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
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?
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
Ultrasound guidance for every injection
Free consultation and review of your scans
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
Elbow
Pain from overuse or strain during sport, and wear of the joint surfaces
Hand and wrist joints
Pain and stiffness in the small joints of the wrist and fingers
Knee
Cartilage that has worn, meniscus trouble, pain after walks and on stairs
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Wear in the joint and the tendons around it, painful arm raising
Methods we use
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.
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.
How the procedure goes: step by step
Consultation 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.
Blood sample for PRP
The doctor draws a small amount of blood from a vein, which later becomes platelet-rich plasma with growth factors.
The doctor tells you in advance which tests are needed.
Adipose 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.
Processing 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.
The whole procedure is done in one day.
Injection into the joint
Under ultrasound guidance, which helps with precise placement, the prepared material is injected straight into the affected joint.
Follow-up
No hospital stay and no crutches. Once the procedure is done, the doctor remains in touch and tracks how your joint responds.
Consultation 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.
Blood sample for PRP
The doctor draws a small amount of blood from a vein, which later becomes platelet-rich plasma with growth factors.
The doctor tells you in advance which tests are needed.
Adipose 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.
Processing 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.
The whole procedure is done in one day.
Injection into the joint
Under ultrasound guidance, which helps with precise placement, the prepared material is injected straight into the affected joint.
Follow-up
No hospital stay and no crutches. Once the procedure is done, the doctor remains in touch and tracks how your joint responds.
Follow-up visits
With follow-up visits the doctor can see how the joint responds and change the plan if needed. As a rule, pain eases in the first month, mobility improves across about three months, and the full effect takes around six months to develop.
Conditions we treat
A doctor decides whether the treatment suits you after examining you and reviewing your scans
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
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
Arthritis treatment prices
The cost depends on the joint, the type of arthritis and the method, so the doctor names it after the consultation
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?
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.
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?
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.
How does SVF work in autoimmune arthritis?
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.
When is the treatment not suitable?
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.
How is knee arthritis different from osteoarthritis?
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.
Why does an arthritic joint hurt even at rest?
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.
Can joint injections be done during pregnancy?
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.
Can I get a second opinion on my tests and scans?
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.
What happens if rheumatoid arthritis is not treated?
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.
City Medical Centre licences
Other services at our clinic
Arthritis in Dortmund: types, methods and price
We work with inflammatory joint conditions of the knee, hand and wrist, shoulder, elbow, hip and ankle. Patients from Dortmund can send their test results and scans for a free review.
Pain usually eases over the first month, and mobility improves over about three months. For patients from Dortmund, the full effect develops over around six months, and its duration differs from person to person.
Send your X-rays, MRI, ultrasound or blood test results. Patients from Dortmund receive a free assessment and a clear answer on suitable treatment and its price.
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