Arthritis Treatment for Patients from Stuttgart
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
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?
Inflammation of a joint is what arthritis is. Its usual signs: pain at night and at rest, morning stiffness that takes over half an hour to wear off, swelling, redness and heat over the joint. Possible causes range from autoimmune diseases — rheumatoid or psoriatic arthritis — to gout, infection or a previous injury.
While PRP and SVF can lower inflammation and pain and help the joint's inner tissues, a systemic disease still needs a rheumatologist — these injections do not take their place. They are never given during an active joint infection or a strong flare; the doctor first establishes the type of arthritis and times the procedure.
No surgery — an injection instead of an operation
Ultrasound guidance for every injection
Free consultation and review of your scans
Joints we treat
Large and small joints — the doctor chooses the joint, the method and the number of injections after reviewing your scans
Elbow
Pain from overuse or strain during sport, and wear of the joint surfaces
Hand and wrist joints
Small finger and wrist joints that feel stiff and hurt
Knee
Stair and post-walking pain, worn cartilage and meniscus problems
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Worn joint and nearby tendons, and pain when the arm is raised
Methods we use
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.
For inflammatory arthritis it is applied after the acute flare has calmed, because of its effect on local inflammation and on tissue repair.
PRP — platelet-rich plasma from your own blood
It helps calm inflammation and improves conditions for tissue repair: plasma rich in platelets and growth factors, separated from a small amount of your blood and injected into the joint.
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
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.
Blood sample for PRP
The doctor draws a small amount of blood from a vein, which later becomes platelet-rich plasma with growth factors.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
No stitches are needed: a small portion of adipose tissue (about 30 ml) is taken under local anaesthetic through a puncture on the abdomen or inner thigh.
Processing 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.
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
After the procedure there is no hospital stay and no need for crutches; the doctor stays in touch and follows the joint's progress.
Consultation 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.
Blood sample for PRP
The doctor draws a small amount of blood from a vein, which later becomes platelet-rich plasma with growth factors.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
No stitches are needed: a small portion of adipose tissue (about 30 ml) is taken under local anaesthetic through a puncture on the abdomen or inner thigh.
Processing 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.
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
After the procedure there is no hospital stay and no need for crutches; the doctor stays in touch and follows the joint's progress.
Follow-up visits
At follow-up visits the doctor sees how the joint is responding and adjusts the plan. Pain usually eases in the first month, mobility improves over about three months, and the full effect builds over around six months.
Conditions we treat
Whether the treatment suits you is decided by a doctor after an examination and a review of your scans
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: a cold, flu or fever, or skin inflammation over the joint to be treated
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
After the procedure most patients leave the same day and resume ordinary daily activity within a day or two, with small dressings on the puncture sites. Slightly more aching in the joint during the first week is an expected reaction. Pain generally eases in the first month, mobility and activity get better over about three months, and the full effect develops over roughly six months. Duration varies from one person to another depending on the stage of the condition, body weight, activity and other factors — nobody can promise a set outcome. If a rheumatologist is treating you, talk to them before you stop any prescribed medication.
Why patients choose City Medical Centre
Rather than replacing your joint, we work to keep it — this is treatment without surgery
Your own tissue
We use only your own adipose tissue and blood, with no synthetic or donor material
No crutches
Punctures, not incisions; local anaesthetic; and rehabilitation that is not long
Second opinion
Send your X-rays, MRI or reports and a doctor will give an independent assessment free of charge
Support after the procedure
Staying in touch after the procedure, we follow the outcome and not only the 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?
The joints are inflamed in arthritis, which usually means pain at rest and at night, morning stiffness lasting beyond 30 minutes, swelling, redness and warmth. Autoimmune conditions such as rheumatoid arthritis, infections, gout and psoriasis are among the 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?
Psoriatic arthritis is a chronic disease that cannot currently be cured completely. The aim is long remission: controlling inflammation and preventing joint deformity. Regenerative injections can be one part of that plan.
How does SVF work in autoimmune arthritis?
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.
When is the treatment not suitable?
It is not done during an active joint infection, a severe flare, pregnancy, cancer or blood clotting disorders. In these cases the doctor postpones the procedure or suggests another option.
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 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.
Can joint injections be done during pregnancy?
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.
Can I get a second opinion on my tests and scans?
Yes — send us your X-rays, MRI, ultrasound or blood test results. A doctor reviews them free of charge and tells you whether your type of arthritis could suit regenerative treatment.
What happens if rheumatoid arthritis is not treated?
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.
City Medical Centre licences
Other services at our clinic
How PRP and SVF work in arthritis for Stuttgart residents
SVF contains cells that can modulate the local immune response and support the repair of damaged tissue. Research is ongoing, so the doctor discusses realistic expectations with every patient in Stuttgart.
An arthritic joint hurts even at rest because inflammation keeps stimulating pain receptors. For patients from Stuttgart, treatment aimed at reducing that inflammation can ease pain at rest and at night.
The price depends on how many joints are treated and on the method. For patients from Stuttgart, the doctor explains the plan and the cost at a free consultation.
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