Hip Osteoarthritis Treatment in Washington D.C.
Arthrosis of the knee, hip or another joint treated with SVF cells and PRP. Your X-rays or MRI are reviewed free of charge to confirm 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 this chronic disease — osteoarthritis, or arthrosis — joint cartilage is gradually worn thin. Losing the cartilage cushion lets bone rub against bone, which brings pain, stiffness and a smaller range of motion. It is classed as degenerative, not inflammatory, even though swelling may come with flare-ups.
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
Pain from overuse or sports load, with worn joint surfaces
Hand and wrist joints
Small joints of the fingers and wrist: pain and stiffness
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
Wear of the joint and nearby tendons, pain when lifting the arm
Methods we use
Cell therapy (SVF) from your own adipose tissue
A small sample of your adipose tissue is processed to isolate the stromal vascular fraction (SVF) — a mix of cells involved in tissue repair. Combined with your own plasma, it is injected into the affected joint.
Mainly at early and moderate stages of osteoarthritis — to reduce friction between the joint surfaces and slow down cartilage wear.
PRP — platelet-rich plasma from your own blood
Plasma rich in platelets and growth factors is obtained from a small volume of your blood and injected into the joint, where it helps calm inflammation and improves conditions for tissue repair.
It is a common option in mild osteoarthritis and is combined with SVF where a stronger effect is needed.
How the procedure goes: step by step
Consultation and scan review
An examination of the joint and a review of your X-rays, MRI or ultrasound let the doctor decide if the procedure is suitable. Existing scans can be sent in advance of the visit.
Blood sample for PRP
The nurse takes a little blood from a vein. Platelet-rich plasma with growth factors is prepared from this blood later.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Under local anaesthetic, the doctor collects a small portion of adipose tissue (roughly 30 ml) via a puncture on the abdomen or the inner thigh. Stitches are not needed.
Processing 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.
The whole procedure is done in one day.
Injection into the joint
Ultrasound guidance allows the prepared material to be injected directly and precisely into the affected joint.
Follow-up
No hospital stay and no crutches are needed. After the procedure, the doctor remains in touch and tracks how the joint responds.
Consultation and scan review
An examination of the joint and a review of your X-rays, MRI or ultrasound let the doctor decide if the procedure is suitable. Existing scans can be sent in advance of the visit.
Blood sample for PRP
The nurse takes a little blood from a vein. Platelet-rich plasma with growth factors is prepared from this blood later.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Under local anaesthetic, the doctor collects a small portion of adipose tissue (roughly 30 ml) via a puncture on the abdomen or the inner thigh. Stitches are not needed.
Processing 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.
The whole procedure is done in one day.
Injection into the joint
Ultrasound guidance allows the prepared material to be injected directly and precisely into the affected joint.
Follow-up
No hospital stay and no crutches are needed. After the procedure, the doctor remains in touch and tracks how the joint responds.
Follow-up visits
Follow-up visits show the doctor how your joint responds so the plan can be adjusted; usually pain eases within the first month, mobility improves over about three months, and the full effect takes around six months to develop.
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, cold or flu, and inflamed skin over the joint that will 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
Treatment without surgery — our aim is to keep your own joint, not to replace it
Your own tissue
We use your own adipose tissue and blood only, with no donor or synthetic material
No crutches
Punctures instead of incisions, local anaesthetic, no long rehabilitation
Second opinion
Send X-rays, MRI or reports and receive a doctor's independent assessment for free
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
The stage of osteoarthritis, the joint and the method all affect the cost, so it is named 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?
Yes, in many cases, provided treatment is not left too late. SVF and PRP injections aim to ease pain and support cartilage without an operation. Joint replacement is the last option, for a joint that has already been destroyed.
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?
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 most heavily loaded joints: the knees, hips and ankles, plus the small joints of the hand and the spine. Regenerative treatment is used for all of them.
What happens if osteoarthritis is left untreated?
As a rule it progresses, so pain becomes constant, movement more limited, the joint may deform and walking can be hard. Early diagnosis, weight control, exercise and working with your doctor make a real difference.
Which tests and scans are needed?
The stage is shown by an X-ray, the main method. MRI gives a close look at the cartilage and soft tissues, ultrasound detects inflammation and fluid in the joint, and blood tests help exclude inflammatory conditions. Already have results? The doctor reviews them free of charge.
How is osteoarthritis different from arthritis?
With osteoarthritis the cartilage wears down: you get aching pain on movement, crunching and stiffness after rest. With arthritis there is inflammation: pain at rest and at night, swelling, redness and warmth over the joint. The treatment approach is different, so diagnosis comes first.
Can I get a consultation about my case?
Certainly. Send your MRI, X-rays or test results for a free review: a doctor will assess the stage of osteoarthritis and suggest a non-surgical plan if it is appropriate.
Can I exercise with osteoarthritis?
Yes, and it helps. Well-chosen activity strengthens the muscles that unload the joint, improves the cartilage's nutrition and keeps you mobile. Swimming, water aerobics, cycling, Nordic walking and yoga work well, while running on hard surfaces, jumping, heavy lifting and sudden movements are best avoided.
City Medical Centre licences
Other services at our clinic
Osteoarthritis in Washington D.C.: stages, methods and price
Treatment of osteoarthritis in Washington D.C. uses your own tissue: plasma from a small blood sample and the stromal vascular fraction from a small sample of adipose tissue. There is no donor or synthetic material.
The procedure does not require crutches or a hospital stay. Patients from Washington D.C. return to normal daily activity within a day or two and receive recommendations on load for the first weeks.
Knee or hip osteoarthritis? Patients from Washington D.C. can send their X-rays or MRI and get a free assessment of the stage and a clear answer on suitable treatment and its price.
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