Joint Treatment for Patients from Bremen
For the knee, hip, shoulder and other joints: PRP and cell therapy (SVF). Your scans are reviewed free before you commit
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 treatment of the joints relies on material taken from your own body: platelet-rich plasma (PRP) prepared from blood, and the stromal vascular fraction (SVF) obtained from a small sample of adipose tissue. This material is injected into the problem joint to ease pain and inflammation and to support the tissues within it.
It is an option for people with joint pain who want to avoid or postpone surgery, or who have been told that joint replacement is the only choice. The earlier the stage of the condition, the better the chance of a lasting effect — the doctor assesses 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 and small joints — the doctor chooses the joint, the method and the number of injections after reviewing your scans
Elbow
Aching after strain from sport or overuse, joint surface wear
Hand and wrist joints
Aching and stiffness in the small wrist and finger joints
Knee
Cartilage wear, meniscus issues, pain after walking and on stairs
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Arm-raising pain, with wear of the joint and the tendons around it
Methods we use
Cell therapy (SVF) from your own adipose tissue
The stromal vascular fraction (SVF) — a combination of cells involved in tissue repair — is isolated by processing a small sample of your adipose tissue. It is combined with your plasma and injected into the joint that needs treatment.
When the joint has more noticeable changes and you want the effect to last longer, this is the usual choice.
PRP — platelet-rich plasma from your own blood
Plasma rich in platelets and growth factors comes from a small amount of your blood; once injected into the joint, it helps reduce inflammation and sets up better conditions for tissue repair.
It works either as a stand-alone course of injections or alongside SVF.
How the procedure goes: step by step
Consultation and scan review
Before anything else, the doctor examines the joint and goes through your X-rays, MRI or ultrasound to see if the procedure is suitable. Scans can be sent to us ahead of time.
Blood sample for PRP
Blood is drawn from a vein — only a small amount. Later, platelet-rich plasma with growth factors is made from it.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Under local anaesthetic the doctor takes roughly 30 ml of adipose tissue through a small puncture in the abdomen or inner thigh; stitches are not needed.
Processing in a centrifuge
Spinning the sample in a centrifuge separates it into layers, after which the stromal vascular fraction is isolated and added to the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
The finished material is injected into the affected joint itself, guided by ultrasound so that it lands precisely.
Follow-up
No hospital stay and no crutches. After the procedure the doctor keeps in touch and follows how your joint responds.
Consultation and scan review
Before anything else, the doctor examines the joint and goes through your X-rays, MRI or ultrasound to see if the procedure is suitable. Scans can be sent to us ahead of time.
Blood sample for PRP
Blood is drawn from a vein — only a small amount. Later, platelet-rich plasma with growth factors is made from it.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Under local anaesthetic the doctor takes roughly 30 ml of adipose tissue through a small puncture in the abdomen or inner thigh; stitches are not needed.
Processing in a centrifuge
Spinning the sample in a centrifuge separates it into layers, after which the stromal vascular fraction is isolated and added to the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
The finished material is injected into the affected joint itself, guided by ultrasound so that it lands precisely.
Follow-up
No hospital stay and no crutches. After the procedure the doctor keeps in touch and follows how your joint responds.
Follow-up visits
You come back for follow-up visits so the doctor can see how the joint responds and refine the plan. Pain usually settles over the first month, mobility improves over about three months, and the effect is complete over around six months.
Conditions we treat
Whether this treatment is right for you is decided by a doctor after an examination and a scan review
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: fever, flu or a cold, skin inflammation over the joint being 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
Most people go home on the same day and are back to normal daily activity within a day or two; small dressings cover the puncture sites. In the first week the joint may ache a bit more, which is an expected reaction. Pain usually eases over the first month, mobility and activity improve over about three months, and the full effect develops over around six months. How long it lasts varies between people and depends on the stage of the condition, body weight, activity and other factors — nobody can promise a fixed result. Your doctor gives individual advice on exercise and load for the first weeks.
Why patients choose City Medical Centre
Keeping your natural joint instead of replacing it is our goal — no surgery involved
Your own tissue
Only your own blood and adipose tissue are used — no donor or synthetic material
No crutches
No long rehabilitation: punctures instead of incisions, done under local anaesthetic
Second opinion
Forward your X-rays, MRI or reports to get a free, independent assessment from a doctor
Support after the procedure
Not just the injection day: we keep in touch after the procedure and monitor the result
Joint treatment prices
Pricing depends on the joint, the condition's stage and the method; you learn it from the doctor 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 the difference between PRP and SVF?
PRP is platelet-rich plasma prepared from your blood; SVF is a cell fraction isolated from a small sample of your adipose tissue. They work in different ways and are often combined for a stronger regenerative effect in the joint.
Is the treatment safe?
Both methods use your own tissue, so the risk of rejection or an allergic reaction is very low. As with any injection, temporary pain, swelling or bruising are possible, and infection is rare. The doctor explains the risks for your case at the consultation.
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?
People with cancer, acute infections or blood clotting disorders cannot have the procedure, nor can pregnant women or anyone in a flare-up of a serious chronic illness. The doctor checks this at the consultation.
Can osteoarthritis of the hip (coxarthrosis) be treated without surgery?
In the early stages, PRP or SVF injections together with exercise therapy and physiotherapy can ease pain and improve movement. If the joint is already severely damaged, a replacement may be the more realistic choice — the doctor will tell you honestly once they have seen your scans.
Can avascular necrosis of the hip be treated?
For early stages (1–2), SVF therapy may be considered: it supports blood supply to the femoral head and can delay the need for a joint replacement. Surgery is usually required later on.
Why try to avoid joint replacement?
Replacement means major surgery, a long rehabilitation, risks including infection and implants that may eventually have to be redone. When changes are early or moderate, trying to preserve your own joint first often makes sense.
Can I get a second opinion on my scans?
Yes — just send whatever X-rays, MRI, CT or medical reports you have. The review by a doctor costs nothing, and you learn whether the procedure could suit you and what else is needed.
How soon can I return to normal life?
Typically within a day or two. You need no crutches and no long rehabilitation, and the doctor advises you on exercise and load for the first weeks.
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 Bremen: from scan review to follow-up
Non-surgical joint treatment is not for everyone. It is not done with cancer, acute infections, blood clotting disorders, during pregnancy or during a flare-up of a serious chronic illness. The doctor checks this for every patient in Bremen at the consultation.
PRP can be given as a course of injections or together with SVF. The number of injections and the method are chosen individually for each patient from Bremen after the examination and scan review.
Patients from Bremen can start with a free second opinion: send your X-rays, MRI, CT or reports, and a doctor will tell you whether SVF or PRP could help. The price of treatment is named at the consultation.
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