Osteoarthritis is more than worn cartilage
Knee osteoarthritis is not only worn cartilage: it involves synovial inflammation and subchondral bone change. That is why anti-inflammatory strategies can reduce pain even when the X-ray looks unchanged — so temper expectations about cartilage regrowth more than expectations about pain and function.
Alignment and load before any injection
Good planning starts with weight-bearing X-rays and alignment assessment. With significant varus deformity loading one compartment, injections alone rarely suffice because the mechanical overload continues; osteotomy or bracing may belong in the plan.
Physiotherapy and weight are the base
Always pair the injection with physiotherapy, quadriceps strengthening and weight reduction where relevant. The osteoarthritis literature is consistent that these deliver large, low-cost symptom gains; cell therapy belongs inside that plan, not as a shortcut around it.
Questions to ask before paying
Before committing, ask what SVF dose is used, whether injection is ultrasound-guided, whether WOMAC or KOOS scores are recorded before and after, and what the 3-, 6- and 12-month follow-up looks like. Those answers separate structured care from package selling.