1Consultation and scan review
The doctor checks the joint, studies your X-rays, MRI or ultrasound and decides if this procedure fits your case. If scans are already done, send them before the visit.
Arthrosis Treatment in The Hague Without Surgery
Knee, hip or another joint affected by arthrosis? SVF cell therapy and PRP, with a no-cost look at your X-rays or MRI to define the stage
Consultation and review of your scansFree
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What it is
What is osteoarthritis
(arthrosis)?
Osteoarthritis is a chronic condition, also referred to as arthrosis, in which the joint's cartilage thins and erodes step by step. As the cushioning layer fails, bones start rubbing together — the source of pain, stiffness and a reduced range of movement. It is a wear-related, degenerative disease; swollen flare-ups can still appear.
Typically the condition affects the joints that take the most strain — the knee (gonarthrosis) and hip (coxarthrosis), plus the ankle and small joints of the hand. It is most effective to treat at early and moderate stages, while the joint surfaces are not yet badly damaged; at a late stage the doctor will tell you openly whether joint replacement makes more sense.
- No surgery — an injection instead of an operation
- Own tissue — your blood and adipose tissue
- Ultrasound guidance for every injection
Who the treatment suits
Only a doctor, after an examination and a review of scans, decides whether this treatment suits you
Suitable
- Pain, crunching or stiffness in a joint
- Painkillers only help for a short time
- Recovery after injuries and surgery
- You need a second opinion on your scans
- You want to avoid or postpone joint replacement
- Early or moderate arthrosis or arthritis
- High load on the joints — sport or physical work
Not suitable
- Cancer
- Pregnancy
- Blood clotting disorders
- Acute infections, including infection in or near the joint
- Flare-up of a serious chronic illness
- Temporary contraindications: flu or a cold, fever, or skin inflammation over the joint being treated
Not sure the treatment is right for you?
Leave your number — the coordinator will ask for your scans (X-ray, MRI or ultrasound), and the doctor will tell you whether treatment without surgery suits you.
Find out if it suits meWhat we treat
Conditions we treat
Arthritis
Arthrosis
Avascular necrosis
Osteoarthritis
Coxarthrosis (hip osteoarthritis)
Gonarthrosis (knee osteoarthritis)
Meniscus pathology and injury
Rehabilitation after injuries and surgery
Inflammatory joint conditions- Second opinionShare your X-rays, MRI or medical reports and get a free, independent assessment from a doctor
How it works
How the procedure goes: step by step
1
2Blood sample for PRP
A small volume of venous blood is collected; from it, platelet-rich plasma with growth factors is prepared later on.
3Adipose tissue sample
Local anaesthetic is used while a small portion of adipose tissue, about 30 ml, is taken through a puncture on the abdomen or inner thigh. The site needs no stitches.
4Processing 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.
5Injection into the joint
Ultrasound guidance allows the prepared material to be injected directly and precisely into the affected joint.
6Follow-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.
Book a consultation
Call or message us — our coordinator will contact you shortly and book your consultation
Results
After the procedure
1 week
The joint may ache a little more — this is an expected reaction.
1 month
The pain usually eases.
~3 months
Mobility and activity improve.
~6 months
The full effect develops.
How long it lasts differs from person to person and depends on the stage of the condition, body weight, activity and other factors — no one can promise a fixed result.
Comparison
Methods we use
Your own blood and adipose tissue are the only materials used — nothing donor or synthetic
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.
It is chosen mostly for early and moderate osteoarthritis, where it slows cartilage wear and reduces friction between joint surfaces.
- Material
- Your adipose tissue and plasma
- How it is given
- Into the joint, under ultrasound
- Duration
- The whole procedure is done in one day.
PRP — platelet-rich plasma from your own blood
Plasma rich in platelets and growth factors is separated from a small amount of your blood and injected into the joint. It helps calm inflammation and creates better conditions for tissue repair.
Used often in mild osteoarthritis, it is added to SVF when a more pronounced effect is required.
- Material
- Your blood from a vein
- How it is given
- Into the joint, under ultrasound
- Duration
- The whole procedure is done in one day.
The benefits and timings shown are averaged and given for guidance: the plan and recovery depend on your joint and individual features, and the doctor confirms them at the consultation.
At the consultation the doctor will review your scans and suggest a treatment plan
Free consultation
Joints
Joints we treat
We treat large and small joints; the doctor picks the joint, method and injection count once your scans are reviewed
KneeStairs and walking cause pain; cartilage wear and meniscus problems
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderJoint and tendon wear around it, pain on lifting the arm
ElbowPain after sports strain or overuse, plus wear of the joint surfaces
Hand and wrist jointsStiffness and pain in the small joints of the fingers and wrist
AnklePain and stiffness after sprains and old injuries
Advantages
Why patients choose City Medical Centre
Treatment without surgery that works to keep your own joint rather than swap it for an implant
Your own tissue
Your own blood and adipose tissue are the only materials used — nothing donor or synthetic
No crutches
Done through punctures under local anaesthetic, without incisions or long rehabilitation
Second opinion
Share your X-rays, MRI or medical reports and get a free, independent assessment from a doctor
Support after the procedure
Our care goes beyond the day of the injection: we keep in touch and follow the result
About the clinic
A clinic where you can feel at ease
Modern equipment, comfortable rooms and care for every patient
Contact us the way that suits you
We will answer your questions and find a convenient time for a consultation
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Request a free callPrice
Osteoarthritis treatment prices
After the consultation the doctor names the cost, which depends on the joint, the stage of osteoarthritis and the method
Consultation and review of your scans
Free
Book — Consultation and review of your scansPRP therapy (platelet-rich plasma)
Price at consultation
Book — PRP therapy (platelet-rich plasma)Cell therapy (SVF + PRP), one joint
Price at consultation
Book — Cell therapy (SVF + PRP), one joint
FAQ
Joint treatment: frequently asked questions
Doctors usually describe four stages, from early thinning of the cartilage to severe wear. Injection treatment is most often considered in the early and middle stages; the doctor decides after reviewing your X-ray or MRI.
Put simply, the cartilage covering the bone ends in a joint wears down over time. Thin cartilage no longer cushions the joint, so the bones rub, causing pain, stiffness and crunching. It is a degenerative condition rather than an inflammatory one.
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.
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 early and moderate stages. The milder the stage, the quicker and more lasting the effect tends to be, and it may reduce how often hyaluronic acid injections are needed. At the most advanced stage, when the joint space has nearly gone, a lasting effect should not be expected.
The joints with the highest load, namely knees, hips and ankles, as well as the small joints of the hand and the spine. Regenerative treatment covers all of these joints.
The condition usually progresses. Pain becomes constant, movement becomes restricted, deformity of the joint may develop and walking can become difficult. Early diagnosis, exercise, weight control and working with a doctor do make a real difference.
X-ray is the main method and it shows the stage; MRI provides detail on the cartilage and soft tissues; ultrasound shows inflammation and joint fluid; blood tests help rule out inflammatory conditions. The doctor can review your existing results free of charge.
In osteoarthritis the cartilage wears, causing aching pain on movement, crunching and stiffness after rest; in arthritis the joint is inflamed, with pain at rest and at night, swelling, redness and warmth. The treatment approach differs, so diagnosis is the first step.
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.
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.
About the conditions
More about these conditions
Arthritis is an inflammatory disease of the joints. Typical signs are pain at rest and at night, morning stiffness lasting more than 30 minutes, swelling, redness and warmth over the joint. Causes include autoimmune conditions such as rheumatoid arthritis, infections, gout and psoriasis.
At early stages, PRP or SVF injections combined with exercise therapy and physiotherapy can reduce pain and improve movement. If the joint is already badly damaged, replacement may be the more realistic option — the doctor will tell you honestly after seeing your scans.
At early stages (1–2), SVF therapy may be considered to support blood supply to the femoral head and delay the need for joint replacement. At later stages surgery is usually required.