our focus is saving your own joint, not replacing it — through treatment without surgery
Your own tissue
Only your own blood and adipose tissue are used — no donor or synthetic material
No crutches
Punctures, not incisions; local anaesthetic; no prolonged 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
We stay in touch after the procedure and follow the result, not just the day of the injection
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?
The cartilage that covers the bone ends in a joint slowly wears away. Once it thins, cushioning is lost, bone rubs on bone and pain, stiffness and crunching appear. This is a degenerative condition, not an inflammatory one.
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?
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?
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 knees, hips and ankles, which bear the most load, and the spine and small joints of the hand. We use regenerative treatment for all of these joints.
What happens if osteoarthritis is left untreated?
It tends to progress: pain becomes constant, movement more restricted, the joint may deform and walking may become hard. Early diagnosis, weight control, exercise and working with a doctor really make a difference.
Which tests and scans are needed?
Mainly with an X-ray, which reveals the stage. MRI shows the cartilage and soft tissues in detail, ultrasound shows fluid and inflammation in the joint, and blood tests help rule out inflammatory conditions. If you have results already, the doctor can review them at no charge.
How is osteoarthritis different from arthritis?
Osteoarthritis is about cartilage wear: pain that aches on movement, crunching, stiffness after rest. Arthritis is about inflammation: pain at rest and at night, swelling, redness and warmth over the joint. Because treatment is different, the 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?
Definitely yes. The right kind of activity strengthens muscles that unload the joint, supports cartilage nutrition and preserves mobility. Pick swimming, water aerobics, cycling, Nordic walking or yoga; steer clear of running on hard surfaces, jumping, heavy lifting and sudden movements.
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Osteoarthritis in Prague: stages, methods and price
Osteoarthritis, also called arthrosis, is a chronic condition in which the cartilage of a joint gradually thins and wears away. For patients from Prague, it usually shows as aching pain on movement, stiffness after rest and crunching in the joint.
Many patients in Prague 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.
Book a free consultation in Prague to find out whether SVF or PRP could slow your osteoarthritis. The doctor names the price after examining the joint.
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