Initial medical rehabilitation consultation with imaging examination, performed by Dr Augustin Dima to determine whether an injection is indicated.
Duration: 60 minutes for 1 region / 80 minutes for 2 regions.
An injection is not scheduled as a predetermined procedure. The first step is an initial medical rehabilitation consultation with imaging examination. The consultation lasts 60 minutes for 1 region or 80 minutes for 2 regions. During this appointment, Dr Augustin Dima assesses the patient's current condition, determines whether an injection is indicated and identifies the most appropriate treatment option.
During the initial medical rehabilitation consultation, Dr Augustin Dima performs the imaging examination necessary to assess the current condition of the targeted area and determine the appropriate therapeutic indication.
If the patient has recently undergone an imaging examination performed by Dr Augustin Dima, the physician may determine that the findings are still relevant and that the evaluation does not need to be repeated.
Previous investigations performed by other medical providers may be presented and reviewed during the consultation. However, they do not automatically replace the imaging examination performed by Dr Augustin Dima, as the patient's current condition must be assessed before a procedure can be recommended.
Based on the medical consultation and imaging findings, the physician determines whether an injection is indicated and which of the available options — hyaluronic acid or PRP — is appropriate for the condition being evaluated, and whether the procedure should be performed under ultrasound guidance.
During an ultrasound-guided injection, ultrasound imaging is used during the procedure to visualise the targeted area and guide the administration.
From the initial consultation to the recommendations provided after the procedure, each stage is medically determined according to the patient's current condition.
The pathway begins with an initial medical rehabilitation consultation with imaging examination, lasting 60 minutes for 1 region or 80 minutes for 2 regions. Based on the findings, Dr Augustin Dima determines whether an injection is indicated, which treatment option is appropriate and whether the procedure should be performed under ultrasound guidance.
Initial medical rehabilitation consultation with imaging examination: 60 minutes for 1 region / 80 minutes for 2 regions.
The physician determines whether an injection is indicated and whether hyaluronic acid or PRP is the appropriate option.
The injection is performed according to the medical indication and, when required, under ultrasound guidance.
After the procedure, the patient receives medical recommendations tailored to the intervention performed.
Hyaluronic acid and PRP injections are distinct procedures with different sources and characteristics. Selection is not based solely on the name of the substance or product. Following the initial medical rehabilitation consultation with imaging examination, Dr Augustin Dima determines whether an injection is indicated, which option is appropriate and whether ultrasound guidance is required.
Hyaluronic acid is naturally present in synovial fluid and contributes to joint lubrication and cushioning during movement. Its intra-articular administration, also known as viscosupplementation, may be included in a treatment plan to support mobility and reduce discomfort when medically indicated.
Response to the procedure varies from one patient to another. A hyaluronic acid injection does not rebuild cartilage or cure osteoarthritis.
ABOUT THE PRODUCTS USED
For hyaluronic acid injections, it is important to understand that the available products are not identical.
The clinic uses single-dose products with a 12-month administration interval specified in the product information. The range includes formulations containing 90 mg of hyaluronic acid in 3 ml, with molecular weights of up to 5,500–6,000 kDa after sterilisation, as well as cross-linked formulations.
These characteristics do not establish a universal hierarchy among products. Selection is not based on the principle that "the highest concentration is the best"; the physician chooses the product according to the medical indication and the individual characteristics of each patient.
The administration interval stated in the product information does not guarantee the duration of the clinical outcome.
PRP is prepared from a small amount of the patient's own blood. The blood is processed by centrifugation, and the platelet-rich plasma is then injected into the target area.
Platelets contain growth factors involved in the body's natural tissue-repair processes. The procedure may be included in a treatment plan for selected musculoskeletal conditions only after medical evaluation.
Response to the procedure varies from one patient to another, and a PRP injection does not guarantee healing.
The indication for an injection may be assessed when the symptoms and diagnosis suggest that an injectable procedure could form part of the treatment plan. The presence of any of the situations below does not automatically mean that an injection is recommended.
The indication may be assessed in situations such as:
The indication may also be assessed for selected musculoskeletal conditions, such as:
The assessment takes into account the diagnosis, stage of the condition, age, activity level, medical history, previous treatments and investigation results.
Following the consultation, the physician may recommend a hyaluronic acid injection, a PRP injection, another treatment option or may determine that an injection is not indicated.
Senior Consultant in Physical Medicine and Rehabilitation
At the clinic, Dr Augustin Dima conducts initial medical rehabilitation consultations with imaging examination, determines the therapeutic indication and performs hyaluronic acid or PRP injections. When clinically required, the procedure is performed under ultrasound guidance.
Consultation and procedure fees depend on the medical assessment, the treatment option indicated and whether ultrasound guidance is required.
The first step is an initial medical rehabilitation consultation with imaging examination performed by Dr Augustin Dima. The consultation lasts 60 minutes for 1 region or 80 minutes for 2 regions. An injection is performed only when the physician determines that it is indicated. The treatment option and the need for ultrasound guidance are established following the medical assessment.
ROLE
RON 550
Duration: 60 minutes
Initial medical rehabilitation consultation which includes imaging examination of one region
RON 675
Duration: 80 minutes
Initial medical rehabilitation consultation which includes imaging examination of two regions
NOTES
Follow-up consultations are available only to patients previously assessed by Dr Augustin Dima.
The follow-up consultation applies when the initial medical consultation has already been performed and remains relevant.
The appropriate type of follow-up consultation is confirmed by the clinic when the appointment is arranged, according to the assessment already performed and whether a new imaging examination is required.
RON 95
Duration: 15 minutes
RON 295
Duration: 30 minutes
Follow-up consultation which includes imaging examination of one region.
RON 445
Duration: 45 minutes
Follow-up consultation which includes imaging examination of two regions.
NOTES
The fee includes PRP preparation, consumables and the medical procedure.
RON 965
Duration: 25 minutes
This type of injection is performed without ultrasound guidance.
RON 1,700
Duration: 40 minutes
These injections are performed without ultrasound guidance.
RON 1,165
Duration: 40 minutes
This type of injection is performed under ultrasound guidance.
RON 1,975
Duration: 50 minutes
These injections are performed under ultrasound guidance.
NOTES
The type of injection, the product used and the need for ultrasound guidance are determined by Dr Augustin Dima following the medical consultation and imaging examination. Displaying the fees does not constitute a medical recommendation and does not guarantee that the procedure will be performed.
The exact fee depends on the product indicated by the physician.
The fee includes the hyaluronic acid product, consumables and the medical procedure.
Promotion valid for procedures performed from 14 August to 14 October 2026: When two hyaluronic acid injections are performed in two regions during the same appointment, a 25% discount is applied to the second injection. The fee for two regions is calculated as the price of the first injection plus 75% of the price of the second injection.
RON 1,150 – 1,250
Duration: 25 minutes
This type of injection is performed without ultrasound guidance.
RON 2,012.50 – 2,187.50
Duration: 50 minutes
These injections are performed without ultrasound guidance.
RON 1,350 – 1,450
Duration: 40 minutes
This type of injection is performed under ultrasound guidance.
RON 2,362.50 – 2,537.50
Duration: 80 minutes
These injections are performed under ultrasound guidance.
No. The form is used to request an appointment for an initial medical rehabilitation consultation with imaging examination. Following the assessment, Dr Augustin Dima determines whether an injection is indicated, which type of procedure is appropriate and whether it should be performed under ultrasound guidance.
The initial medical rehabilitation consultation with imaging examination lasts 60 minutes when one region is assessed and 80 minutes when two regions are assessed. The appropriate appointment is confirmed by the clinic when the booking is arranged.
Previous investigations may be presented and reviewed during the consultation, but they do not automatically replace the imaging examination performed by Dr Augustin Dima. If the patient has recently undergone an imaging examination performed by him, the physician may determine that it does not need to be repeated.
The need for ultrasound guidance is determined by the physician following the consultation and imaging examination. During an ultrasound-guided injection, ultrasound imaging is used to visualise the targeted area and guide the administration.
The treatment option is determined by the physician based on the medical indication and the condition being assessed, rather than solely on the name or concentration of a product. PRP is prepared from the patient's own blood, while the hyaluronic acid product is selected according to the particular characteristics of the case.
Local discomfort may occur during or after the procedure and is usually temporary. The physician explains which reactions may be expected and when the clinic should be contacted.
The response varies from one patient to another. Improvement may occur gradually over the following weeks, and the degree of response may differ according to the medical condition being assessed.
The return to normal activities depends on the treated area, the procedure performed and the physician's recommendation. Strenuous physical activity is usually avoided for a short period, according to the instructions provided after the procedure.
In certain situations, an injection may form part of conservative treatment. However, it does not replace a surgical indication when surgery is considered necessary. The recommendation is determined individually by the physician.
PRP does not guarantee a cure for osteoarthritis. In selected cases, it may be considered as part of a treatment plan for symptom management and recovery, with the indication determined individually.
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