1Consultation 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.
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
Consultation and review of your scansFree
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What it is
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
- Own tissue — your blood and adipose tissue
- Ultrasound guidance for every injection
Who the treatment suits
After an examination and a look at your scans, a doctor decides if the treatment is right for 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: fever, flu or a cold, or inflamed skin over the joint being 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 opinionA doctor independently assesses the X-rays, MRI or reports you send — free of charge
How it works
How the procedure goes: step by step
1
2Blood sample for PRP
A vein provides a small amount of blood, which is later used to prepare platelet-rich plasma rich in growth factors.
3Adipose 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.
4Processing 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.
5Injection into the joint
Direct injection into the affected joint under ultrasound guidance helps the prepared material land exactly where it is needed.
6Follow-up
There are no crutches and no hospital stay. After the procedure the doctor keeps in touch 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
Only your own blood and adipose tissue are used — no donor or synthetic material
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.
- 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
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.
- 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
Large and small joints — the doctor chooses the joint, the method and the number of injections after reviewing your scans
KneeWorn cartilage, meniscus issues and pain climbing stairs or after a walk
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderPain when lifting the arm, and wear affecting the joint and surrounding tendons
ElbowJoint surfaces that have worn, plus pain after sports strain or overuse
Hand and wrist jointsSmall joints of the fingers and wrist that stiffen and hurt
AnklePain and stiffness after sprains and old injuries
Advantages
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
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.