1Consultation and scan review
The doctor decides on the procedure only after examining the joint and reviewing your X-rays, MRI or ultrasound. You are welcome to send any scans you have before the appointment.
Knee Arthritis Treatment in Nuremberg
Your case and test results are reviewed by a doctor before PRP and SVF cell therapy is offered as part of arthritis care for the knee, hand, shoulder and more
Consultation and review of your scansFree
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What it is
What is arthritis
and when does this treatment fit?
In arthritis the joint is inflamed. People typically notice pain even at rest or at night, stiffness on waking that goes on for more than half an hour, swelling, and a red, warm joint. Behind it may be an autoimmune condition such as rheumatoid or psoriatic arthritis, gout, an infection or old trauma.
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
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: 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 opinionAn independent assessment from a doctor, free of charge, once you send your X-rays, MRI or reports
How it works
How the procedure goes: step by step
1
2Blood sample for PRP
From a small amount of blood drawn from a vein, platelet-rich plasma with growth factors is prepared later on.
3Adipose tissue sample
A small portion of adipose tissue (about 30 ml) is collected under local anaesthetic through a puncture on the abdomen or inner thigh, with no stitches needed.
4Processing in a centrifuge
Separated into layers by spinning in a centrifuge, the sample yields the stromal vascular fraction, which is isolated and mixed with the platelet-rich plasma.
5Injection into the joint
Direct injection into the affected joint under ultrasound guidance helps the prepared material land exactly where it is needed.
6Follow-up
The doctor follows how the joint responds and stays in touch after the procedure — and you need no crutches or hospital stay.
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
Only material from your body — your blood and adipose tissue — and nothing synthetic or from a donor
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.
In inflammatory arthritis it is used for its effect on local inflammation and tissue repair, once the acute flare has settled.
- 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
KneeMeniscus problems, cartilage wear, and pain on the stairs and after walking
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderWear of the joint and the tendons around it, pain on raising the arm
ElbowJoint surfaces that have worn, plus pain after sports strain or overuse
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
Treatment without surgery: our work is about keeping your own joint, not replacing it
Your own tissue
Only material from your body — your blood and adipose tissue — and nothing synthetic or from a donor
No crutches
Under local anaesthetic, through punctures instead of incisions, with no long rehabilitation afterwards
Second opinion
An independent assessment from a doctor, free of charge, once you send your X-rays, MRI or reports
Support after the procedure
After the procedure we keep in touch and follow the result, not only 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
You learn the cost from the doctor after the consultation, as it depends on the joint, the method and the type of arthritis
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.
PRP can play a part in rheumatoid and other inflammatory arthritis by helping reduce local inflammation, swelling and pain. Platelets release growth factors that influence tissue repair and the immune response. It works alongside your rheumatologist's prescribed treatment, not instead of it.
As a chronic disease, psoriatic arthritis cannot yet be cured completely; treatment works towards long remission, controlled inflammation and prevention of joint deformity. Regenerative injections can be part of that plan.
SVF includes cells that can modulate the immune response at the site and support the repair of damaged joint tissue. Since research in this field is still ongoing, the doctor will discuss realistic expectations for your form of arthritis.
It is not done during an active infection of the joint, a severe flare, pregnancy, cancer or blood clotting disorders; instead the doctor postpones the procedure or proposes another option.
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 never stops stimulating the pain receptors of the joint, whether you move, rest or sleep at night. Treatment that targets inflammation, including PRP and SVF, can help ease this pain.
No. Because pregnancy is a contraindication to joint injections, including PRP and SVF, arthritis treatment during pregnancy is only decided jointly by a rheumatologist and an obstetrician.
Yes. Your X-rays, MRI, ultrasound or blood test results are reviewed by a doctor free of charge, and you will hear whether regenerative treatment could suit your type of arthritis.
When left without treatment it can bring permanent joint deformity, loss of function, osteoporosis and damage to the heart, lungs, kidneys and other internal organs. To prevent these complications, it needs timely treatment.
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.