Arthritis Treatment for Patients from Bremen
PRP together with SVF cell therapy supports arthritis care in the knee, hand, shoulder and other joints; first comes a doctor's review of your case
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?
Inflammation of a joint is what arthritis is. Its usual signs: pain at night and at rest, morning stiffness that takes over half an hour to wear off, swelling, redness and heat over the joint. Possible causes range from autoimmune diseases — rheumatoid or psoriatic arthritis — to gout, infection or a previous injury.
PRP and SVF can lessen inflammation and pain and back up the tissues in the joint, but systemic disease remains the rheumatologist's job. The procedure is skipped while there is an active joint infection or a severe flare, and the doctor first confirms the form of arthritis before choosing when to proceed.
No surgery — an injection instead of an operation
Ultrasound guidance for every injection
Free consultation and review of your scans
Joints we treat
Large and small joints — the doctor chooses the joint, the method and the number of injections after reviewing your scans
Elbow
Joint surfaces that have worn, plus pain after sports strain or overuse
Hand and wrist joints
Small joints of the fingers and wrist that stiffen and hurt
Knee
Worn cartilage, meniscus issues and pain climbing stairs or after a walk
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Pain when lifting the arm, and wear affecting the joint and surrounding tendons
Methods we use
Cell therapy (SVF) from your own adipose tissue
The stromal vascular fraction (SVF) — a blend of cells involved in repairing tissue — is isolated by processing a small sample of your adipose tissue. Mixed with your own plasma, it goes into the affected joint by injection.
In cases of inflammatory arthritis it comes in once the acute flare has eased, for its effect on local inflammation and repair of tissue.
PRP — platelet-rich plasma from your own blood
Separated from a small volume of your blood, plasma rich in platelets and growth factors is injected into the joint to help calm inflammation and create better conditions for tissue repair.
In rheumatoid and other inflammatory arthritis, the doctor may recommend it as one piece of the overall treatment plan.
How the procedure goes: step by step
Consultation and scan review
The joint is examined and your X-rays, MRI or ultrasound are reviewed by the doctor, who then decides if the procedure is suitable. Scans you already hold can be sent before the visit.
Blood sample for PRP
A vein provides a small amount of blood, which is later used to prepare platelet-rich plasma rich in growth factors.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Under local anaesthetic we take roughly 30 ml of adipose tissue through a single puncture on the abdomen or the inner thigh — no stitches required.
Processing in a centrifuge
Centrifuging the sample separates it into layers, after which the stromal vascular fraction is isolated and mixed into the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Direct injection into the affected joint under ultrasound guidance helps the prepared material land exactly where it is needed.
Follow-up
There are no crutches and no hospital stay. After the procedure the doctor keeps in touch and follows how the joint responds.
Consultation and scan review
The joint is examined and your X-rays, MRI or ultrasound are reviewed by the doctor, who then decides if the procedure is suitable. Scans you already hold can be sent before the visit.
Blood sample for PRP
A vein provides a small amount of blood, which is later used to prepare platelet-rich plasma rich in growth factors.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Under local anaesthetic we take roughly 30 ml of adipose tissue through a single puncture on the abdomen or the inner thigh — no stitches required.
Processing in a centrifuge
Centrifuging the sample separates it into layers, after which the stromal vascular fraction is isolated and mixed into the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Direct injection into the affected joint under ultrasound guidance helps the prepared material land exactly where it is needed.
Follow-up
There are no crutches and no hospital stay. After the procedure the doctor keeps in touch and follows how the joint responds.
Follow-up visits
The plan is adjusted at follow-up visits, where the doctor sees how the joint responds: pain tends to ease over the first month, mobility to improve over about three months, and the full effect to develop over roughly six months.
Conditions we treat
After an examination and a look at your scans, a doctor decides if the treatment is right for 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: fever, flu or a cold, or inflamed skin over the joint being 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
You will most likely go home the same day and resume normal daily life within a day or two, with the punctures covered by small dressings. During the first week the joint may ache a bit more, which is expected. Pain tends to ease across the first month, mobility and activity improve over roughly three months, and the full effect takes around six months to develop. How long it lasts is individual — it depends on the stage of the condition, body weight, activity and other factors, and no one can promise a set result. If you see a rheumatologist, talk to them before stopping any prescribed medication.
Why patients choose City Medical Centre
Rather than replacing your joint, we work to keep it — this is treatment without surgery
Your own tissue
Only your own blood and adipose tissue are used — no donor or synthetic material
No crutches
Punctures, not incisions; local anaesthetic; and rehabilitation that is not long
Second opinion
A doctor independently assesses the X-rays, MRI or reports you send — free of charge
Support after the procedure
We track the result after the procedure and keep in touch, rather than stopping at 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?
Arthritis inflames the joints. Classic signs: pain when resting and at night, over 30 minutes of stiffness in the morning, swelling, and a red, warm joint. Infections, gout, psoriasis and autoimmune conditions such as rheumatoid arthritis are among its causes.
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?
There is currently no way to cure psoriatic arthritis completely, as it is a chronic disease. The aim is long remission: keeping inflammation in check and preventing joint deformity, with regenerative injections as one possible part of the plan.
How does SVF work in autoimmune arthritis?
Cells contained in SVF may modulate the local immune response and support the repair of damaged tissue in the joint. Because research is ongoing, your doctor will go over realistic expectations for your particular type of arthritis.
When is the treatment not suitable?
If you have an active joint infection, a severe flare, cancer or a blood clotting disorder, or are pregnant, the procedure is not done; the doctor postpones it or offers another option.
How is knee arthritis different from osteoarthritis?
The difference: knee arthritis is inflammation from an autoimmune reaction, infection or gout (redness, warmth, marked swelling, tenderness to touch), while osteoarthritis is wear of the cartilage, usually with a dry crunch and aching pain on movement.
Why does an arthritic joint hurt even at rest?
Because inflammation keeps the joint's pain receptors stimulated all the time — moving, resting or at night — treatment aimed at reducing it, including PRP and SVF, can ease the pain.
Can joint injections be done during pregnancy?
No. PRP, SVF and other joint injections are contraindicated during pregnancy; how to treat arthritis while pregnant is decided only together with a rheumatologist and an obstetrician.
Can I get a second opinion on my tests and scans?
Yes. A doctor will review your X-rays, MRI, ultrasound or blood test results free of charge and tell you if regenerative treatment could suit your type of arthritis — just send them.
What happens if rheumatoid arthritis is not treated?
Without treatment, it may lead to lasting deformity of the joint, loss of function, osteoporosis and harm to internal organs such as the kidneys, lungs and heart. Treating it in time prevents these complications.
City Medical Centre licences
Other services at our clinic
Arthritis in Bremen: from diagnosis to follow-up
Knee arthritis differs from knee osteoarthritis. Arthritis shows redness, warmth, swelling and tenderness to touch; osteoarthritis shows a dry crunch and aching pain on movement. For patients from Bremen, the diagnosis comes first.
PRP may be given as a course of injections or together with SVF. The method and number of injections are chosen for each patient from Bremen after the examination.
Patients from Bremen can start with a free review of their tests and scans: the doctor tells you whether regenerative treatment could suit your type of arthritis and what it would cost.
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