Osteoarthritis in Virār: Treatment by Stage
SVF cells and platelet-rich plasma for joints worn by arthrosis — knee, hip and others. Stage checked through a free review of your X-rays or MRI
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.
It tends to strike the joints under most load: knee (gonarthrosis), hip (coxarthrosis), ankle and the small joints of the hand. The best outcomes come at early and moderate stages, before the joint surfaces suffer major damage; at an advanced stage the doctor will be straightforward about joint replacement if it 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
Small and large joints are treated; the doctor determines the joint, method and number of injections after looking at your scans
Elbow
Pain after overuse or sports strain, wear of the joint surfaces
Hand and wrist joints
Pain and stiffness in the small joints of the wrist and fingers
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
Raising the arm is painful; wear of the joint and nearby 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.
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
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 joint is examined, your X-rays, MRI or ultrasound are reviewed, and the doctor decides if the procedure is right for you. Any scans you have can be sent prior to the visit.
Blood sample for PRP
From a vein, a small amount of blood is taken — it will later be used to prepare platelet-rich plasma with growth factors.
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
In a centrifuge the sample separates into layers; the stromal vascular fraction is isolated and combined with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
The doctor injects the prepared material directly into the affected joint, with ultrasound guidance helping place it precisely.
Follow-up
Crutches and a hospital stay are not required. The doctor stays in touch after the procedure, following the joint's response.
Consultation and scan review
The joint is examined, your X-rays, MRI or ultrasound are reviewed, and the doctor decides if the procedure is right for you. Any scans you have can be sent prior to the visit.
Blood sample for PRP
From a vein, a small amount of blood is taken — it will later be used to prepare platelet-rich plasma with growth factors.
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
In a centrifuge the sample separates into layers; the stromal vascular fraction is isolated and combined with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
The doctor injects the prepared material directly into the affected joint, with ultrasound guidance helping place it precisely.
Follow-up
Crutches and a hospital stay are not required. The doctor stays in touch after the procedure, following the joint's response.
Follow-up visits
Follow-up appointments let the doctor monitor the joint and adjust the plan. As a rule, pain eases in the first month, mobility improves over about three months and the full effect develops over around six months.
Conditions we treat
Whether this treatment is right for you is a doctor's decision, made after an examination and a scan review
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, a cold or flu, skin inflammation over the joint 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 the same day and return to normal daily activity within a day or two; the puncture sites are covered with small dressings. During the first week the joint may ache a little more — this is an expected reaction. Over the first month the pain usually eases, over about three months mobility and activity improve, and the full effect develops over around six months. 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. Keeping a healthy weight and regular, joint-friendly exercise help the result last longer.
Why patients choose City Medical Centre
Rather than replacing the joint, we work to preserve it — the treatment involves no surgery
Your own tissue
Nothing synthetic, nothing from donors — only your own blood and adipose tissue are used
No crutches
Punctures instead of incisions, local anaesthetic, no long rehabilitation
Second opinion
A doctor will assess your X-rays, MRI or reports independently and free of charge — just send them
Support after the procedure
We keep in contact after the procedure and monitor the result, rather than stopping on the day of the injection
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?
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?
Many patients see the first changes 2–3 weeks after the procedure. A stable result takes about six months to form and can last from several months to several years, depending on the person. Because osteoarthritis is chronic, it needs an ongoing plan, not a single injection.
At which stage does the treatment work best?
It works at early and moderate stages: a milder stage usually means a faster and more durable effect and may reduce the need for regular hyaluronic acid injections. At the most advanced stage, with the joint space almost gone, you cannot expect a lasting effect.
Which joints are most often affected?
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.
What happens if osteoarthritis is left untreated?
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.
Which tests and scans are needed?
An X-ray is the main method and shows the stage. MRI gives a detailed view of the cartilage and soft tissues, ultrasound shows inflammation and fluid in the joint, and blood tests help rule out inflammatory conditions. If you already have results, the doctor can review them 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?
Yes — exercise is encouraged. The right activity builds the muscles that take the load off the joint, improves how the cartilage is nourished and keeps you mobile. Try swimming, water aerobics, cycling, Nordic walking or yoga, and avoid running on hard ground, jumping, heavy lifting and sudden movements.
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Osteoarthritis in Virār: from X-ray to follow-up
Knee and hip osteoarthritis are the most common reasons patients from Virār consider joint replacement. SVF and PRP therapy is a way to try to delay or avoid surgery while the joint can still be preserved.
Treatment starts with a consultation and a review of your X-rays or MRI to assess the stage. Then blood and a small adipose tissue sample are taken, processed in a centrifuge and injected into the joint under ultrasound guidance. For patients from Virār, it is done in one day.
The price depends on how many joints are treated and on the method. For patients from Virār, the doctor explains the plan and the cost at a free consultation before any procedure.
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