1Consultation and scan review
After examining the joint and reviewing your X-rays, MRI or ultrasound, the doctor decides whether the procedure is right for you. Scans you already have can be sent ahead of the visit.
Arthritis Treatment in Dortmund
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
Message us on WhatsAppFree online consultation · Reply within 15 minutes
Message our coordinator
Free online consultation · Reply within 15 minutes
Message us on TelegramMessage us on WhatsAppBy messaging us, you agree to our Privacy Policy
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.
Reducing inflammation and pain and supporting the tissues in the joint is what PRP and SVF can offer — not a replacement for rheumatology care of a systemic disease. With an active joint infection or a severe flare the procedure waits: first the doctor confirms the arthritis type and selects the moment.
- No surgery — an injection instead of an operation
- Own tissue — your blood and adipose tissue
- Ultrasound guidance for every injection
Who the treatment suits
A doctor decides whether the treatment suits you after examining you and reviewing your scans
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 opinionYour X-rays, MRI or reports can be sent for an independent assessment by a doctor, free of charge
How it works
How the procedure goes: step by step
1
2Blood sample for PRP
The doctor draws a small amount of blood from a vein, which later becomes platelet-rich plasma with growth factors.
3Adipose tissue sample
No stitches are needed: a small portion of adipose tissue (about 30 ml) is taken under local anaesthetic through a puncture on the abdomen or inner thigh.
4Processing in a centrifuge
Separated into layers by spinning in a centrifuge, the sample yields the stromal vascular fraction, which is isolated and mixed with the platelet-rich plasma.
5Injection into the joint
Under ultrasound guidance, which helps with precise placement, the prepared material is injected straight 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
No donor material and nothing synthetic: just your own blood and adipose tissue
Cell therapy (SVF) from your own adipose tissue
From a small sample of adipose tissue we isolate the stromal vascular fraction (SVF), a mix of repair-related cells. Combined with your own plasma, the material is injected into the joint that is affected.
It is used in inflammatory arthritis — once the acute flare is over — for its influence on local inflammation and the 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
A small amount of your blood is used to separate plasma rich in platelets and growth factors, which is then injected into the joint. It helps settle inflammation and gives tissue repair better conditions.
For rheumatoid and other forms of inflammatory arthritis it may be suggested as one component 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
We treat large and small joints; the joint, the method and the injection count are set by the doctor after a review of your scans
KneeCartilage that has worn, meniscus trouble, pain after walks and on stairs
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderWear in the joint and the tendons around it, painful arm raising
ElbowPain from overuse or strain during sport, and wear of the joint surfaces
Hand and wrist jointsPain and stiffness in the small joints of the wrist and fingers
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
No donor material and nothing synthetic: just your own blood and adipose tissue
No crutches
Under local anaesthetic, through punctures instead of incisions, with no long rehabilitation afterwards
Second opinion
Your X-rays, MRI or reports can be sent for an independent assessment by a doctor, free of charge
Support after the procedure
We stay in touch after the procedure and follow the result, not just the day of the injection
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
- TelegramMessage us on TelegramMessage us on Telegram
- TelegramMessage us on TelegramMessage us on Telegram
- Message us on WhatsApp
By messaging us, you agree to our Privacy Policy
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.
An inflammatory disease of the joints, arthritis typically causes resting and night-time pain, morning stiffness beyond 30 minutes, swelling, redness and warmth. Causes range from autoimmune conditions, for example rheumatoid arthritis, to infections, gout and 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 contains cells that can modulate the local immune response and support the repair of damaged tissue in the joint. Research in this area is ongoing, so the doctor will discuss realistic expectations for your type of arthritis.
The procedure is not performed during an active joint infection, a severe flare, pregnancy, cancer or blood clotting disorders; in such cases the doctor postpones it or suggests another option.
An autoimmune reaction, infection or gout can inflame the knee — that is knee arthritis, with redness, warmth, marked swelling and tenderness to touch. Osteoarthritis is cartilage wear, usually noticed as a dry crunch and aching pain when the knee moves.
The joint's pain receptors are stimulated by inflammation continuously: during movement, at rest and at night. Easing this pain is possible with treatment that reduces inflammation, including PRP and SVF.
No. Joint injections, among them PRP and SVF, are contraindicated in pregnancy. Arthritis care during pregnancy is decided only together with an obstetrician and a rheumatologist.
Yes. A free review by a doctor of your X-rays, MRI, ultrasound or blood test results will show whether regenerative treatment could suit your type of arthritis — send them to us.
Without treatment it can lead to permanent joint deformity, loss of function, osteoporosis and damage to internal organs such as the heart, lungs and kidneys. Timely treatment is needed to prevent 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.