Osteoarthritis Treatment in San Jose
SVF cell therapy and PRP for knee, hip and other joints affected by arthrosis. A free review of your X-rays or MRI to check 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.
It 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. Treatment works best at early and moderate stages, before the joint surfaces are badly damaged; at an advanced stage the doctor will tell you honestly if joint replacement is the more realistic option.
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
Finger and wrist small joints affected by pain and stiffness
Knee
Cartilage wear, meniscus problems, pain on stairs and after walking
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Lifting the arm hurts; the joint and surrounding tendons are worn
Methods we use
Cell therapy (SVF) from your own adipose tissue
We take a small sample of your adipose tissue and process it to isolate the stromal vascular fraction (SVF), a mix of cells that take part in tissue repair. It is combined with your own plasma and injected into the affected joint.
Its main use is at early and moderate stages of osteoarthritis, to slow the wear of cartilage and lessen friction between the joint surfaces.
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.
Mild osteoarthritis is a common indication; when a stronger effect is needed, it is used together with SVF.
How the procedure goes: step by step
Consultation and scan review
Your joint is examined and your X-rays, MRI or ultrasound are reviewed; then the doctor decides if the procedure suits you. You may send any scans you have before you come.
Blood sample for PRP
Blood is taken from a vein in a small amount. Later, platelet-rich plasma containing growth factors is prepared from it.
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
The centrifuge spins the sample until it separates into layers; the isolated stromal vascular fraction is then mixed 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
No crutches, no stay in hospital. The doctor keeps in contact after the procedure and watches how your joint responds.
Consultation and scan review
Your joint is examined and your X-rays, MRI or ultrasound are reviewed; then the doctor decides if the procedure suits you. You may send any scans you have before you come.
Blood sample for PRP
Blood is taken from a vein in a small amount. Later, platelet-rich plasma containing growth factors is prepared from it.
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
The centrifuge spins the sample until it separates into layers; the isolated stromal vascular fraction is then mixed 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
No crutches, no stay in hospital. The doctor keeps in contact after the procedure and watches how your joint responds.
Follow-up visits
Follow-up visits show the doctor how your joint responds so the plan can be adjusted; usually pain eases within the first month, mobility improves over about three months, and the full effect takes around six months to develop.
Conditions we treat
It is up to the doctor, after examining you and reviewing your scans, to decide whether the treatment fits
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
Typically you go home the same day and return to normal activity within a day or two; the punctures are covered with small dressings. It is expected that the joint may ache a little more in the first week. Pain usually eases over the first month, mobility and activity improve over about three months, and around six months are needed for the full effect. The result's duration is individual and depends on the stage of the condition, body weight, activity and other factors — a fixed outcome cannot be promised. Regular joint-friendly exercise and a healthy weight help it last longer.
Why patients choose City Medical Centre
Keeping your own joint instead of replacing it: that is the goal of treatment without surgery
Your own tissue
Only your own adipose tissue and blood — no synthetic or donor material
No crutches
Punctures, not incisions; local anaesthetic; no prolonged rehabilitation
Second opinion
Get a free, independent doctor's assessment of your X-rays, MRI or reports — simply send them over
Support after the procedure
Not just the injection day — we stay in touch after the procedure and follow your result
Osteoarthritis treatment prices
The stage of osteoarthritis, the joint and the method all affect the cost, so it is named 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?
Gradual wear of the cartilage covering the ends of the bones is what happens in this condition. Thinning cartilage removes the joint's cushioning, the bones rub together, and pain, stiffness and crunching result. It is degenerative, not 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 respond best. Generally, the milder the stage, the faster and longer-lasting the effect, which may cut the need for regular hyaluronic acid injections. When the joint space has almost disappeared at the most advanced stage, a lasting effect cannot be expected.
Which joints are most often affected?
Those that carry the most load: knees, hips, ankles, and also the small hand joints and the spine. Regenerative treatment is applied to every one of them.
What happens if osteoarthritis is left untreated?
In most cases it progresses: the pain becomes constant, movement narrows, the joint may deform and walking can get difficult. A real difference comes from early diagnosis, weight control, exercise and working with a doctor.
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?
The difference: osteoarthritis is wear of the cartilage (aching pain on movement, crunching, stiffness after rest), while arthritis is inflammation (pain at rest and at night, swelling, redness, warmth over the joint). Treatment differs, which is why diagnosis comes first.
Can I get a consultation about my case?
Yes — send X-rays, MRI or test results, and a doctor will review them at no charge, assess the stage of osteoarthritis and, if appropriate, suggest a non-surgical plan.
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.
City Medical Centre licences
Other services at our clinic
What San Jose residents ask about osteoarthritis
For patients from San Jose, 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.
Osteoarthritis treatment in San Jose is not done with cancer, acute infections, blood clotting disorders, during pregnancy or during a flare-up of a serious chronic illness. The doctor checks this at the consultation.
Knee or hip osteoarthritis? Patients from San Jose can send their X-rays or MRI and get a free assessment of the stage and a clear answer on suitable treatment and its price.
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