1Consultation and scan review
The doctor examines your joint, looks at your X-rays, MRI or ultrasound and decides whether the procedure is right for you. Scans you already have can be sent ahead of the visit.
Joint Treatment in Dortmund Without Surgery
PRP and SVF cell therapy for the knee, hip, shoulder and more. We review your scans free of charge before any decision
Consultation and review of your scansFree
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What it is
What is regenerative
joint treatment?
Instead of implants or foreign substances, regenerative joint treatment uses you as the source: platelet-rich plasma (PRP) from your blood and the stromal vascular fraction (SVF) from a small adipose tissue sample. It is injected into the troubled joint to lower pain and inflammation and support the tissues inside.
Joint pain and a wish to avoid or put off surgery, or a verdict that replacement is the only route — these are the typical reasons people come. An earlier stage of the condition means a better chance of lasting relief, and the doctor assesses it 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
A doctor decides whether the treatment suits you after examining you and reviewing 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: 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 opinionSend X-rays, MRI or medical reports for an independent assessment by a doctor at no cost
How it works
How the procedure goes: step by step
1
2Blood sample for PRP
From a vein, a small amount of blood is taken. It is later used to prepare plasma rich in platelets and growth factors.
3Adipose tissue sample
With local anaesthetic, a small amount of adipose tissue (around 30 ml) is taken via a puncture on the abdomen or inner thigh — without stitches.
4Processing in a centrifuge
Centrifugation divides the sample into layers, so the stromal vascular fraction can be isolated and then mixed with the platelet-rich plasma.
5Injection into the joint
The prepared material is injected straight into the affected joint under ultrasound guidance, which helps to place it precisely.
6Follow-up
There are no crutches and you do not stay in hospital. After the procedure the doctor stays in contact and tracks the joint's response.
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
Your own blood and adipose tissue are the only materials — nothing donor-derived or synthetic
Cell therapy (SVF) from your own adipose tissue
A little of your adipose tissue is processed to isolate SVF — the stromal vascular fraction, which contains cells involved in repairing tissue. It is then combined with your own plasma and injected into the 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
A small amount of your blood is processed to separate plasma rich in platelets and growth factors, which is then injected into the joint. It helps settle inflammation and gives the tissues better conditions for repair.
Either on its own, as a series of injections, or together 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
Small joints and large ones alike — your scans guide the doctor's choice of joint, method and number of injections
KneePain climbing stairs or after walking, cartilage wear, meniscus trouble
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderPain on raising the arm and wear of the joint and nearby tendons
ElbowWear of the joint surfaces, pain after overuse or sports strain
Hand and wrist jointsPain and stiffness in the small joints of the wrist and fingers
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
Your own blood and adipose tissue are the only materials — nothing donor-derived or synthetic
No crutches
Punctures, not incisions; local anaesthetic; no prolonged rehabilitation
Second opinion
Send X-rays, MRI or medical reports for an independent assessment by a doctor at no cost
Support after the procedure
We stay in touch after the procedure and follow the result, not just the day of the injection
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 doctor names the cost after the consultation, as it depends on the joint, the method and the stage of the condition
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.
One is plasma, one is cells: PRP is platelet-rich plasma from your blood, SVF a cell fraction from a small adipose tissue sample. As they act in different ways, doctors often combine them to boost the regenerative effect in the joint.
Using your own tissue in both methods means a very low risk of rejection or an allergic reaction. Temporary pain, swelling or bruising can happen with any injection, and infection is rare. The doctor explains the risks for your case during the consultation.
It is different for everyone: after PRP the effect frequently lasts from several months to roughly a year, and SVF can give a longer effect. The stage of the condition and your body decide the duration, so no fixed result can be promised.
The procedure is not performed in people with cancer, acute infections or blood clotting disorders, in pregnancy, or during a flare-up of a serious chronic illness. The doctor checks for this at the consultation.
PRP or SVF injections combined with exercise therapy and physiotherapy can, at early stages, reduce pain and improve movement. For a joint that is already badly damaged, replacement may be the more realistic option — after seeing your scans, the doctor will tell you honestly.
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.
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 — 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.
Generally in a day or two. No crutches are needed and there is no long rehabilitation; the doctor tells you how to handle load and exercise during the first weeks.
PRP is used for problems of the shoulder joint and the rotator cuff, and SVF may be considered for more advanced arthritis of the shoulder. Whether it suits you depends on the cause of the pain, which the doctor establishes 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.