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.
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
Consultation and review of your scansFree
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What it is
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
- Own tissue — your blood and adipose tissue
- Ultrasound guidance for every injection
Who the treatment suits
Whether the treatment suits you is decided by a doctor after an examination and a review of your scans
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: a cold, flu or fever, or skin inflammation over the joint to be treated
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 opinionSend your X-rays, MRI or reports and a doctor will give an independent assessment 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
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.
4Processing 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.
5Injection into the joint
Under ultrasound guidance, which helps with precise placement, the prepared material is injected straight into the affected joint.
6Follow-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.
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.
For inflammatory arthritis it is applied after the acute flare has calmed, because of its effect on local inflammation and on 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
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.
- 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
Large and small joints — the doctor chooses the joint, the method and the number of injections after reviewing your scans
KneeStair and post-walking pain, worn cartilage and meniscus problems
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderWorn joint and nearby tendons, and pain when the arm is raised
ElbowPain from overuse or strain during sport, and wear of the joint surfaces
Hand and wrist jointsSmall finger and wrist joints that feel stiff and hurt
AnklePain and stiffness after sprains and old injuries
Advantages
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
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.
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.
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.
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.
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.
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.
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. 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.
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.
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.