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
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 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
Ultrasound guidance for every injection
Free consultation and review of your scans
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
Elbow
Overuse or sports-strain pain and wearing of the joint surfaces
Hand and wrist joints
Pain and stiffness affecting the small joints of the fingers and wrist
Knee
Pain after walking and on stairs, meniscus problems and cartilage wear
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Pain lifting the arm, with wear of the joint and its surrounding tendons
Methods we use
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.
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.
How the procedure goes: step by step
Consultation 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.
Blood sample for PRP
A small amount of blood is taken from a vein. Platelet-rich plasma with growth factors is later prepared from it.
The doctor tells you in advance which tests are needed.
Adipose 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.
Processing 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.
The whole procedure is done in one day.
Injection into the joint
Under ultrasound guidance, which helps with precise placement, the prepared material is injected straight into the affected joint.
Follow-up
No hospital stay and no crutches. Once the procedure is done, the doctor remains in touch and tracks how your joint responds.
Consultation 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.
Blood sample for PRP
A small amount of blood is taken from a vein. Platelet-rich plasma with growth factors is later prepared from it.
The doctor tells you in advance which tests are needed.
Adipose 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.
Processing 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.
The whole procedure is done in one day.
Injection into the joint
Under ultrasound guidance, which helps with precise placement, the prepared material is injected straight into the affected joint.
Follow-up
No hospital stay and no crutches. Once the procedure is done, the doctor remains in touch and tracks how your joint responds.
Follow-up visits
The doctor uses follow-up visits to check the joint's response and adjust the plan — typically pain eases during the first month, movement gets better over about three months and the full effect develops across around six months.
Conditions we treat
A doctor examines you, reviews your scans and then decides whether the treatment is suitable
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: skin inflammation over the target joint, or a fever, a cold or flu
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
Going home the same day is the norm, and within a day or two most people are back to daily life; the punctures are covered with small dressings. For the first week the joint may ache a little more — this is expected. Pain usually eases over the first month; mobility and activity improve over about three months; the full effect develops over around six months. The effect lasts differently for each person, depending on the stage of the condition, body weight, activity and other factors, and no one can promise a fixed result. If you are under a rheumatologist, talk to them before stopping prescribed medication.
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
Arthritis treatment prices
Since the price depends on the joint, the method and the type of arthritis, the doctor gives it 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 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.
Can PRP help with rheumatoid arthritis?
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.
Can psoriatic arthritis be cured?
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.
How does SVF work in autoimmune arthritis?
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.
When is the treatment not suitable?
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.
How is knee arthritis different from osteoarthritis?
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.
Why does an arthritic joint hurt even at rest?
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.
Can joint injections be done during pregnancy?
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.
Can I get a second opinion on my tests and scans?
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.
What happens if rheumatoid arthritis is not treated?
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.
City Medical Centre licences
Other services at our clinic
Arthritis treatment in Munich step by step
Regenerative injections are not done during an active joint infection or a severe flare. In Munich, the doctor chooses the right moment, usually once the acute inflammation has settled.
Pregnancy is a contraindication to joint injections, including PRP and SVF. For patients from Munich, arthritis treatment during pregnancy is decided only with a rheumatologist and an obstetrician.
A consultation is the first step for every patient from Munich. It is free, and after it you know whether the treatment fits, the method and the cost.
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