1Consultation 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.
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
Consultation and review of your scansFree
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What it is
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
- Own tissue — your blood and adipose tissue
- Ultrasound guidance for every injection
Who the treatment suits
After an examination and a review of your scans, a doctor decides whether the treatment suits you
Suitable
- Pain, crunching or stiffness in a joint
- Painkillers only help for a short time
- Recovery after injuries and surgery
- You need a second opinion on your scans
- You want to avoid or postpone joint replacement
- Early or moderate arthrosis or arthritis
- High load on the joints — sport or physical work
Not suitable
- Cancer
- Pregnancy
- Blood clotting disorders
- Acute infections, including infection in or near the joint
- Flare-up of a serious chronic illness
- Temporary contraindications: fever, flu or a cold, inflamed skin over the joint that is to be treated
Not sure the treatment is right for you?
Leave your number — the coordinator will ask for your scans (X-ray, MRI or ultrasound), and the doctor will tell you whether treatment without surgery suits you.
Find out if it suits meWhat we treat
Conditions we treat
Arthritis
Arthrosis
Avascular necrosis
Osteoarthritis
Coxarthrosis (hip osteoarthritis)
Gonarthrosis (knee osteoarthritis)
Meniscus pathology and injury
Rehabilitation after injuries and surgery
Inflammatory joint conditions- Second opinionShare your X-rays, MRI or medical reports and get a free, independent assessment from a doctor
How it works
How the procedure goes: step by step
1
2Blood 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.
3Adipose 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.
4Processing in a centrifuge
In a centrifuge the sample separates into layers; the stromal vascular fraction is isolated and combined with the platelet-rich plasma.
5Injection into the joint
Prepared material is delivered by injection straight into the affected joint, and ultrasound guidance helps with precise placement.
6Follow-up
You go without crutches and without a hospital stay; the doctor keeps in touch afterwards and follows the joint's response.
Book a consultation
Call or message us — our coordinator will contact you shortly and book your consultation
Results
After the procedure
1 week
The joint may ache a little more — this is an expected reaction.
1 month
The pain usually eases.
~3 months
Mobility and activity improve.
~6 months
The full effect develops.
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.
Comparison
Methods we use
Your own blood and adipose tissue are the only materials used — nothing donor or synthetic
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.
- Material
- Your adipose tissue and plasma
- How it is given
- Into the joint, under ultrasound
- Duration
- The whole procedure is done in one day.
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.
- Material
- Your blood from a vein
- How it is given
- Into the joint, under ultrasound
- Duration
- The whole procedure is done in one day.
The benefits and timings shown are averaged and given for guidance: the plan and recovery depend on your joint and individual features, and the doctor confirms them at the consultation.
At the consultation the doctor will review your scans and suggest a treatment plan
Free consultation
Joints
Joints we treat
We treat large and small joints; the doctor picks the joint, method and injection count once your scans are reviewed
KneeCartilage wear with meniscus trouble and pain on stairs or after walking
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderJoint and tendon wear around it, pain on lifting the arm
ElbowPain that follows sports strain or overuse, and joint surface wear
Hand and wrist jointsStiff, painful small joints in the fingers and the wrist
AnklePain and stiffness after sprains and old injuries
Advantages
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
About the clinic
A clinic where you can feel at ease
Modern equipment, comfortable rooms and care for every patient
Contact us the way that suits you
We will answer your questions and find a convenient time for a consultation
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Request a free callPrice
Osteoarthritis treatment prices
The doctor quotes the cost after the consultation, as it depends on the joint, the method and the stage of osteoarthritis
Consultation and review of your scans
Free
Book — Consultation and review of your scansPRP therapy (platelet-rich plasma)
Price at consultation
Book — PRP therapy (platelet-rich plasma)Cell therapy (SVF + PRP), one joint
Price at consultation
Book — Cell therapy (SVF + PRP), one joint
FAQ
Joint treatment: frequently asked questions
Doctors usually describe four stages, from early thinning of the cartilage to severe wear. Injection treatment is most often considered in the early and middle stages; the doctor decides after reviewing your X-ray or MRI.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
About the conditions
More about these conditions
Arthritis is an inflammatory disease of the joints. Typical signs are pain at rest and at night, morning stiffness lasting more than 30 minutes, swelling, redness and warmth over the joint. Causes include autoimmune conditions such as rheumatoid arthritis, infections, gout and psoriasis.
At early stages, PRP or SVF injections combined with exercise therapy and physiotherapy can reduce pain and improve movement. If the joint is already badly damaged, replacement may be the more realistic option — the doctor will tell you honestly after seeing your scans.
At early stages (1–2), SVF therapy may be considered to support blood supply to the femoral head and delay the need for joint replacement. At later stages surgery is usually required.