City Medical Centre · multi-specialty surgery clinicDaily 10:00–18:00

Osteoarthritis in Winnipeg: Treatment by Stage

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

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01

No surgery — an injection instead of an operation

02

Own tissue — your blood and adipose tissue

03

Ultrasound guidance for every injection

04

Free consultation
and review of your scans

What is osteoarthritis
(arthrosis)?

With osteoarthritis (arthrosis), the cartilage that lines a joint gradually wears away over time. This cartilage is the joint's shock absorber, and when it is lost the bones rub against each other, causing pain, stiffness and limited mobility. The condition is degenerative, not inflammatory, although it can flare up with swelling.

Most often it hits the most heavily loaded joints — knee (gonarthrosis) and hip (coxarthrosis) — along with the ankle and the small hand joints. Early and moderate stages respond best, before serious damage to the joint surfaces; at an advanced stage the doctor will be honest with you if replacing the joint is the more realistic path.

01

No surgery — an injection instead of an operation

02

Ultrasound guidance for every injection

03

Free consultation and review of your scans

Joints we treat

Large and small joints — the doctor chooses the joint, the method and the number of injections after reviewing your scans

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Methods we use

Cell therapy (SVF) from your own adipose tissue

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.

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

PRP — platelet-rich plasma from your own blood

A small amount of your blood is used to separate plasma rich in platelets and growth factors, which is then injected into the joint. It helps settle inflammation and creates better conditions for tissue repair.

In mild osteoarthritis it is used often; to get a stronger effect it is combined with SVF.

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

We take a small amount of blood from a vein, which is later used to prepare platelet-rich plasma with growth factors.
 
The doctor tells you in advance which tests are needed.

Adipose tissue sample

The doctor numbs the area with local anaesthetic and takes about 30 ml of adipose tissue through a puncture on the abdomen or inner thigh; stitches are not required.

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

The doctor injects the prepared material directly into the affected joint, with ultrasound guidance helping place it precisely.

Follow-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.

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Follow-up visits

After 1 month
3 months
6 months

The plan is adjusted at follow-up visits, where the doctor sees how the joint responds. Pain usually eases in month one, mobility improves over about three months, and the full effect appears 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: flu or a cold, fever, or skin inflammation over the joint being treated

Message our coordinator

We reply right in the chat — you can send photos

Message our coordinator

We reply right in the chat — you can send photos

Message us on Telegram

By messaging us, you agree to our Privacy Policy

Message our coordinator

We reply right in the chat — you can send photos

After the procedure

You will most likely go home that same day and be back to normal activity within a day or two; small dressings are placed over the puncture sites. For the first week the joint may ache a little more than before, which is expected. Pain generally eases over the first month, mobility and activity improve over about three months, and the full effect takes around six months. The result lasts differently for each person, depending on the stage of the condition, body weight, activity and other factors, so no fixed result can be promised. Staying at a healthy weight and exercising regularly in a joint-friendly way helps.

  1. 1 week
  2. 1 month
  3. ~3 months
  4. ~6 months

Why patients choose City Medical Centre

Instead of replacing your joint, we work to keep it — treatment without surgery

Your own tissue

Just your blood and your adipose tissue — no synthetic material and nothing from donors

No crutches

Instead of incisions we use punctures, under local anaesthetic, with no long rehabilitation

Second opinion

Free of charge, a doctor gives an independent assessment of the X-rays, MRI or reports you send

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

Since the joint, the method and the stage of osteoarthritis determine the cost, it is named by the doctor after the consultation

Service

Price

Consultation and review of your scans

Free

PRP therapy (platelet-rich plasma)


Price at consultation

Cell therapy (SVF + PRP), one joint

 

Price at consultation

 

 

Consultation and review of your scans

Free

PRP therapy (platelet-rich plasma)

 

Price at consultation

Cell therapy (SVF + PRP), one joint

 

Price at consultation

 

 

Message our coordinator

We reply right in the chat — you can send photos

Message our coordinator

We reply right in the chat — you can send photos

Message our coordinator

We reply right in the chat — you can send photos

Message us on Telegram

By messaging us, you agree to our Privacy Policy

Joint treatment: frequently asked questions

What Winnipeg residents ask about osteoarthritis

Osteoarthritis is not the same as arthritis. Arthrosis is wear of the cartilage; arthritis is inflammation with pain at rest, swelling and warmth. The approach differs, so the diagnosis comes first for everyone in Winnipeg.

Osteoarthritis treatment in Winnipeg is not done with cancer, acute infections, blood clotting disorders, during pregnancy or during a flare-up of a serious chronic illness. The doctor checks this at the consultation.

Patients from Winnipeg can start with a free review of their scans: the doctor assesses the stage of osteoarthritis and tells you whether non-surgical treatment makes sense. The price is named at the consultation.

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