Knee and Hip Treatment in Berlin Without Surgery
Free scan review first, then SVF cell therapy or PRP for the knee, hip, shoulder or other joints if they suit you
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 regenerative
joint treatment?
Regenerative care for joints is based on your own material. Platelet-rich plasma (PRP) is obtained from blood, and the stromal vascular fraction (SVF) from a small amount of adipose tissue; the doctor then injects it into the affected joint to reduce pain and inflammation and to support its internal tissues.
This treatment suits people with painful joints who would like to avoid or delay surgery, or who have been told that only a joint replacement will help. The earlier the stage, the better the prospect of a lasting result — the doctor judges this from your scans.
No surgery — an injection instead of an operation
Ultrasound guidance for every injection
Free consultation and review of your scans
Joints we treat
Large or small, each joint is assessed on your scans first — then the doctor chooses the method and how many injections are needed
Elbow
Pain caused by overuse or sports strain; worn joint surfaces
Hand and wrist joints
Pain and stiffness affecting the small finger and wrist joints
Knee
Pain climbing stairs or after walking, cartilage wear, meniscus trouble
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Pain when you raise your arm, worn joint and surrounding tendons
Methods we use
Cell therapy (SVF) from your own adipose tissue
A small sample of adipose tissue is taken and processed to obtain the stromal vascular fraction (SVF), a mix of cells that take part in tissue repair. Mixed with your own plasma, it is then injected into the affected joint.
This option is usually picked for more advanced changes in the joint, when the goal is an effect that lasts longer.
PRP — platelet-rich plasma from your own blood
Plasma containing many platelets and growth factors is prepared from a small amount of your blood and injected into the joint, helping inflammation settle and creating better conditions for repair.
It can be given as its own course of injections or combined with SVF.
How the procedure goes: step by step
Consultation and scan review
The doctor assesses the joint in person and reviews X-rays, MRI or ultrasound, then decides if you are a candidate for the procedure. Scans you have can be sent before the visit.
Blood sample for PRP
A small blood draw from a vein provides the material from which platelet-rich plasma with growth factors is later prepared.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Around 30 ml of adipose tissue is taken through a single puncture on the abdomen or inner thigh under local anaesthetic, and the site needs no stitches.
Processing in a centrifuge
The sample is spun in a centrifuge and separates into layers. The stromal vascular fraction is isolated and mixed with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Ultrasound guidance allows the prepared material to be injected precisely, directly into the affected joint.
Follow-up
No crutches and no hospital stay. The doctor stays in touch after the procedure and follows how the joint responds.
Consultation and scan review
The doctor assesses the joint in person and reviews X-rays, MRI or ultrasound, then decides if you are a candidate for the procedure. Scans you have can be sent before the visit.
Blood sample for PRP
A small blood draw from a vein provides the material from which platelet-rich plasma with growth factors is later prepared.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Around 30 ml of adipose tissue is taken through a single puncture on the abdomen or inner thigh under local anaesthetic, and the site needs no stitches.
Processing in a centrifuge
The sample is spun in a centrifuge and separates into layers. The stromal vascular fraction is isolated and mixed with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Ultrasound guidance allows the prepared material to be injected precisely, directly into the affected joint.
Follow-up
No crutches and no hospital stay. The doctor stays in touch after the procedure and follows how the joint responds.
Follow-up visits
Through follow-up visits the doctor monitors the joint and adjusts the plan. As a rule, pain eases over the first month, mobility improves over around three months, and the full effect appears over about six months.
Conditions we treat
Only after an examination and a review of your scans does the doctor decide whether the treatment suits you
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 fever, a cold or flu, inflamed skin 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
Small dressings go over the puncture sites and, in most cases, you go home the same day and return to normal daily activity within a day or two. During the first week a little more aching in the joint is an expected reaction. Pain usually eases over the first month; mobility and activity improve over around three months; the full effect develops over about six months. Duration differs between individuals, depending on the stage of the condition, body weight, activity and other factors — no fixed result can be promised by anyone. The doctor gives individual advice on exercise and load for the first weeks.
Why patients choose City Medical Centre
No surgery: our work is about keeping your own joint, not swapping it for an implant
Your own tissue
The material comes only from your own blood and adipose tissue, never from donors or synthetics
No crutches
Local anaesthetic and punctures in place of incisions mean no long rehabilitation
Second opinion
Free of charge: a doctor's independent assessment of the X-rays, MRI or reports you send
Support after the procedure
We remain in contact after the procedure and track the result, not just the injection day
Joint treatment prices
The cost is named by the doctor after the consultation, since it depends on the joint, the stage of the condition and the method
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 the difference between PRP and SVF?
PRP means platelet-rich plasma prepared from your own blood; SVF means a cell fraction isolated from a small portion of your adipose tissue. Working in different ways, they are often combined for a stronger regenerative effect.
Is the treatment safe?
The risk of rejection or allergy is very low, since both methods use your own tissue. Like any injection, they can cause temporary pain, swelling or bruising, while infection happens rarely. At the consultation the doctor explains what the risks are for you.
How long does the effect last?
Duration is individual. PRP often works for several months to about a year, while SVF may last longer. It depends on the stage of the condition and your body, which is why no one can promise a fixed result.
Who should not have the procedure?
Cancer, acute infections, blood clotting disorders, pregnancy and a flare-up of a serious chronic illness all rule the procedure out. The doctor checks this at the consultation.
Can hip osteoarthritis (coxarthrosis) be treated without surgery?
At an early stage, combining PRP or SVF injections with exercise therapy and physiotherapy can reduce pain and help movement. When the joint is already badly damaged, replacement may be more realistic, and the doctor will say so honestly after seeing your scans.
Can avascular necrosis of the hip be treated?
At an early stage (1–2), SVF therapy may help support the blood supply to the femoral head and delay the need for joint replacement. Surgery is usually required at later stages.
Why try to avoid joint replacement?
A replacement is major surgery: rehabilitation is long, there are risks such as infection, and the implant may eventually need redoing. If changes are early or moderate, it often makes sense to try saving your own joint first.
Can I get a second opinion on my scans?
Yes — send your X-rays, MRI, CT or medical reports, and a doctor will look at them free of charge, then tell you whether the procedure could suit you and what else may be needed.
How soon can I return to normal life?
Usually in a day or two. There are no crutches and no long rehabilitation; for the first weeks the doctor gives recommendations on load and exercise.
Does the treatment help with shoulder pain?
For shoulder joint and rotator cuff problems PRP is used, and for more advanced arthritis of the shoulder SVF may be considered. Suitability depends on the cause of your pain, and the doctor identifies that first.
City Medical Centre licences
Other services at our clinic
Joint treatment in Berlin: a short guide
Joint treatment in Berlin is built around keeping your own joint. Instead of a long rehabilitation after surgery, you get injections under local anaesthetic, no crutches and no hospital stay, and the doctor stays in touch afterwards.
Keeping a healthy weight and regular, joint-friendly exercise help the result last longer. The doctor explains which activities suit your joint and which loads to avoid — the same advice applies to every patient in Berlin.
Book a free consultation in Berlin to find out whether regenerative joint treatment suits you. The doctor names the price after examining the joint and reviewing your scans.
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