Knee Osteoarthritis Treatment in San Antonio
We treat arthrosis in the knee, hip and other joints with SVF cell therapy and PRP, and review your X-rays or MRI for free to judge 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)?
In osteoarthritis, sometimes called arthrosis, the joint's cartilage lining wears away bit by bit over years. That cartilage normally absorbs shock; once it breaks down, bone rubs on bone and the joint becomes painful, stiff and less mobile. It is a disease of wear rather than inflammation, even if episodes of swelling happen.
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
From large joints to small ones — which joint, which method and how many injections is decided after the doctor studies your scans
Elbow
Pain after sports strain or overuse, plus wear of the joint surfaces
Hand and wrist joints
Small finger and wrist joints that are stiff and painful
Knee
Worn cartilage and meniscus problems; pain after walking and on the stairs
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
The method uses the stromal vascular fraction (SVF), a mix of cells that support tissue repair, isolated by processing a small sample of your adipose tissue. It is injected into the affected joint along with your own plasma.
The typical indication is early or moderate osteoarthritis: the aim is slower cartilage wear and less friction between the surfaces of the joint.
PRP — platelet-rich plasma from your own blood
The joint receives an injection of plasma rich in platelets and growth factors, prepared from a small amount of your blood. It helps reduce inflammation and creates a better setting for tissue repair.
Used often in mild osteoarthritis, it is added to SVF when a more pronounced effect is required.
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
The nurse takes a little blood from a vein. Platelet-rich plasma with growth factors is prepared from this blood later.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
About 30 ml of adipose tissue is taken through a puncture in the abdomen or inner thigh, with local anaesthetic. The puncture needs no stitches.
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
Ultrasound guidance allows the prepared material to be injected directly and precisely into the affected joint.
Follow-up
Neither a hospital stay nor crutches — and after the procedure the doctor stays in contact and follows how the joint is responding.
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
The nurse takes a little blood from a vein. Platelet-rich plasma with growth factors is prepared from this blood later.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
About 30 ml of adipose tissue is taken through a puncture in the abdomen or inner thigh, with local anaesthetic. The puncture needs no stitches.
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
Ultrasound guidance allows the prepared material to be injected directly and precisely into the affected joint.
Follow-up
Neither a hospital stay nor crutches — and after the procedure the doctor stays in contact and follows how the joint is responding.
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: inflammation of the skin over the joint to be treated, fever, a cold or flu
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
You will most likely go home that same day and be back to normal activity within a day or two; small dressings are placed over the puncture sites. For the first week the joint may ache a little more than before, which is expected. Pain generally eases over the first month, mobility and activity improve over about three months, and the full effect takes around six months. The result lasts differently for each person, depending on the stage of the condition, body weight, activity and other factors, so no fixed result can be promised. Staying at a healthy weight and exercising regularly in a joint-friendly way helps.
Why patients choose City Medical Centre
Rather than replacing the joint, we work to preserve it — the treatment involves no surgery
Your own tissue
Your own blood and adipose tissue only; donor and synthetic material are not used
No crutches
No incisions, only punctures — local anaesthetic and no lengthy rehabilitation
Second opinion
Send X-rays, MRI or reports and receive a doctor's independent assessment for free
Support after the procedure
Our care goes beyond the day of the injection: we keep in touch and follow the result
Osteoarthritis treatment prices
Because the cost varies with the joint, the osteoarthritis stage and the method, the doctor names it 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?
In many cases it can be, provided treatment starts in time. The goal of SVF and PRP injections is to ease pain and support cartilage without an operation; replacing the joint is the last resort once it is destroyed.
How soon will I notice a result?
Many people notice early changes 2–3 weeks after the procedure, while a stable result forms over about six months and lasts from several months to several years depending on the person. Osteoarthritis is chronic, so an ongoing plan is needed rather than one injection.
At which stage does the treatment work best?
At early and moderate stages. The milder the stage, the faster and longer-lasting the effect usually is, and it may reduce the need for regular hyaluronic acid injections. At the most advanced stage, when the joint space has almost disappeared, a lasting effect cannot be expected.
Which joints are most often affected?
Joints under the greatest load — knees, hips and ankles — as well as the spine and the small joints of the hand. All of these joints are treated with regenerative methods.
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 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. 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?
You can, and you should. Suitable activity builds the muscles that unload the joint, feeds the cartilage better and keeps you moving. Choose swimming, water aerobics, cycling, Nordic walking or yoga, and avoid running on hard surfaces, jumping, heavy lifting and sudden movements.
City Medical Centre licences
Other services at our clinic
What San Antonio residents ask about osteoarthritis
Osteoarthritis most often affects the joints that carry the most load: the knee (gonarthrosis) and the hip (coxarthrosis), as well as the ankle and the small joints of the hand. Patients from San Antonio with any of these joints can have their scans reviewed free of charge.
The procedure does not require crutches or a hospital stay. Patients from San Antonio return to normal daily activity within a day or two and receive recommendations on load for the first weeks.
Patients from San Antonio can start with a free review of their scans: the doctor assesses the stage of osteoarthritis and tells you whether non-surgical treatment makes sense. The price is named at the consultation.
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