Regenerative Joint Treatment in Essen
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?
Your blood provides platelet-rich plasma (PRP), and a small sample of adipose tissue provides the stromal vascular fraction (SVF). In regenerative joint treatment this material goes into the affected joint by injection, helping to reduce pain and inflammation and to support the tissues inside it.
The option is aimed at patients with joint pain who wish to avoid or postpone surgery, or who have only been offered a replacement. The chance of a lasting effect is best at an early stage, which the doctor checks on 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
We treat large and small joints — which joint, which method and how many injections is decided by the doctor after a scan review
Elbow
Sports strain or overuse pain and worn-down joint surfaces
Hand and wrist joints
Pain and stiffness affecting the small finger and wrist 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
Pain as the arm goes up, wear of the joint and adjacent tendons
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.
It is typically chosen for more pronounced joint changes, with a longer-lasting result in mind.
PRP — platelet-rich plasma from your own blood
Plasma rich in platelets and growth factors is separated from a small amount of your blood and injected into the joint. It helps calm inflammation and creates better conditions for tissue repair.
It can be given as its own course of injections or combined with SVF.
How the procedure goes: step by step
Consultation and scan review
The doctor assesses the joint in person and reviews X-rays, MRI or ultrasound, then decides if you are a candidate for the procedure. Scans you have can be sent before the visit.
Blood sample for PRP
We take a small blood sample from a vein. From it, platelet-rich plasma containing growth factors is prepared later on.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Under local anaesthetic, a small amount of adipose tissue — roughly 30 ml — is removed through a puncture on the abdomen or inner thigh, with no stitches needed.
Processing 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.
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 crutches, no hospital stay — and after the procedure the doctor keeps in touch to follow the joint's response.
Consultation and scan review
The doctor assesses the joint in person and reviews X-rays, MRI or ultrasound, then decides if you are a candidate for the procedure. Scans you have can be sent before the visit.
Blood sample for PRP
We take a small blood sample from a vein. From it, platelet-rich plasma containing growth factors is prepared later on.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Under local anaesthetic, a small amount of adipose tissue — roughly 30 ml — is removed through a puncture on the abdomen or inner thigh, with no stitches needed.
Processing 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.
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 crutches, no hospital stay — and after the procedure the doctor keeps in touch to follow the joint's response.
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
Our aim is to keep your own joint, not replace it — treatment without surgery
Your own tissue
Nothing from donors and nothing synthetic — only your own blood and adipose tissue
No crutches
No long rehabilitation: punctures instead of incisions, done under local anaesthetic
Second opinion
Send any X-rays, MRI or reports and receive an independent assessment from a doctor for free
Support after the procedure
After the procedure we keep in touch and follow the result, not only the day of the injection
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
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 means platelet-rich plasma prepared from your own blood; SVF means a cell fraction isolated from a small portion of your adipose tissue. Working in different ways, they are often combined for a stronger regenerative effect.
Is the treatment safe?
Your own tissue is used in both methods, which keeps the risk of rejection or an allergic reaction very low. Any injection may cause temporary pain, swelling or bruising; infection is rare. The doctor explains your individual risks at the consultation.
How long does the effect last?
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.
Who should not have the procedure?
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.
Can I treat hip osteoarthritis (coxarthrosis) without surgery?
At early stages, pain can be reduced and movement improved with PRP or SVF injections combined with exercise therapy and physiotherapy. Should the joint already be badly damaged, a replacement may be more realistic — the doctor tells you honestly after looking at your scans.
Can avascular necrosis of the hip be treated?
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.
Why try to avoid joint replacement?
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.
Can I get a second opinion on my scans?
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.
How soon can I return to normal life?
In most cases within a day or two. No crutches, no long rehabilitation — the doctor recommends how to manage load and exercise in the first weeks.
Does the treatment help with shoulder pain?
Problems of the shoulder joint and rotator cuff are treated with PRP, and more advanced shoulder arthritis may call for SVF. It depends on the cause of your pain, which the doctor has to establish first.
City Medical Centre licences
Other services at our clinic
Joint treatment in Essen: methods, steps and price
The method relies on your own tissue only, so there is no donor or synthetic material. Plasma is prepared from a small blood sample, and SVF from about 30 ml of adipose tissue taken through a puncture. This is how non-surgical joint treatment works for everyone in Essen.
Over about three months mobility and activity usually improve, and the full effect develops over around six months. How long it lasts depends on the stage of the condition, body weight and activity, so no one can promise a fixed result to patients in Essen.
Book a free consultation in Essen to find out whether regenerative joint treatment suits you. The doctor names the price after examining the joint and reviewing your scans.
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