1Consultation and scan review
Examination of the joint and a review of X-rays, MRI or ultrasound let the doctor decide whether the procedure is suitable for you; scans you already have can be sent beforehand.
PRP Therapy for Arthritis in Duisburg
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?
With arthritis, a joint is inflamed. Signs to watch for: pain while resting and at night, morning stiffness lasting more than half an hour, swelling, redness and warmth over the joint. There are several causes — autoimmune conditions (rheumatoid, psoriatic arthritis), gout, infection or an injury from the past.
PRP and SVF may help ease inflammation and pain and support the tissues within the joint, yet they are no substitute for a rheumatologist's care of a systemic disease. We do not carry out the procedure during an active joint infection or a severe flare — the doctor first confirms which arthritis you have and picks the right 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
An examination and a review of your scans come first; then 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: inflamed skin above the treated joint, fever, a cold or the 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 your X-rays, MRI or reports and a doctor will give an independent assessment free of charge
How it works
How the procedure goes: step by step
1
2Blood sample for PRP
A small blood sample is taken from a vein. Later, platelet-rich plasma with growth factors is prepared from this blood.
3Adipose tissue sample
The doctor numbs the area with local anaesthetic and takes about 30 ml of adipose tissue through a puncture on the abdomen or inner thigh; stitches are not needed.
4Processing in a centrifuge
Spinning in a centrifuge divides the sample into layers; the stromal vascular fraction is isolated and blended with 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
Crutches and a hospital stay are not needed. The doctor keeps in contact afterwards and monitors how the joint is responding.
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
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.
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
The joint receives plasma rich in platelets and growth factors, separated from a small amount of your own blood. It helps inflammation settle and creates better conditions for the tissue to 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
Both large and small joints — after reviewing your scans, the doctor decides on the joint, the method and how many injections you need
KneeStair and post-walking pain, worn cartilage and meniscus problems
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderPain when raising the arm, wear of the joint and surrounding tendons
ElbowPain brought on by overuse or sporting strain, with wear of the joint surfaces
Hand and wrist jointsFinger and wrist small joints that are stiff and painful
AnklePain and stiffness after sprains and old injuries
Advantages
Why patients choose City Medical Centre
Preserving your own joint, not replacing it, is the goal of our treatment without surgery
Your own tissue
No donor material and nothing synthetic: just your own blood and adipose tissue
No crutches
No incisions, only punctures; local anaesthetic; no long rehabilitation
Second opinion
Send your X-rays, MRI or reports and a doctor will give an independent assessment 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
The cost is set after the consultation: it depends on which joint, which type of arthritis and which 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 is a disease in which the joints become inflamed. Its typical signs are pain at rest and at night, morning stiffness lasting over 30 minutes, swelling, redness and warmth over the joint. Among the causes are autoimmune conditions like rheumatoid arthritis, as well as infections, gout and psoriasis.
For rheumatoid and other types of inflammatory arthritis, PRP may be used to help reduce swelling, pain and local inflammation; the growth factors platelets release influence the immune response and tissue repair. It complements the treatment from your rheumatologist but does not replace it.
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.
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 procedure is off the table during an active joint infection, a severe flare or pregnancy, and with cancer or blood clotting disorders — the doctor postpones it or suggests another option instead.
Inflammation from an autoimmune reaction, infection or gout is knee arthritis — redness, warmth, marked swelling and a knee tender to touch. Cartilage wear is osteoarthritis, which usually shows as aching pain and a dry crunch when moving.
The pain comes because inflammation keeps stimulating the joint's pain receptors, at rest, at night and during movement. Treatment aimed at lowering inflammation — PRP and SVF included — can ease it.
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. Send your X-rays, MRI, ultrasound or blood test results, and a doctor will review them free of charge and tell you whether regenerative treatment could suit your type of arthritis.
Left untreated, it can cause permanent joint deformity, loss of function, osteoporosis and damage to internal organs like 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.