1Consultation 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.
Non-Surgical Osteoarthritis Treatment in Warsaw
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.
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
- Own tissue — your blood and adipose tissue
- Ultrasound guidance for every injection
Who the treatment suits
It is up to the doctor, after examining you and reviewing your scans, to decide whether the treatment fits
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: fever, cold or flu, and inflamed skin over the joint that will be 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 opinionSend your reports, X-rays or MRI, and a doctor will independently assess them free of charge
How it works
How the procedure goes: step by step
1
2Blood sample for PRP
A small blood sample is taken from a vein, and platelet-rich plasma with growth factors is later made from it.
3Adipose tissue sample
Under local anaesthetic, a small portion of adipose tissue (about 30 ml) is taken through a puncture on the abdomen or inner thigh. No stitches are needed.
4Processing in a centrifuge
Layers form as the sample is spun in a centrifuge. The stromal vascular fraction is isolated and blended 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
You go without crutches and without a hospital stay; the doctor keeps in touch afterwards 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
Only material from your body — blood and adipose tissue — no donor or synthetic products
Cell therapy (SVF) from your own adipose tissue
Processing a small portion of your adipose tissue yields the stromal vascular fraction (SVF), a cell mix involved in tissue repair. The doctor combines it with your own plasma and injects it into the affected joint.
Mainly at early and moderate stages of osteoarthritis — to reduce friction between the joint surfaces and slow down cartilage wear.
- 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
We separate plasma rich in platelets and growth factors from a small blood sample and inject it into the joint. This helps quieten inflammation and supports better conditions for tissue repair.
Commonly used for mild osteoarthritis — and together with SVF when you need a stronger effect.
- 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
Small and large joints are treated; the doctor determines the joint, method and number of injections after looking at your scans
KneeCartilage wear, meniscus problems, pain on stairs and after walking
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderPain as the arm goes up, wear in the joint and surrounding tendons
ElbowWorn joint surfaces and pain following overuse or sports strain
Hand and wrist jointsStiff, painful small joints in the fingers and the wrist
AnklePain and stiffness after sprains and old injuries
Advantages
Why patients choose City Medical Centre
Our focus is saving your own joint, not replacing it — through treatment without surgery
Your own tissue
Only material from your body — blood and adipose tissue — no donor or synthetic products
No crutches
Local anaesthetic, punctures rather than incisions, and no long rehabilitation
Second opinion
Send your reports, X-rays or MRI, and a doctor will independently assess them free of charge
Support after the procedure
The result is followed after the procedure too; we stay in touch, not only on the day of the injection
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
The doctor names the cost after the consultation — it depends on the joint, the method and how advanced the osteoarthritis is
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.
The cartilage over the bone ends of a joint gradually wears out. As it becomes thinner, cushioning is lost and the bones rub against each other, bringing pain, stiffness and crunching. This is a degenerative disease, not an inflammatory one.
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.
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.
When osteoarthritis is at an early or moderate stage. A milder stage generally brings a faster, longer-lasting effect and may reduce the need for regular hyaluronic acid injections; at the most advanced stage, with almost no joint space left, a lasting effect cannot be expected.
Knees, hips and ankles, as the joints carrying the most load, plus the small joints of the hand and the spine. Regenerative treatment is used for each of these joints.
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.
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.
Osteoarthritis is wear of the cartilage: aching pain on movement, crunching, stiffness after rest. Arthritis is inflammation: pain at rest and at night, swelling, redness and warmth over the joint. The approach to treatment differs, so the diagnosis comes first.
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.
Yes, and you should. The right activity strengthens the muscles that unload the joint, improves cartilage nutrition and keeps you mobile. Swimming, water aerobics, cycling, Nordic walking and yoga are good choices; avoid running on hard surfaces, jumping, 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.