1Consultation 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.
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
Consultation and review of your scansFree
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What it is
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
- 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: a cold or flu, a fever, or inflamed skin over the joint that is to be 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 opinionA doctor independently assesses the X-rays, MRI or reports you send — 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
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.
4Processing 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.
5Injection into the joint
Using ultrasound guidance to place it precisely, the prepared material is injected directly into the joint that is affected.
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 synthetic or donor material is involved — only your own adipose tissue and blood
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.
- 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
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.
- 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
After going through your scans, the doctor selects the joint, the method and the number of injections — whether the joint is large or small
KneeWear of the cartilage, problems with the meniscus, pain after walking and on stairs
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderPain as you raise the arm, plus wear of the joint and the tendons around it
ElbowPain after strain in sport or overuse, and worn surfaces inside the joint
Hand and wrist jointsPain and stiffness affecting the small joints of the fingers and wrist
AnklePain and stiffness after sprains and old injuries
Advantages
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
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
Cost varies with the joint, the arthritis type and the method, so it is named by the doctor 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.