1Consultation 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.
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
Consultation and review of your scansFree
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What it is
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
- Own tissue — your blood and adipose tissue
- Ultrasound guidance for every injection
Who the treatment suits
Only after an examination and a review of your scans does the doctor decide whether the treatment suits 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: a fever, a cold or flu, inflamed skin 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 opinionFree of charge: a doctor's independent assessment of the X-rays, MRI or reports you send
How it works
How the procedure goes: step by step
1
2Blood sample for PRP
A small blood draw from a vein provides the material from which platelet-rich plasma with growth factors is later prepared.
3Adipose 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.
4Processing 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.
5Injection into the joint
Ultrasound guidance allows the prepared material to be injected precisely, directly into the affected joint.
6Follow-up
No crutches and no hospital stay. The doctor stays in touch after the procedure and follows how the joint responds.
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
The material comes only from your own blood and adipose tissue, never from donors or synthetics
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.
- 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 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.
- 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 or small, each joint is assessed on your scans first — then the doctor chooses the method and how many injections are needed
KneePain climbing stairs or after walking, cartilage wear, meniscus trouble
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderPain when you raise your arm, worn joint and surrounding tendons
ElbowPain caused by overuse or sports strain; worn joint surfaces
Hand and wrist jointsPain and stiffness affecting the small finger and wrist joints
AnklePain and stiffness after sprains and old injuries
Advantages
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
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
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
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
Often, yes. For meniscus damage and knee osteoarthritis, PRP and SVF injections are used to ease pain and support the joint. The doctor reviews your MRI first and says whether this suits you.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
About the conditions
More about these conditions
Arthritis is an inflammatory disease of the joints. Typical signs are pain at rest and at night, morning stiffness lasting more than 30 minutes, swelling, redness and warmth over the joint. Causes include autoimmune conditions such as rheumatoid arthritis, infections, gout and psoriasis.
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.
Osteoarthritis is wear of the cartilage: aching pain on movement, crunching, stiffness after rest. Arthritis is inflammation: pain at rest and at night, swelling, redness and warmth over the joint. The approach to treatment differs, so the diagnosis comes first.