Want to dive deeper into pathogenesis, Kellgren–Lawrence stages and differences from arthritis? Complete guide to osteoarthritis — educational longread with decision tree.

Joints we treat

Knee (gonarthrosis)

The most common case. Pain when climbing stairs, standing up from a chair, squatting. MIBRAR® is a real alternative to joint replacement at stages I–III.

→ Knee osteoarthritis treatment

Hip (coxarthrosis)

Pain in the groin, buttock, anterior thigh. Limited rotation. MIBRAR® — intra-articular injection under ultrasound guidance.

→ Hip osteoarthritis treatment

Shoulder (omarthrosis)

Pain and limited arm elevation. Often accompanies rotator cuff damage. Combined protocol with regenerative products.

→ Shoulder osteoarthritis

Hand (rhizarthrosis, Heberden/Bouchard nodes)

Osteoarthritis of the 1st carpometacarpal joint — "hurts when I hold things". Ultrasound-guided injections into the joint space.

→ Hand osteoarthritis treatment

Foot and ankle (hallux rigidus)

Often post-traumatic. MIBRAR® helps avoid arthrodesis and ankle replacement at stages I–II.

→ Foot osteoarthritis treatment

Spine (spondyloarthrosis)

Facet joints — a source of chronic low back and neck pain. Targeted CGF injections into facet joints under ultrasound guidance.

→ Spine treatment

MIBRAR® treatment for osteoarthritis

Product choice depends on stage and joint. Every injection is performed under ultrasound and optical navigation (Sono-Control Arm + Cyber-Navi-Hand) — precisely into the zone of maximum degeneration. Outpatient procedure, no incisions, no anesthesia.

Cartilage regeneration

PRP and CGF stimulate chondrocytes and synoviocytes. Lipogems® and SVF deliver mesenchymal cells capable of differentiating into chondrocytes and rebuilding the cartilage matrix.

Synovial environment

CGF and biologic products normalize synovial fluid composition, reduce synovitis, and restore the joint's shock-absorbing properties.

Subchondral bone support

BMAC and SVF target the subchondral bone — cartilage's key partner. With bone marrow edema, cartilage recovery is impossible without addressing this layer.

I–IIBest effect at stages
2–4Sessions in protocol
3 moTo peak effect
0Hospitalization

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Frequently asked questions

Can osteoarthritis be stopped?

Reversing advanced cartilage loss is not possible, but slowing or halting progression is achievable. At stages I–II, partial cartilage restoration is possible with MIBRAR® (PRP, CGF, Lipogems®).

At which stage does MIBRAR® help?

Best effect at stages I and II. At stage III — pain reduction and slowing of progression. At stage IV — joint replacement is usually indicated.

How many sessions are needed?

Typically 2–4 sessions every 2–4 weeks. Advanced stages may require 3–5 sessions and combinations of products.

Can multiple joints be treated at once?

Yes, if total invasiveness is acceptable. The plan is always tailored individually.