1Consultation and scan review
An examination of the joint and a review of your X-ray, MRI or ultrasound results let the doctor decide whether the procedure suits you. Please send any scans you have before the visit.
Non-Surgical Joint Treatment in Düsseldorf
We treat the knee, hip, shoulder and other joints with SVF and PRP. Before anything is decided, your scans are reviewed at no cost
Consultation and review of your scansFree
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What it is
What is regenerative
joint treatment?
Everything used in regenerative joint treatment comes from you: platelet-rich plasma (PRP) is made from your blood, and the stromal vascular fraction (SVF) from a little adipose tissue. The doctor injects it into the painful joint to lessen inflammation and pain and to support the joint's inner tissues.
It can help if your joints hurt and you want to put off or avoid surgery, or if you have heard that replacement is your only choice. Chances of a lasting effect are higher at earlier stages of the condition, and your doctor assesses the stage from the 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
Examination and scan review come first; then the doctor decides 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: having a fever, a cold or flu, or 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 opinionYour X-rays, MRI or reports get a free independent assessment from a doctor — just send them
How it works
How the procedure goes: step by step
1
2Blood sample for PRP
A small volume of blood is drawn from a vein, which is later turned into platelet-rich plasma with growth factors.
3Adipose tissue sample
Through a puncture on the abdomen or inner thigh, about 30 ml of adipose tissue is taken under local anaesthetic, and no stitches are required.
4Processing in a centrifuge
The centrifuge separates the sample into layers, the stromal vascular fraction is isolated, and it is then mixed with platelet-rich plasma.
5Injection into the joint
Using ultrasound guidance, the doctor places the prepared material precisely by injecting it straight into the affected joint.
6Follow-up
No crutches, no hospital stay — and after the procedure the doctor keeps in touch to follow 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
Only material from your own blood and adipose tissue is used, with no donor or synthetic components
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.
It is usually the choice when changes in the joint are more marked and the aim is a longer-lasting effect.
- 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
Your blood, in a small amount, is used to separate plasma rich in platelets and growth factors. This plasma is injected into the joint to help calm inflammation and support tissue repair.
Used by itself as an injection course, 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
From large joints to small ones: the doctor picks the joint, the technique and the injection count after studying your scans
KneeWear of the cartilage, meniscus problems, pain on the stairs and after walks
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderPain on raising the arm and wear of the joint and nearby tendons
ElbowPain after overuse or sports strain, wear of the joint surfaces
Hand and wrist jointsStiffness and aching in the finger and wrist joints
AnklePain and stiffness after sprains and old injuries
Advantages
Why patients choose City Medical Centre
We work on keeping your own joint rather than replacing it — treatment without surgery
Your own tissue
Only material from your own blood and adipose tissue is used, with no donor or synthetic components
No crutches
Local anaesthetic and punctures in place of incisions mean no long rehabilitation
Second opinion
Your X-rays, MRI or reports get a free independent assessment from a doctor — just send them
Support after the procedure
Contact continues after the procedure — we track the result, not just the injection itself
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
How much it costs depends on the joint, the method and the stage of the condition — the doctor tells you 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.
The difference: PRP is plasma rich in platelets, obtained from your blood, and SVF is a cell fraction isolated from a little of your adipose tissue. Their mechanisms differ, so they are often combined for a stronger regenerative effect.
Both methods rely on your own tissue, so rejection or an allergic reaction is very unlikely. Temporary pain, swelling or bruising can occur as with any injection, and infection is rare. The doctor goes through the risks for your case at the consultation.
Each case differs. A PRP effect often lasts from several months to around a year, and an SVF effect can last longer. It depends on your body and the stage of the condition, so no one can promise you 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 early stages, PRP or SVF injections combined with exercise therapy and physiotherapy can reduce pain and improve movement. If the joint is already badly damaged, replacement may be the more realistic option — the doctor will tell you honestly after seeing your scans.
SVF therapy at early stages (1–2) may be considered to support blood flow to the femoral head and push back the need for joint replacement. Later stages generally need surgery.
Replacement is major surgery with long rehabilitation, risks such as infection, and implants that may eventually need to be redone. With early or moderate changes it often makes sense to try to preserve your own joint first.
Yes. After you send your X-rays, MRI, CT or medical reports, a doctor reviews them at no cost and tells you whether the procedure could be suitable and what else may be required.
Usually within a day or two. There are no crutches and no long rehabilitation; the doctor gives you recommendations on load and exercise for 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.