Osteoarthritis in The Bronx: Treatment by Stage
SVF therapy and PRP injections for arthrosis in knees, hips and other joints — and a complimentary review of your MRI or X-rays to find 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
Treatment for both large and small joints — your scans guide the doctor's choice of joint, method and number of injections
Elbow
Wear of the joint surfaces and pain after overuse or sports strain
Hand and wrist joints
Pain and stiffness in the small joints of the wrist and fingers
Knee
Pain after walking and climbing stairs, worn cartilage, meniscus problems
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Joint and tendon wear around it, pain on lifting the arm
Methods we use
Cell therapy (SVF) from your own adipose tissue
From a small sample of your adipose tissue, the stromal vascular fraction (SVF) is isolated — a set of cells involved in repairing tissue. Mixed with your own plasma, it is then injected into the joint that is affected.
It is chosen mostly for early and moderate osteoarthritis, where it slows cartilage wear and reduces friction between 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.
Often chosen for mild osteoarthritis, and paired with SVF if a stronger effect is needed.
How the procedure goes: step by step
Consultation and scan review
The doctor examines your joint, looks through your X-rays, MRI or ultrasound and decides whether the procedure is right for you. If you already have scans, you can send them ahead of the visit.
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
Roughly 30 ml of adipose tissue is taken through a puncture on the inner thigh or abdomen under local anaesthetic. No stitches are needed.
Processing in a centrifuge
The sample is centrifuged so that it splits into layers. The stromal vascular fraction is then isolated and mixed with 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 and no hospital stay. The doctor stays in touch after the procedure and follows how the joint responds.
Consultation and scan review
The doctor examines your joint, looks through your X-rays, MRI or ultrasound and decides whether the procedure is right for you. If you already have scans, you can send them ahead of the visit.
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
Roughly 30 ml of adipose tissue is taken through a puncture on the inner thigh or abdomen under local anaesthetic. No stitches are needed.
Processing in a centrifuge
The sample is centrifuged so that it splits into layers. The stromal vascular fraction is then isolated and mixed with 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 and no hospital stay. The doctor stays in touch after the procedure and follows 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
A doctor examines you, reviews your scans and then decides whether the treatment is suitable
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 go home on the same day and are back to their usual daily activity within a day or two, with small dressings over the puncture sites. The joint may ache a little more during the first week — an expected reaction. Pain usually eases over the first month, mobility and activity improve over about three months, and the full effect develops over around six months. How long it lasts varies between people and depends on the stage of the condition, body weight, activity and other factors — nobody can promise a fixed result. A healthy weight and regular, joint-friendly exercise help the result last longer.
Why patients choose City Medical Centre
We work on keeping your own joint rather than replacing it — treatment without surgery
Your own tissue
Your own blood and adipose tissue are the only materials used — nothing donor or synthetic
No crutches
No long rehabilitation: local anaesthetic and punctures instead of incisions
Second opinion
Send us your MRI, X-rays or reports for an independent assessment by a doctor at no cost
Support after the procedure
The result is followed after the procedure too; we stay in touch, not only on the day of the injection
Osteoarthritis treatment prices
The doctor names the cost after the consultation — it depends on the joint, the method and how advanced the osteoarthritis is
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?
This is the gradual wear of the cartilage that lines the bone ends in a joint. When cartilage thins, the joint is no longer cushioned; the bones rub, and pain, stiffness and crunching appear. The condition is degenerative and 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?
The first changes are often felt 2–3 weeks after the procedure, and a stable result forms over about six months, lasting several months to several years depending on the person. Osteoarthritis is chronic, which is why it needs an ongoing plan instead of one injection.
At which stage does the treatment work best?
At the early and moderate stages. Usually the effect comes faster and lasts longer the milder the stage is, and it may reduce the need for regular hyaluronic acid injections. A lasting effect cannot be expected at the most advanced stage, when the joint space has nearly disappeared.
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?
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.
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?
Osteoarthritis — cartilage wear, aching pain during movement, crunching and stiffness after rest. Arthritis — inflammation, pain at rest and at night, swelling, redness and warmth over the joint. The approaches to treatment differ, so the first step is the diagnosis.
Can I get a consultation about my case?
Yes. Send us your X-rays, MRI or test results and a doctor will review them free of charge, assess the stage of osteoarthritis and propose a non-surgical plan where 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.
City Medical Centre licences
Other services at our clinic
Osteoarthritis treatment in The Bronx step by step
An X-ray shows the stage of osteoarthritis, MRI gives a detailed view of cartilage and soft tissues, and ultrasound shows inflammation and fluid. Patients from The Bronx who already have results can send them before the visit.
The procedure does not require crutches or a hospital stay. Patients from The Bronx return to normal daily activity within a day or two and receive recommendations on load for the first weeks.
How much does arthrosis treatment cost in The Bronx? The doctor names the price after assessing the stage from your X-ray or MRI and choosing PRP, SVF or a combination. Send a request or message us in any messenger.
This website uses cookies. By continuing to use it, you agree to the Privacy Policy and data processing terms
Get a consultation
Apply before the end of the year and get a consultation at the clinic's expense!