Joint Inflammation Treatment in Hamburg
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
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?
Arthritis is inflammation of a joint. Typical signs are pain at rest and at night, morning stiffness that lasts longer than half an hour, swelling, redness and warmth over the joint. The causes vary: autoimmune diseases such as rheumatoid or psoriatic arthritis, gout, infection or an old injury.
PRP and SVF are there to help calm inflammation and pain and to support the joint's tissues; they do not stand in for a rheumatologist treating a systemic disease. The doctor first confirms what kind of arthritis it is and chooses the right time — never during an active joint infection or a severe flare.
No surgery — an injection instead of an operation
Ultrasound guidance for every injection
Free consultation and review of your scans
Joints we treat
After going through your scans, the doctor selects the joint, the method and the number of injections — whether the joint is large or small
Elbow
Pain after strain in sport or overuse, and worn surfaces inside the joint
Hand and wrist joints
Pain and stiffness affecting the small joints of the fingers and wrist
Knee
Wear of the cartilage, problems with the meniscus, pain after walking and on stairs
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Pain as you raise the arm, plus wear of the joint and the tendons around it
Methods we use
Cell therapy (SVF) from your own adipose tissue
The affected joint receives an injection of the stromal vascular fraction (SVF) — a set of cells involved in tissue repair, isolated from a small sample of your adipose tissue — combined with your own plasma.
After the acute flare settles, inflammatory arthritis can be treated with it for its action on tissue repair and local inflammation.
PRP — platelet-rich plasma from your own blood
We separate plasma rich in platelets and growth factors from a small quantity of your blood and inject it into the joint. There it helps quieten inflammation and sets up better conditions for tissue repair.
It may be recommended for rheumatoid and other inflammatory arthritis as one part of the overall treatment plan.
How the procedure goes: step by step
Consultation and scan review
Whether the procedure suits you is decided once the doctor has examined your joint and reviewed your X-rays, MRI or ultrasound. If scans already exist, you can send them before visiting.
Blood sample for PRP
Blood is taken from a vein in a small amount, later to be turned into platelet-rich plasma with growth factors.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Through a puncture on the inner thigh or abdomen, and under local anaesthetic, about 30 ml of adipose tissue is taken. Stitches are not needed.
Processing in a centrifuge
In a centrifuge the sample separates into layers; the stromal vascular fraction is then isolated and mixed with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Using ultrasound guidance to place it precisely, the prepared material is injected directly into the joint that is affected.
Follow-up
Crutches and a hospital stay are not needed. The doctor keeps in contact afterwards and monitors how the joint is responding.
Consultation and scan review
Whether the procedure suits you is decided once the doctor has examined your joint and reviewed your X-rays, MRI or ultrasound. If scans already exist, you can send them before visiting.
Blood sample for PRP
Blood is taken from a vein in a small amount, later to be turned into platelet-rich plasma with growth factors.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Through a puncture on the inner thigh or abdomen, and under local anaesthetic, about 30 ml of adipose tissue is taken. Stitches are not needed.
Processing in a centrifuge
In a centrifuge the sample separates into layers; the stromal vascular fraction is then isolated and mixed with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Using ultrasound guidance to place it precisely, the prepared material is injected directly into the joint that is affected.
Follow-up
Crutches and a hospital stay are not needed. The doctor keeps in contact afterwards and monitors how the joint is responding.
Follow-up visits
Follow-up appointments show the doctor how the joint is responding so the plan can be adjusted. Most often pain eases during the first month, mobility gets better over about three months and the full effect arrives over around six months.
Conditions we treat
After an examination and a look at your scans, a doctor decides if the treatment is right for you
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: a cold or flu, a fever, or inflamed skin over the joint that is to be 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
A same-day return home is usual, and normal daily activity comes back within a day or two; the puncture sites just need small dressings. Some extra aching in the first week is an expected reaction. Expect pain to ease over the first month, mobility and activity to improve over about three months, and the full effect to develop over around six months. The duration is different for everyone and depends on the stage of the condition, body weight, activity and other factors — a fixed result is something nobody can promise. Patients treated by a rheumatologist should not stop prescribed medication without discussing it with them.
Why patients choose City Medical Centre
Your own joint stays: we work on keeping it rather than replacing it — treatment without surgery
Your own tissue
No synthetic or donor material is involved — only your own adipose tissue and blood
No crutches
Punctures in place of incisions, under local anaesthetic, without a long rehabilitation
Second opinion
A doctor independently assesses the X-rays, MRI or reports you send — 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
Cost varies with the joint, the arthritis type and the method, so it is named by the doctor 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?
Arthritis is an inflammatory joint disease. You may have pain at night or at rest, morning stiffness for longer than 30 minutes, swelling, and redness and warmth over the joint. The causes include infections, gout, psoriasis and autoimmune conditions, rheumatoid arthritis among them.
Can PRP help with rheumatoid arthritis?
In inflammatory arthritis, rheumatoid included, PRP may help cut local inflammation, pain and swelling. Growth factors released by the platelets shape the immune response and support tissue repair. It is a complement to, not a substitute for, your rheumatologist's treatment.
Can psoriatic arthritis be cured?
Being chronic, psoriatic arthritis cannot at present be cured completely. The target is a long remission in which inflammation is controlled and joint deformity prevented; regenerative injections can be one element of the plan.
How does SVF work in autoimmune arthritis?
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.
When is the treatment not suitable?
Active joint infection, a severe flare, pregnancy, cancer and blood clotting disorders all rule out the procedure; in these cases the doctor postpones it or proposes another option.
How is knee arthritis different from osteoarthritis?
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.
Why does an arthritic joint hurt even at rest?
All the time — at night, at rest and when moving — inflammation keeps triggering the pain receptors in the joint. Treatment directed at reducing inflammation, PRP and SVF among it, can ease the pain.
Can joint injections be done during pregnancy?
No. Pregnancy is a contraindication to joint injections, including PRP and SVF. Arthritis treatment during pregnancy is decided only together with a rheumatologist and an obstetrician.
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?
If it is not treated, it may cause permanent deformity of the joint, loss of function, osteoporosis and damage to internal organs — the heart, lungs and kidneys among them. Treating it in time helps prevent these complications.
City Medical Centre licences
Other services at our clinic
Arthritis treatment in Hamburg: a short guide
Arthritis is inflammation of a joint. For patients from Hamburg, typical signs are pain at rest and at night, morning stiffness that lasts longer than half an hour, swelling, redness and warmth over the joint.
An arthritic joint hurts even at rest because inflammation keeps stimulating pain receptors. For patients from Hamburg, treatment aimed at reducing that inflammation can ease pain at rest and at night.
How much does arthritis treatment cost in Hamburg? The doctor names the price after confirming the type of arthritis and choosing PRP, SVF or a combination. Send a request or message us in any messenger.
This website uses cookies. By continuing to use it, you agree to the Privacy Policy and data processing terms
Get a consultation
Apply before the end of the year and get a consultation at the clinic's expense!