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 Hanover
SVF cell therapy and PRP for the knee, hand, shoulder and other joints, used within arthritis care once a doctor has reviewed your tests and 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 the name for joint inflammation. Pain that comes at rest and at night, morning stiffness that persists beyond half an hour, swelling, redness and warmth over the joint are the classic signs. Causes vary, from autoimmune diseases like rheumatoid or psoriatic arthritis to gout, infection or an old injury.
Helping to reduce inflammation and pain and to support tissue inside the joint — that is the role of PRP and SVF, alongside, not instead of, a rheumatologist's care for a systemic disease. The doctor first confirms the type of arthritis and waits for the right moment, never acting during a severe flare or an active joint infection.
- No surgery — an injection instead of an operation
- Own tissue — your blood and adipose tissue
- Ultrasound guidance for every injection
Who the treatment suits
Your scans are reviewed and you are examined before 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: skin inflammation over the joint to be treated, a fever, a cold or 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 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
The doctor draws a small amount of blood from a vein, which later becomes 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
The stromal vascular fraction is isolated after the sample is spun in a centrifuge and separates into layers, then mixed with the platelet-rich plasma.
5Injection into the joint
The prepared material is placed precisely: it is injected directly into the affected joint under ultrasound guidance.
6Follow-up
You go without crutches or a hospital stay, while the doctor keeps in touch after the procedure and follows the joint's response.
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
We use only your own adipose tissue and blood, with no synthetic or donor material
Cell therapy (SVF) from your own adipose tissue
SVF, or stromal vascular fraction, is a mix of cells involved in tissue repair, isolated by processing a small amount of your adipose tissue. It is combined with plasma from your own blood and injected into the affected joint.
When the acute flare has died down, it can be used in inflammatory arthritis to act on local inflammation and help tissue repair.
- 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.
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 when raising the arm, wear of the joint and surrounding tendons
ElbowWorn joint surfaces and pain that follows overuse or sports strain
Hand and wrist jointsPainful, stiff small joints of the wrist and fingers
AnklePain and stiffness after sprains and old injuries
Advantages
Why patients choose City Medical Centre
Treatment without surgery that sets out to keep your own joint instead of replacing it
Your own tissue
We use only your own adipose tissue and blood, with no synthetic or donor material
No crutches
Punctures instead of incisions, local anaesthetic, no 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
Price depends on the joint, the method and your type of arthritis, and the doctor names it 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 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.
To help lower local inflammation, pain and swelling, PRP may be used in rheumatoid and other inflammatory arthritis. Growth factors from platelets act on the immune response and on tissue repair. It supplements the treatment prescribed by your rheumatologist without replacing it.
At present psoriatic arthritis, a chronic disease, cannot be cured completely. Treatment aims at long remission by controlling inflammation and preventing deformity of the joints; regenerative injections may be one part of this 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.
Knee arthritis is inflammation caused by an autoimmune reaction, infection or gout: redness, warmth, marked swelling and tenderness to touch. Osteoarthritis is wear of the cartilage and usually shows as 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. 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 — a doctor will look through your X-rays, MRI, ultrasound or blood test results free of charge and tell you whether regenerative treatment could fit your type of arthritis.
Timely treatment is needed, because without it the disease can lead to permanent joint deformity, loss of function, osteoporosis and damage to internal organs such as the heart, lungs and kidneys.
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.