Gonarthrosis and Coxarthrosis Treatment in Rome
Knee, hip or another joint affected by arthrosis? SVF cell therapy and PRP, with a no-cost look at your X-rays or MRI to define 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)?
With osteoarthritis (arthrosis), the cartilage that lines a joint gradually wears away over time. This cartilage is the joint's shock absorber, and when it is lost the bones rub against each other, causing pain, stiffness and limited mobility. The condition is degenerative, not inflammatory, although it can flare up with swelling.
Most often it hits the most heavily loaded joints — knee (gonarthrosis) and hip (coxarthrosis) — along with the ankle and the small hand joints. Early and moderate stages respond best, before serious damage to the joint surfaces; at an advanced stage the doctor will be honest with you if replacing the joint is the more realistic path.
No surgery — an injection instead of an operation
Ultrasound guidance for every injection
Free consultation and review of your scans
Joints we treat
We treat large and small joints; the doctor picks the joint, method and injection count once your scans are reviewed
Elbow
Pain that follows sports strain or overuse, and joint surface wear
Hand and wrist joints
Stiff, painful small joints in the fingers and the wrist
Knee
Cartilage wear with meniscus trouble and pain on stairs or after walking
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Joint and tendon wear around it, pain on lifting the arm
Methods we use
Cell therapy (SVF) from your own adipose tissue
The stromal vascular fraction (SVF), a mix of cells that play a part in tissue repair, is obtained by processing a small sample of your adipose tissue. Together with your own plasma, it goes into the affected joint by injection.
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
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 used for mild osteoarthritis, and together with SVF when a stronger effect is needed.
How the procedure goes: step by step
Consultation and scan review
The doctor examines the joint, reviews your X-rays, MRI or ultrasound and decides whether the procedure suits you. If you already have scans, you can 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
Under local anaesthetic, the doctor collects a small portion of adipose tissue (roughly 30 ml) via a puncture on the abdomen or the inner thigh. Stitches are not needed.
Processing in a centrifuge
In a centrifuge the sample separates into layers; the stromal vascular fraction is isolated and combined with the 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
You go without crutches and without a hospital stay; the doctor keeps in touch afterwards and follows the joint's response.
Consultation and scan review
The doctor examines the joint, reviews your X-rays, MRI or ultrasound and decides whether the procedure suits you. If you already have scans, you can 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
Under local anaesthetic, the doctor collects a small portion of adipose tissue (roughly 30 ml) via a puncture on the abdomen or the inner thigh. Stitches are not needed.
Processing in a centrifuge
In a centrifuge the sample separates into layers; the stromal vascular fraction is isolated and combined with the 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
You go without crutches and without a hospital stay; the doctor keeps in touch afterwards and follows the joint's response.
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: 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
Most people go home on the same day and are back to their usual daily activity within a day or two, with small dressings over the puncture sites. The joint may ache a little more during the first week — an expected reaction. Pain usually eases over the first month, mobility and activity improve over about three months, and the full effect develops over around six months. How long it lasts varies between people and depends on the stage of the condition, 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
Instead of replacing your joint, we work to keep it — treatment without surgery
Your own tissue
Your own blood and adipose tissue are the only materials used — nothing donor or synthetic
No crutches
Instead of incisions we use punctures, under local anaesthetic, with no long rehabilitation
Second opinion
Share your X-rays, MRI or medical reports and get a free, independent assessment from a doctor
Support after the procedure
We stay in contact once the procedure is done and follow the result beyond the day of the injection
Osteoarthritis treatment prices
The doctor quotes the cost after the consultation, as it depends on the joint, the method and the stage of osteoarthritis
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 is the gradual wearing of the cartilage covering the ends of the bones in a joint. As the cartilage thins, the joint loses its cushioning; the bones rub together, and pain, stiffness and crunching develop. The condition is degenerative rather than inflammatory.
Can hip osteoarthritis be treated without surgery?
Often it can, as long as treatment is not postponed. SVF and PRP injections set out to reduce pain and support the cartilage, avoiding an operation; replacement of the joint is the last option when it 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?
Early and moderate stages. In milder stages the effect is usually faster and longer-lasting, and it may reduce the need for regular injections of hyaluronic acid. At the most advanced stage, where the joint space has almost disappeared, a lasting effect is not to be expected.
Which joints are most often affected?
Heavily loaded joints — the knees, hips and ankles — together with the spine and small hand joints. All of them can be treated with regenerative treatment.
What happens if osteoarthritis is left untreated?
Usually it gets worse — pain turns constant, movement is increasingly limited, the joint can deform and walking may become difficult. Early diagnosis, controlling weight, exercise and cooperation with a doctor make a real difference.
Which tests and scans are needed?
An X-ray is the primary method, and it shows the stage. MRI details the cartilage and soft tissues, ultrasound shows joint fluid and inflammation, and blood tests help to rule out inflammatory conditions. If you already have test results, the doctor will review them free of charge.
How is osteoarthritis different from arthritis?
Osteoarthritis is wear of the cartilage: aching pain on movement, crunching, stiffness after rest. Arthritis is inflammation: pain at rest and at night, swelling, redness and warmth over the joint. The approach to treatment differs, so the diagnosis comes first.
Can I get a consultation about my case?
Yes. After you send X-rays, MRI or test results, a doctor reviews them free of charge, gauges the stage of osteoarthritis and proposes a non-surgical plan if it suits your case.
Can I exercise with osteoarthritis?
Yes — exercise is encouraged. The right activity builds the muscles that take the load off the joint, improves how the cartilage is nourished and keeps you mobile. Try swimming, water aerobics, cycling, Nordic walking or yoga, and avoid running on hard ground, jumping, heavy lifting and sudden movements.
City Medical Centre licences
Other services at our clinic
Osteoarthritis treatment in Rome: what you should know
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 Rome 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 Rome go home the same day.
A consultation is the first step for every patient from Rome. It is free, and after it you know the stage, the method and the cost of treatment.
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