1Consultation 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.
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
Consultation and review of your scansFree
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What it is
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
- Own tissue — your blood and adipose tissue
- Ultrasound guidance for every injection
Who the treatment suits
Whether this treatment is right for you is decided by a doctor after an examination and a scan review
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: fever, flu or a cold, skin inflammation over the joint being 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 opinionForward your X-rays, MRI or reports to get a free, independent assessment from a doctor
How it works
How the procedure goes: step by step
1
2Blood sample for PRP
Blood is drawn from a vein — only a small amount. Later, platelet-rich plasma with growth factors is made from it.
3Adipose 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.
4Processing 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.
5Injection into the joint
The finished material is injected into the affected joint itself, guided by ultrasound so that it lands precisely.
6Follow-up
No hospital stay and no crutches. After the procedure the doctor keeps in touch and follows how your 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
Only your own blood and adipose tissue are used — no donor or synthetic material
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.
- 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 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.
- 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
KneeCartilage wear, meniscus issues, pain after walking and on stairs
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderArm-raising pain, with wear of the joint and the tendons around it
ElbowAching after strain from sport or overuse, joint surface wear
Hand and wrist jointsAching and stiffness in the small wrist and finger joints
AnklePain and stiffness after sprains and old injuries
Advantages
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
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
Pricing depends on the joint, the condition's stage and the method; you learn it from the doctor 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
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 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.