1Consultation 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.
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
Consultation and review of your scansFree
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What it is
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
- Own tissue — your blood and adipose tissue
- Ultrasound guidance for every injection
Who the treatment suits
An examination and a review of your scans come first; then a doctor decides whether the treatment suits you
Suitable
- Pain, crunching or stiffness in a joint
- Painkillers only help for a short time
- Recovery after injuries and surgery
- You need a second opinion on your scans
- You want to avoid or postpone joint replacement
- Early or moderate arthrosis or arthritis
- High load on the joints — sport or physical work
Not suitable
- Cancer
- Pregnancy
- Blood clotting disorders
- Acute infections, including infection in or near the joint
- Flare-up of a serious chronic illness
- Temporary contraindications: a cold, flu or fever, or skin inflammation over the joint to be treated
Not sure the treatment is right for you?
Leave your number — the coordinator will ask for your scans (X-ray, MRI or ultrasound), and the doctor will tell you whether treatment without surgery suits you.
Find out if it suits meWhat we treat
Conditions we treat
Arthritis
Arthrosis
Avascular necrosis
Osteoarthritis
Coxarthrosis (hip osteoarthritis)
Gonarthrosis (knee osteoarthritis)
Meniscus pathology and injury
Rehabilitation after injuries and surgery
Inflammatory joint conditions- Second opinionAn independent assessment from a doctor, free of charge, once you send your X-rays, MRI or reports
How it works
How the procedure goes: step by step
1
2Blood sample for PRP
Platelet-rich plasma with growth factors is prepared later from a small amount of blood taken from your vein.
3Adipose 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.
4Processing 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.
5Injection into the joint
Ultrasound guidance helps position it precisely as the prepared material is injected directly into the affected joint.
6Follow-up
No crutches and no hospital stay. The doctor stays in touch after the procedure and follows how the joint responds.
Book a consultation
Call or message us — our coordinator will contact you shortly and book your consultation
Results
After the procedure
1 week
The joint may ache a little more — this is an expected reaction.
1 month
The pain usually eases.
~3 months
Mobility and activity improve.
~6 months
The full effect develops.
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.
Comparison
Methods we use
Everything used comes from you — your blood and adipose tissue — with no synthetic or donor material
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.
- Material
- Your adipose tissue and plasma
- How it is given
- Into the joint, under ultrasound
- Duration
- The whole procedure is done in one day.
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.
- Material
- Your blood from a vein
- How it is given
- Into the joint, under ultrasound
- Duration
- The whole procedure is done in one day.
The benefits and timings shown are averaged and given for guidance: the plan and recovery depend on your joint and individual features, and the doctor confirms them at the consultation.
At the consultation the doctor will review your scans and suggest a treatment plan
Free consultation
Joints
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
KneeCartilage that has worn, meniscus trouble, pain after walks and on stairs
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderPain lifting the arm, with wear of the joint and its surrounding tendons
ElbowOveruse or sports-strain pain and wearing of the joint surfaces
Hand and wrist jointsStiffness with pain in the small joints of the fingers and the wrist
AnklePain and stiffness after sprains and old injuries
Advantages
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
About the clinic
A clinic where you can feel at ease
Modern equipment, comfortable rooms and care for every patient
Contact us the way that suits you
We will answer your questions and find a convenient time for a consultation
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Request a free callPrice
Arthritis treatment prices
After the consultation the doctor names the cost, which depends on the joint, the arthritis type and the method
Consultation and review of your scans
Free
Book — Consultation and review of your scansPRP therapy (platelet-rich plasma)
Price at consultation
Book — PRP therapy (platelet-rich plasma)Cell therapy (SVF + PRP), one joint
Price at consultation
Book — Cell therapy (SVF + PRP), one joint
FAQ
Joint treatment: frequently asked questions
Rheumatoid arthritis is a systemic disease that is treated by a rheumatologist. PRP and SVF injections do not cure it; once an acute flare has settled, the doctor can assess whether joint injections may ease local 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
About the conditions
More about these conditions
It is gradual wear of the cartilage that covers the ends of the bones in a joint. When the cartilage thins, the joint loses its cushioning, the bones rub against each other, and pain, stiffness and crunching appear. It is a degenerative condition, not an inflammatory one.
At early stages, PRP or SVF injections combined with exercise therapy and physiotherapy can reduce pain and improve movement. If the joint is already badly damaged, replacement may be the more realistic option — the doctor will tell you honestly after seeing your scans.
At early stages (1–2), SVF therapy may be considered to support blood supply to the femoral head and delay the need for joint replacement. At later stages surgery is usually required.