1Consultation and scan review
First comes an examination of the joint and a look at your X-rays, MRI or ultrasound; then the doctor decides whether the procedure fits your case. Existing scans can be sent before the visit.
Arthritis Treatment in Cologne with PRP and SVF
First a doctor reviews your tests and history; then PRP and SVF cell therapy may join your arthritis care for the knee, hand, shoulder or other joints
Consultation and review of your scansFree
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What it is
What is arthritis
and when does this treatment fit?
When a joint becomes inflamed, doctors call it arthritis. Common signs include night and resting pain, morning stiffness longer than half an hour, swelling, and redness with warmth over the joint. It can stem from autoimmune disease (rheumatoid or psoriatic arthritis), gout, infection or an earlier injury.
While PRP and SVF can lower inflammation and pain and help the joint's inner tissues, a systemic disease still needs a rheumatologist — these injections do not take their place. They are never given during an active joint infection or a strong flare; the doctor first establishes the type of arthritis and times the procedure.
- No surgery — an injection instead of an operation
- Own tissue — your blood and adipose tissue
- Ultrasound guidance for every injection
Who the treatment suits
Your scans are reviewed and you are examined before 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: skin inflammation over the target joint, or a fever, a cold or flu
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 opinionSend X-rays, MRI results or reports and a doctor will assess them independently and free of charge
How it works
How the procedure goes: step by step
1
2Blood sample for PRP
A little blood is drawn from a vein, and from it platelet-rich plasma containing growth factors is later prepared.
3Adipose tissue sample
A small portion of adipose tissue (about 30 ml) is collected under local anaesthetic through a puncture on the abdomen or inner thigh, with no stitches needed.
4Processing in a centrifuge
The sample is placed in a centrifuge, where it splits into layers. From these the stromal vascular fraction is isolated and combined with the platelet-rich plasma.
5Injection into the joint
Guided by ultrasound for accurate placement, the doctor injects the prepared material directly into the affected joint.
6Follow-up
No hospital stay and no crutches. Once the procedure is done, the doctor remains in touch and tracks how your 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 material from your body — your blood and adipose tissue — and nothing synthetic or from a donor
Cell therapy (SVF) from your own adipose tissue
A small sample of your adipose tissue is processed to isolate the stromal vascular fraction (SVF) — a mix of cells involved in tissue repair. Combined with your own plasma, it is 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
Plasma rich in platelets and growth factors is separated from a small amount of your blood and injected into the joint. It helps calm inflammation and creates 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 are treated, with the doctor choosing the joint, method and number of injections based on your scans
KneeMeniscus problems, cartilage wear, and pain on the stairs and after walking
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderRaising the arm hurts; the joint and the tendons around it are worn
ElbowJoint surfaces that have worn, plus pain after sports strain or overuse
Hand and wrist jointsStiff, painful small joints in the fingers and wrist
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 material from your body — your blood and adipose tissue — and nothing synthetic or from a donor
No crutches
Instead of incisions we use punctures, with local anaesthetic and no long rehabilitation
Second opinion
Send X-rays, MRI results or reports and a doctor will assess them independently and free of charge
Support after the procedure
Staying in touch after the procedure, we follow the outcome and not only the 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
The cost depends on the joint, the type of arthritis and the method, so the doctor names it after the consultation
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 — inflammation of the joints — typically shows as pain at rest and at night, morning stiffness of more than 30 minutes, swelling, and redness with warmth over the joint. It may result from autoimmune conditions (rheumatoid arthritis, for instance), infections, gout or 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.
The aim with psoriatic arthritis, a chronic disease that cannot currently be cured completely, is long remission — controlling inflammation and stopping joint deformity. One part of that plan can be regenerative injections.
The cells in SVF can modulate the immune response locally and support repair of damaged joint tissue. As research in this area continues, the doctor will discuss what you can realistically expect for your type of arthritis.
The doctor postpones the procedure or suggests another option in cases of active joint infection, a severe flare, pregnancy, cancer or blood clotting disorders, as it is not done then.
Knee arthritis is inflammation caused by gout, an infection or an autoimmune reaction, with redness, warmth, marked swelling and tenderness to touch. Osteoarthritis is cartilage wear and usually shows as aching pain and a dry crunch on movement.
In an inflamed joint the pain receptors are stimulated all the time — during movement, at rest and at night. This pain can be eased by treatment aimed at reducing the inflammation, such as PRP and SVF.
No. Joint injections, PRP and SVF included, are contraindicated in pregnancy. Treatment of arthritis during pregnancy is decided only together with an obstetrician and a rheumatologist.
Yes. Once you send your X-rays, MRI, ultrasound or blood test results, a doctor reviews them at no cost and says whether regenerative treatment could suit your type of arthritis.
Permanent joint deformity, loss of function, osteoporosis and damage to internal organs such as the heart, lungs and kidneys can follow if it goes untreated. Timely treatment is needed to prevent this.
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.