1Consultation and scan review
Whether the procedure is for you is decided after the doctor examines the joint and reviews your X-rays, MRI or ultrasound. Any scans you already have can be sent before your visit.
Regenerative Joint Treatment in Duisburg
Cell therapy (SVF) and platelet-rich plasma for knee, hip and shoulder joints and beyond, plus a free look at your scans first
Consultation and review of your scansFree
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What it is
What is regenerative
joint treatment?
Regenerative joint treatment uses material from your own body — platelet-rich plasma (PRP) from blood and the stromal vascular fraction (SVF) from a small sample of adipose tissue. It is injected into the affected joint to reduce pain and inflammation and to support the tissues inside it.
People with joint pain choose it to avoid surgery or push it back, including those told a joint replacement is the only way. A lasting effect is more likely the earlier the condition is caught; the doctor evaluates this using 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: fever, a cold or the flu, inflammation of the 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 opinionSend your X-rays, MRI or reports and a doctor will give an independent assessment free of charge
How it works
How the procedure goes: step by step
1
2Blood sample for PRP
The nurse takes a small amount of venous blood; platelet-rich plasma with growth factors is prepared from it afterwards.
3Adipose tissue sample
The doctor numbs the area with local anaesthetic and takes about 30 ml of adipose tissue through a puncture on the abdomen or inner thigh. Stitches are not needed.
4Processing in a centrifuge
A centrifuge splits the sample into layers. From these, the stromal vascular fraction is isolated and blended with 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
Neither a hospital stay nor crutches are required. The doctor stays in contact after the procedure and monitors 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
Your own blood and adipose tissue are the only materials — nothing donor-derived or synthetic
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.
It is typically chosen for more pronounced joint changes, with a longer-lasting result in mind.
- 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 little of your blood is enough to separate platelet-rich plasma full of growth factors. Injected into the joint, it calms inflammation and improves conditions for tissue 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
Large and small joints — after looking at your scans, the doctor selects the joint, the method and how many injections you need
KneeCartilage wearing down, meniscus problems, pain after walking or on stairs
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderPain when raising the arm, wear of the joint and surrounding tendons
ElbowSports strain or overuse pain and worn-down joint surfaces
Hand and wrist jointsFinger and wrist joints that feel stiff and painful
AnklePain and stiffness after sprains and old injuries
Advantages
Why patients choose City Medical Centre
The goal is your own joint kept, not replaced, through treatment without surgery
Your own tissue
Your own blood and adipose tissue are the only materials — nothing donor-derived or synthetic
No crutches
Local anaesthetic, punctures instead of incisions, and no long rehabilitation
Second opinion
Send your X-rays, MRI or reports and a doctor will give an independent assessment free of charge
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
The cost depends on the joint, the stage of the condition and the method, so the doctor names it 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.
There is no single answer. The effect of PRP often lasts several months to about a year, and SVF can last longer. Duration depends on your body and the stage of the condition, and no one can promise a fixed result.
Contraindications include cancer, acute infections, blood clotting disorders, pregnancy and a flare-up of a serious chronic illness; in these cases the procedure is not performed. The doctor checks this at the consultation.
Early on, PRP or SVF injections plus exercise therapy and physiotherapy can lessen pain and improve how the joint moves. For a joint that is already badly damaged, replacement may be the more realistic option; after reviewing your scans the doctor will tell you honestly.
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.
Major surgery, long rehabilitation, risks like infection and implants that may need to be redone eventually — that is what a replacement involves. With early or moderate changes, preserving your own joint first is often sensible.
Yes. Send your X-rays, MRI, CT or medical reports, and a doctor will review them free of charge and tell you whether the procedure could suit you and what else may be needed.
Within a day or two, as a rule. There are no crutches and no lengthy rehabilitation; the doctor provides recommendations on exercise and load for the first weeks.
PRP is applied to shoulder joint and rotator cuff problems, and SVF may be considered if arthritis of the shoulder is more advanced. Whether it suits you depends on the cause of the pain — the first thing the doctor establishes.
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.