1Consultation and scan review
The doctor examines the joint, reviews your X-rays, MRI or ultrasound and decides whether the procedure suits you. If you already have scans, you can send them before the visit.
Arthritis Treatment in Munich: Steps and Aftercare
PRP and SVF cell therapy as part of arthritis care for the knee, hand, shoulder and other joints. A doctor reviews your case and tests first
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.
Reducing inflammation and pain and supporting the tissues in the joint is what PRP and SVF can offer — not a replacement for rheumatology care of a systemic disease. With an active joint infection or a severe flare the procedure waits: first the doctor confirms the arthritis type and selects the 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
A doctor examines you, reviews your scans and then decides whether the treatment is suitable
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 target joint, or 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 will give you an independent assessment free of charge — just send your X-rays, MRI or reports
How it works
How the procedure goes: step by step
1
2Blood sample for PRP
A small amount of blood is taken from a vein. Platelet-rich plasma with growth factors is later prepared from it.
3Adipose tissue sample
Under local anaesthetic we take roughly 30 ml of adipose tissue through a single puncture on the abdomen or the inner thigh — no stitches required.
4Processing in a centrifuge
Centrifuging the sample separates it into layers, after which the stromal vascular fraction is isolated and mixed into the platelet-rich plasma.
5Injection into the joint
Under ultrasound guidance, which helps with precise placement, the prepared material is injected straight into the affected joint.
6Follow-up
No hospital stay and no crutches. Once the procedure is done, the doctor remains in touch and tracks how your joint responds.
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
Nothing donor or synthetic — only your own blood and adipose tissue are used
Cell therapy (SVF) from your own adipose tissue
From a small sample of adipose tissue we isolate the stromal vascular fraction (SVF), a mix of repair-related cells. Combined with your own plasma, the material is injected into the joint that is affected.
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.
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
Small joints as well as large — the doctor reviews your scans and then chooses the joint, the method and how many injections to give
KneePain after walking and on stairs, meniscus problems and cartilage wear
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderPain lifting the arm, with wear of the joint and its surrounding tendons
ElbowOveruse or sports-strain pain and wearing of the joint surfaces
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
Preserving your own joint, not replacing it, is the goal of our treatment without surgery
Your own tissue
Nothing donor or synthetic — only your own blood and adipose tissue are used
No crutches
No incisions, only punctures; local anaesthetic; no long rehabilitation
Second opinion
A doctor will give you an independent assessment free of charge — just send your X-rays, MRI or reports
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
Since the price depends on the joint, the method and the type of arthritis, the doctor gives 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 inflames the joints. Classic signs: pain when resting and at night, over 30 minutes of stiffness in the morning, swelling, and a red, warm joint. Infections, gout, psoriasis and autoimmune conditions such as rheumatoid arthritis are among its causes.
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.
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.
SVF contains cells that can adjust the local immune response and help repair damaged tissue in the joint. Research here is still ongoing, so the doctor will talk through realistic expectations for your type of arthritis.
With an active joint infection, a severe flare, pregnancy, cancer or blood clotting disorders, the procedure is not done — the doctor either postpones it or suggests an alternative.
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.
Inflammation keeps stimulating the pain receptors in the joint all the time — during movement, at rest and at night. Treatment aimed at reducing the inflammation, including PRP and SVF, can ease this pain.
No. PRP, SVF and other joint injections are contraindicated during pregnancy; how to treat arthritis while pregnant is decided only together with a rheumatologist and an obstetrician.
Yes. A doctor will review your X-rays, MRI, ultrasound or blood test results free of charge and tell you if regenerative treatment could suit your type of arthritis — just send them.
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.