Knee Arthritis Treatment in Berlin
For arthritis in the knee, hand, shoulder or another joint, PRP and SVF cell therapy form one part of care — starting with a doctor's review of your tests
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 arthritis
and when does this treatment fit?
With arthritis, a joint is inflamed. Signs to watch for: pain while resting and at night, morning stiffness lasting more than half an hour, swelling, redness and warmth over the joint. There are several causes — autoimmune conditions (rheumatoid, psoriatic arthritis), gout, infection or an injury from the past.
These injections — PRP and SVF — can reduce pain and inflammation and support tissue inside the joint, but a systemic disease stays under a rheumatologist's care. During an active infection of the joint or a severe flare the procedure is not done: the doctor first confirms the arthritis type and chooses when to act.
No surgery — an injection instead of an operation
Ultrasound guidance for every injection
Free consultation and review of your scans
Joints we treat
Small joints as well as large — the doctor reviews your scans and then chooses the joint, the method and how many injections to give
Elbow
Overuse or sports-strain pain and wearing of the joint surfaces
Hand and wrist joints
Stiffness with pain in the small joints of the fingers and the wrist
Knee
Cartilage that has worn, meniscus trouble, pain after walks and on stairs
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Pain lifting the arm, with wear of the joint and its surrounding tendons
Methods we use
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 then combined with your own plasma and injected into the affected joint.
Its effect on local inflammation and tissue repair is why it is used in inflammatory arthritis, after the acute flare has settled.
PRP — platelet-rich plasma from your own blood
Injected into the joint, plasma rich in platelets and growth factors — separated from a small amount of your blood — helps calm inflammation and makes conditions for tissue repair better.
It may be advised for rheumatoid or other inflammatory arthritis, always as just one part of the overall plan of treatment.
How the procedure goes: step by step
Consultation and scan review
The doctor decides on the procedure only after examining the joint and reviewing your X-rays, MRI or ultrasound. You are welcome to send any scans you have before the appointment.
Blood sample for PRP
Platelet-rich plasma with growth factors is prepared later from a small amount of blood taken from your vein.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
A puncture on the abdomen or inner thigh, local anaesthetic and about 30 ml of adipose tissue taken — the site needs no stitches.
Processing in a centrifuge
The sample is spun in a centrifuge and separates into layers. The stromal vascular fraction is isolated and mixed with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Ultrasound guidance helps position it precisely as the prepared material is injected directly into the affected joint.
Follow-up
No crutches and no hospital stay. The doctor stays in touch after the procedure and follows how the joint responds.
Consultation and scan review
The doctor decides on the procedure only after examining the joint and reviewing your X-rays, MRI or ultrasound. You are welcome to send any scans you have before the appointment.
Blood sample for PRP
Platelet-rich plasma with growth factors is prepared later from a small amount of blood taken from your vein.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
A puncture on the abdomen or inner thigh, local anaesthetic and about 30 ml of adipose tissue taken — the site needs no stitches.
Processing in a centrifuge
The sample is spun in a centrifuge and separates into layers. The stromal vascular fraction is isolated and mixed with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Ultrasound guidance helps position it precisely as the prepared material is injected directly into the affected joint.
Follow-up
No crutches and no hospital stay. The doctor stays in touch after the procedure and follows how the joint responds.
Follow-up visits
With follow-up visits the doctor can see how the joint responds and change the plan if needed. As a rule, pain eases in the first month, mobility improves across about three months, and the full effect takes around six months to develop.
Conditions we treat
An examination and a review of your scans come first; then a doctor decides whether the treatment suits you
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: a cold, flu or fever, or skin inflammation over the joint to 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 the same day and return to normal daily activity within a day or two; the puncture sites are covered with small dressings. During the first week the joint may ache a little more — this is an expected reaction. Over the first month the pain usually eases, over about three months mobility and activity improve, and the full effect develops over around six months. How long it lasts differs from person to person and depends on the stage of the condition, body weight, activity and other factors — no one can promise a fixed result. If you are being treated by a rheumatologist, do not stop your prescribed medication without talking to them.
Why patients choose City Medical Centre
Treatment without surgery that sets out to keep your own joint instead of replacing it
Your own tissue
Everything used comes from you — your blood and adipose tissue — with no synthetic or donor material
No crutches
Instead of incisions we use punctures, with local anaesthetic and no long rehabilitation
Second opinion
An independent assessment from a doctor, free of charge, once you send your X-rays, MRI or reports
Support after the procedure
We follow your result and stay in touch after the procedure, not just on injection day
Arthritis treatment prices
After the consultation the doctor names the cost, which depends on the joint, the arthritis type and the method
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 arthritis and what are its symptoms?
In arthritis the joints are inflamed. People usually notice pain at night and at rest, stiffness in the morning that lasts more than 30 minutes, swelling, and redness and heat over the joint. It can be caused by autoimmune conditions such as rheumatoid arthritis, by infections, by gout or by psoriasis.
Can PRP help with rheumatoid arthritis?
It does not replace the treatment prescribed by your rheumatologist, but PRP can complement it: in rheumatoid and other inflammatory arthritis it may help reduce local inflammation, pain and swelling, as platelet growth factors influence the immune response and tissue repair.
Can psoriatic arthritis be cured?
Psoriatic arthritis is a chronic disease that currently cannot be cured completely. The goal is a long remission — keeping inflammation under control and preventing joint deformity — and regenerative injections can be one part of that plan.
How does SVF work in autoimmune arthritis?
SVF brings cells able to modulate the immune response in the joint and to support repair of damaged tissue. This is an area of ongoing research, so expect the doctor to discuss realistic outcomes for your type of arthritis.
When is the treatment not suitable?
It is not done if there is an active joint infection, a severe flare, pregnancy, cancer or a blood clotting disorder. The doctor then postpones the procedure or offers another option.
How is knee arthritis different from osteoarthritis?
With knee arthritis, an autoimmune reaction, infection or gout causes inflammation — redness, warmth, marked swelling, tenderness to touch. Osteoarthritis is different: the cartilage wears, and the usual signs are a dry crunch and aching pain during movement.
Why does an arthritic joint hurt even at rest?
PRP, SVF and other treatment aimed at reducing inflammation can ease this pain, because inflammation keeps stimulating the joint's pain receptors all the time — at rest, on movement and at night.
Can joint injections be done during pregnancy?
No. In pregnancy, joint injections such as PRP and SVF are contraindicated, and any arthritis treatment is decided only together with a rheumatologist and an obstetrician.
Can I get a second opinion on my tests and scans?
Yes. Just send X-rays, MRI, ultrasound or blood test results; a doctor reviews them free of charge and tells you whether regenerative treatment might suit your type of arthritis.
What happens if rheumatoid arthritis is not treated?
It needs timely treatment: otherwise it can lead to permanent deformity and loss of function of the joint, osteoporosis and damage to internal organs, including the heart, lungs and kidneys.
City Medical Centre licences
Other services at our clinic
Arthritis treatment in Berlin: a short guide
We work with inflammatory joint conditions of the knee, hand and wrist, shoulder, elbow, hip and ankle. Patients from Berlin can send their test results and scans for a free review.
No crutches and no hospital stay are needed. The puncture sites are small and covered with dressings, and the doctor stays in touch with patients in Berlin after the procedure.
Book a free consultation in Berlin to find out whether PRP or SVF could help your arthritis. The doctor names the price after examining the joint.
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