Joint Treatment for Patients from Frankfurt am Main
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.
Suitable for people with joint pain who would rather avoid or postpone surgery, or who were told a joint replacement is inevitable. The earlier the condition, the better the odds of a lasting effect — something the doctor judges from 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
Large and small joints — after looking at your scans, the doctor selects the joint, the method and how many injections you need
Elbow
Pain caused by overuse or sports strain; worn joint surfaces
Hand and wrist joints
Small joints of the wrist and fingers that are stiff and sore
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
Raising the arm hurts; wear of the joint and the tendons around it
Methods we use
Cell therapy (SVF) from your own adipose tissue
Your adipose tissue, taken in a small sample, is processed so that the stromal vascular fraction (SVF) can be isolated: a mixture of cells that play a role in tissue repair. Together with your own plasma, it goes into the affected joint.
When the joint has more noticeable changes and you want the effect to last longer, this is the usual choice.
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 used on its own as a course of injections, or together with SVF.
How the procedure goes: step by step
Consultation and scan review
First comes an examination: the doctor checks the joint and your X-ray, MRI or ultrasound images and decides whether the procedure fits. If you have scans already, send them in advance.
Blood 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.
The doctor tells you in advance which tests are needed.
Adipose 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.
Processing 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.
The whole procedure is done in one day.
Injection into the joint
Directly into the affected joint: the prepared material is injected under ultrasound guidance for precise placement.
Follow-up
You need neither crutches nor a hospital stay. The doctor remains in contact afterwards and watches how the joint responds.
Consultation and scan review
First comes an examination: the doctor checks the joint and your X-ray, MRI or ultrasound images and decides whether the procedure fits. If you have scans already, send them in advance.
Blood 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.
The doctor tells you in advance which tests are needed.
Adipose 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.
Processing 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.
The whole procedure is done in one day.
Injection into the joint
Directly into the affected joint: the prepared material is injected under ultrasound guidance for precise placement.
Follow-up
You need neither crutches nor a hospital stay. The doctor remains in contact afterwards and watches how the joint responds.
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
A doctor examines you and reviews your scans, then decides whether the treatment is suitable
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: a fever, a cold or flu, inflamed skin over the joint to be 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
The majority of people are discharged the same day and resume normal daily activity within a day or two; the puncture sites are simply covered with small dressings. Expect the joint to ache somewhat more in the first week — that reaction is normal. Pain usually eases in the first month, mobility and activity improve over roughly three months, and the full effect develops over around six months. The duration varies 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. Individual advice on exercise and load for the first weeks comes from your doctor.
Why patients choose City Medical Centre
We work on keeping your own joint rather than replacing it — treatment without surgery
Your own tissue
No donor or synthetic material: only your own blood and adipose tissue are used
No crutches
Local anaesthetic, punctures instead of incisions, and no long rehabilitation
Second opinion
Send us your X-rays, MRI or reports and a doctor will assess them independently, free of charge
Support after the procedure
We keep following the result and stay in touch after the procedure, not only on injection day
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
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?
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.
Is the treatment safe?
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.
How long does the effect last?
It differs from person to person. After PRP the effect often lasts from several months to around a year, and after SVF it may last longer. How long depends on the stage of the condition and on your body, so nobody can promise a fixed result.
Who should not have the procedure?
The doctor checks at the consultation that you have no cancer, acute infection or blood clotting disorder, are not pregnant and are not in a flare-up of a serious chronic illness — in these cases the procedure is not done.
Is treating coxarthrosis (hip osteoarthritis) possible without surgery?
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.
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?
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.
Can I get a second opinion on my scans?
Yes. A doctor will review your X-rays, MRI, CT or medical reports free of charge once you send them, and explain whether the procedure could suit you and what else might be needed.
How soon can I return to normal life?
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.
Does the treatment help with shoulder pain?
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.
City Medical Centre licences
Other services at our clinic
Joint treatment in Frankfurt am Main: methods, steps and price
SVF and PRP work in different ways. PRP helps calm inflammation and creates better conditions for repair; SVF contains cells involved in tissue repair and is chosen when changes are more pronounced. For patients from Frankfurt am Main, the doctor often combines the two.
Most patients from Frankfurt am Main go home the same day and return to normal daily activity within a day or two. During the first week the joint may ache a little more — this is an expected reaction. Pain usually eases over the first month.
Do not put off joint pain for years. Book a free consultation in Frankfurt am Main: the doctor reviews your scans, assesses the stage and suggests a non-surgical plan if it is appropriate. The price is set at the consultation.
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