Gonarthrosis and Coxarthrosis Treatment in Sydney
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)?
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.
Joints carrying the greatest load are affected most frequently — the knee (gonarthrosis), the hip (coxarthrosis), the ankle and the small hand joints. Treatment is most successful at an early or moderate stage, before the joint surfaces are badly damaged; with advanced disease the doctor will honestly say if joint replacement is the more realistic route.
No surgery — an injection instead of an operation
Ultrasound guidance for every injection
Free consultation and review of your scans
Joints we treat
Treatment for both large and small joints — your scans guide the doctor's choice of joint, method and number of injections
Elbow
Joint surface wear and pain after overloading or sports strain
Hand and wrist joints
Stiffness and pain in the small joints of the fingers and 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
Pain on raising the arm; wear of the joint and the tendons around it
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.
Most often it is applied in early and moderate osteoarthritis, helping slow the wear of cartilage and reduce friction in the joint.
PRP — platelet-rich plasma from your own blood
Taken from a small amount of your blood, plasma rich in platelets and growth factors is injected into the joint. There it helps calm inflammation and sets up better conditions for tissue repair.
It is frequently used for mild osteoarthritis, and combined with SVF when a stronger effect is required.
How the procedure goes: step by step
Consultation and scan review
First comes an examination of the joint and a look at your X-rays, MRI or ultrasound, after which the doctor decides whether the procedure suits you. Already have scans? Send them before the visit.
Blood sample for PRP
A small amount of blood is taken from a vein. Platelet-rich plasma with growth factors is later prepared from it.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
A puncture on the abdomen or inner thigh, under local anaesthetic, is used to take a small portion of adipose tissue (about 30 ml). No stitches afterwards.
Processing in a centrifuge
The sample is spun in a centrifuge and separates into layers. The stromal vascular fraction is isolated and mixed with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
The material is injected directly into the affected joint, guided by ultrasound for precise placement.
Follow-up
There is no hospital stay and you will not need crutches. The doctor remains in contact after the procedure and follows the joint's response.
Consultation and scan review
First comes an examination of the joint and a look at your X-rays, MRI or ultrasound, after which the doctor decides whether the procedure suits you. Already have scans? Send them before the visit.
Blood sample for PRP
A small amount of blood is taken from a vein. Platelet-rich plasma with growth factors is later prepared from it.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
A puncture on the abdomen or inner thigh, under local anaesthetic, is used to take a small portion of adipose tissue (about 30 ml). No stitches afterwards.
Processing in a centrifuge
The sample is spun in a centrifuge and separates into layers. The stromal vascular fraction is isolated and mixed with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
The material is injected directly into the affected joint, guided by ultrasound for precise placement.
Follow-up
There is no hospital stay and you will not need crutches. The doctor remains in contact after the procedure and follows the joint's response.
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
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
Most people return home the same day, with small dressings on the puncture sites, and resume normal daily activity within a day or two. During the first week a little more joint ache is an expected reaction. Over the first month pain usually eases, over about three months mobility and activity improve, and the full effect develops over around six months. How long it lasts depends on the person, the stage of the condition, body weight, activity and other factors; no one can promise a fixed result. A healthy weight and regular exercise that is kind to the joints help the result 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 material from your body — blood and adipose tissue — no donor or synthetic products
No crutches
Local anaesthetic and small punctures in place of incisions — no long recovery programme or 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 stay in touch after the procedure and follow the result, not just 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 times, yes — when treatment is started without delay. SVF and PRP injections work to ease pain and support the cartilage without any operation; only a destroyed joint calls for replacement, the last option.
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?
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?
The joints that carry the most load: the knees, hips and ankles, as well as the small joints of the hand and the spine. Regenerative treatment is used for all of these joints.
What happens if osteoarthritis is left untreated?
It usually progresses: pain becomes constant, movement becomes more limited, the joint may become deformed and walking can become difficult. Early diagnosis, weight control, exercise and working with a doctor make a real difference.
Which tests and scans are needed?
The main tool is an X-ray, showing the stage. For detail on cartilage and soft tissues there is MRI; ultrasound reveals inflammation and fluid in the joint; blood tests help rule out inflammatory conditions. The doctor can look at results you already have free of charge.
How is osteoarthritis different from arthritis?
Cartilage wear is osteoarthritis, marked by aching pain on movement, crunching and stiffness after rest; inflammation is arthritis, marked by pain at rest and at night, swelling, redness and warmth over the joint. Since treatment differs, a diagnosis comes first.
Can I get a consultation about my case?
Of course. A doctor reviews your X-rays, MRI or test results free of charge, assesses the stage of osteoarthritis and suggests a non-surgical plan when it is appropriate — just send them.
Can I exercise with osteoarthritis?
Definitely yes. The right kind of activity strengthens muscles that unload the joint, supports cartilage nutrition and preserves mobility. Pick swimming, water aerobics, cycling, Nordic walking or yoga; steer clear of running on hard surfaces, jumping, heavy lifting and sudden movements.
City Medical Centre licences
Other services at our clinic
Osteoarthritis in Sydney: from X-ray to follow-up
Osteoarthritis is not the same as arthritis. Arthrosis is wear of the cartilage; arthritis is inflammation with pain at rest, swelling and warmth. The approach differs, so the diagnosis comes first for everyone in Sydney.
Osteoarthritis treatment in Sydney 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.
Leave a request, and a coordinator will contact you to arrange a free scan review. The price of osteoarthritis treatment in Sydney is explained before treatment begins.
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