Osteoarthritis Treatment in Rotterdam
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)?
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.
Osteoarthritis usually develops in the most heavily loaded joints, such as the knee (gonarthrosis) and hip (coxarthrosis), and also in the ankle and small hand joints. It is treated most effectively at early and moderate stages, before the joint surfaces are badly damaged; if the stage is advanced, the doctor will honestly tell you when 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
Joint surface wear and pain after overloading or sports strain
Hand and wrist joints
Pain and stiffness in the small joints of the wrist and fingers
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
Pain as the arm goes up, wear in the joint and surrounding tendons
Methods we use
Cell therapy (SVF) from your own adipose tissue
A little of your adipose tissue is taken and processed so that the stromal vascular fraction (SVF) can be separated: cells that help tissues repair. This is combined with your own plasma and injected into the joint affected by the disease.
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
A small amount of your blood is used to separate plasma rich in platelets and growth factors, which is then injected into the joint. It helps settle inflammation and creates 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
Examination of the joint plus a review of your X-rays, MRI or ultrasound tells the doctor whether the procedure is suitable. If you have scans already, you can send them before the appointment.
Blood sample for PRP
A small blood sample is taken from a vein, and platelet-rich plasma with growth factors is later made from it.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
The doctor numbs the area with local anaesthetic and takes about 30 ml of adipose tissue through a puncture on the abdomen or inner thigh; stitches are not required.
Processing in a centrifuge
The sample goes into a centrifuge and divides into layers; the stromal vascular fraction is taken out 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
Examination of the joint plus a review of your X-rays, MRI or ultrasound tells the doctor whether the procedure is suitable. If you have scans already, you can send them before the appointment.
Blood sample for PRP
A small blood sample is taken from a vein, and platelet-rich plasma with growth factors is later made from it.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
The doctor numbs the area with local anaesthetic and takes about 30 ml of adipose tissue through a puncture on the abdomen or inner thigh; stitches are not required.
Processing in a centrifuge
The sample goes into a centrifuge and divides into layers; the stromal vascular fraction is taken out 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
Suitability for treatment is decided by a doctor, following an examination and a look at your scans
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, cold or flu, and inflamed skin over the joint that will 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
Going home the same day is the norm, and normal daily activity usually resumes within a day or two; small dressings cover the puncture sites. In the first week the joint may ache slightly more, which is expected. During the first month pain usually eases, over about three months mobility and activity improve, and around six months are needed for the full effect. Its duration differs from person to person, depending on the stage, body weight, activity and other factors, so no fixed result can be promised. Keeping weight healthy and exercising regularly in a joint-friendly way helps it 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
Send your reports, X-rays or MRI, and a doctor will independently assess them free of charge
Support after the procedure
We keep in contact after the procedure and monitor the result, rather than stopping 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?
Osteoarthritis is slow wear of the cartilage over the ends of the bones inside a joint. Thinner cartilage means less cushioning, so the bones rub and you get pain, stiffness and crunching. It is degenerative, not inflammatory.
Can hip osteoarthritis be treated without surgery?
Many patients can, if treatment is not delayed. The aim of SVF and PRP injections is to ease pain and support the cartilage without an operation, and joint replacement is the last option — for a joint already destroyed.
How soon will I notice a result?
Many patients report the first changes 2–3 weeks after the procedure. A stable result develops over about six months and lasts from several months to several years depending on the individual. Because osteoarthritis is chronic, the approach is an ongoing plan rather than a single injection.
At which stage does the treatment work best?
It is used at early and moderate stages; the milder the stage, the faster and more lasting the effect usually is, possibly reducing the need for regular hyaluronic acid injections. At the most advanced stage — joint space almost gone — a lasting effect is not realistic.
Which joints are most often affected?
Load-bearing joints are most at risk: knees, hips, ankles — and also the spine and small hand joints. Regenerative treatment is used across 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?
The stage is shown by an X-ray, the main method. MRI gives a close look at the cartilage and soft tissues, ultrasound detects inflammation and fluid in the joint, and blood tests help exclude inflammatory conditions. Already have results? The doctor reviews them free of charge.
How is osteoarthritis different from arthritis?
Osteoarthritis is wear of the cartilage, with aching pain on moving, crunching and stiffness after rest; arthritis is inflammation, with pain at rest and at night, swelling, redness and warmth over the joint. The treatment is not the same, so diagnosis must come first.
Can I get a consultation about my case?
Certainly. Send your MRI, X-rays or test results for a free review: a doctor will assess the stage of osteoarthritis and suggest a non-surgical plan if it is appropriate.
Can I exercise with osteoarthritis?
Yes — and it is recommended. The right activity strengthens the muscles that take load off the joint, improves cartilage nutrition and keeps you mobile. Good choices are swimming, water aerobics, cycling, Nordic walking and yoga; avoid jumping, running on hard surfaces, heavy lifting and sudden movements.
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Other services at our clinic
Osteoarthritis in Rotterdam: from X-ray to follow-up
For patients from Rotterdam, the aim is to keep your own joint as long as possible. The milder the stage, the faster and longer-lasting the effect usually is, and it may reduce the need for regular hyaluronic acid injections.
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 Rotterdam go home the same day.
Do not wait until the joint is destroyed. Book a free consultation in Rotterdam: early and moderate osteoarthritis responds best to treatment. The price is set individually.
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