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.
SVF and PRP Joint Therapy in Hamburg
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?
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.
It is an alternative for those with sore joints who prefer not to have surgery yet, or at all, and for those told they need a joint replacement. Earlier stages give a better chance of a durable effect; your scans show the doctor where you stand.
- No surgery — an injection instead of an operation
- Own tissue — your blood and adipose tissue
- Ultrasound guidance for every injection
Who the treatment suits
Whether this treatment is right for you is decided by a doctor after an examination and a scan review
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: inflamed skin over the treatment joint, fever, a cold or flu
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 opinionForward your X-rays, MRI or reports to get a free, independent assessment from a doctor
How it works
How the procedure goes: step by step
1
2Blood sample for PRP
We take a small blood sample from a vein. From it, platelet-rich plasma containing growth factors is prepared later on.
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
In a centrifuge the sample separates into layers. The stromal vascular fraction is then isolated and combined with the platelet-rich plasma.
5Injection into the joint
The material, once prepared, is injected directly into the affected joint; ultrasound guidance helps place it 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
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
The method starts with a small adipose tissue sample, which is processed to separate the stromal vascular fraction (SVF), a mix of cells active in tissue repair. With your own plasma added, it is injected into the affected joint.
The usual reason to choose it: more pronounced changes in the joint and the goal of 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
The doctor separates plasma rich in platelets and growth factors from a small amount of your blood and injects it into the joint. This helps to calm inflammation and supports 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
Large and small joints can be treated; the doctor settles the joint, the method and the injection count after checking your scans
KneeMeniscus trouble, worn cartilage, pain when using stairs or after walking
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderPain lifting the arm, worn tendons around the joint and the joint itself
ElbowPain following overuse or sports strain, wear of joint surfaces
Hand and wrist jointsStiffness and pain in the small joints of the hand and wrist
AnklePain and stiffness after sprains and old injuries
Advantages
Why patients choose City Medical Centre
Treatment without surgery, aimed at keeping your own joint instead of replacing it
Your own tissue
Only material from your own blood and adipose tissue is used, with no donor or synthetic components
No crutches
No incisions — just punctures under local anaesthetic, with no long rehabilitation
Second opinion
Forward your X-rays, MRI or reports to get a free, independent assessment from a doctor
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 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.
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.
The risk of rejection or allergy is very low, since both methods use your own tissue. Like any injection, they can cause temporary pain, swelling or bruising, while infection happens rarely. At the consultation the doctor explains what the risks are for you.
Duration is individual. PRP often works for several months to about a year, while SVF may last longer. It depends on the stage of the condition and your body, which is why no one can promise a fixed result.
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.
Early-stage osteoarthritis often responds to PRP or SVF injections together with exercise therapy and physiotherapy, which can reduce pain and improve movement. If the joint is badly damaged already, replacement may be the more realistic option, as the doctor will honestly tell you after seeing your scans.
Early on (stages 1–2), the doctor may consider SVF therapy to support the femoral head's blood supply and delay joint replacement. In later stages surgery is generally required.
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.
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.
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.
For shoulder joint and rotator cuff problems PRP is used, and for more advanced arthritis of the shoulder SVF may be considered. Suitability depends on the cause of your pain, and the doctor identifies that 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.