1Consultation and scan review
The doctor decides on the procedure only after examining the joint and reviewing your X-rays, MRI or ultrasound. You are welcome to send any scans you have before the appointment.
PRP Therapy for Arthritis in Essen
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?
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
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 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
Blood is taken from a vein in a small amount, later to be turned into platelet-rich plasma with growth factors.
3Adipose tissue sample
Roughly 30 ml of adipose tissue is removed through a puncture on the abdomen or inner thigh under local anaesthetic, and no stitches are needed afterwards.
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
The doctor follows how the joint responds and stays in touch after the procedure — and you need no crutches or hospital stay.
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
Just your blood and your adipose tissue; donor and synthetic materials are not used
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
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.
As one element of the whole treatment plan, it may be recommended in rheumatoid and other inflammatory arthritis.
- 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
The doctor looks at your scans and then chooses which joint to treat, which method to use and how many injections — for large and small joints alike
KneeWorn cartilage, meniscus issues and pain climbing stairs or after a walk
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderRaising the arm hurts; the joint and the tendons around it are worn
ElbowPain brought on by overuse or sporting strain, with wear of the joint surfaces
Hand and wrist jointsStiffness with pain in the small joints of the fingers and the wrist
AnklePain and stiffness after sprains and old injuries
Advantages
Why patients choose City Medical Centre
Treatment without surgery: our work is about keeping your own joint, not replacing it
Your own tissue
Just your blood and your adipose tissue; donor and synthetic materials are not used
No crutches
Punctures, not incisions; local anaesthetic; and rehabilitation that is not long
Second opinion
Send X-rays, MRI results or reports and a doctor will assess them independently and free of charge
Support after the procedure
After the procedure we keep in touch and follow the result, not only 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
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Request a free callPrice
Arthritis treatment prices
The doctor names the cost after the consultation, because it depends on the joint, the type of arthritis 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.
In arthritis the joints are inflamed. People usually notice pain at night and at rest, stiffness in the morning that lasts more than 30 minutes, swelling, and redness and heat over the joint. It can be caused by autoimmune conditions such as rheumatoid arthritis, by infections, by gout or by psoriasis.
Platelets release growth factors that influence both tissue repair and the immune response, which is why PRP may be used in rheumatoid and other inflammatory arthritis to help reduce local inflammation, pain and swelling. It complements rather than replaces your rheumatologist's prescribed treatment.
A complete cure for psoriatic arthritis, a chronic disease, is not currently possible. What we aim for is long remission — control of inflammation and prevention of joint deformity — and regenerative injections can form one part of that plan.
In SVF there are cells that can influence the local immune response and help damaged tissue in the joint to repair. The doctor will discuss realistic expectations for your type of arthritis, since research in this area is ongoing.
It is not done during an active infection of the joint, a severe flare, pregnancy, cancer or blood clotting disorders; instead the doctor postpones the procedure or proposes 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.
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. Because pregnancy is a contraindication to joint injections, including PRP and SVF, arthritis treatment during pregnancy is only decided jointly by a rheumatologist and an obstetrician.
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.
When left without treatment it can bring permanent joint deformity, loss of function, osteoporosis and damage to the heart, lungs, kidneys and other internal organs. To prevent these complications, it needs timely treatment.
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.