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 Hanover
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?
In regenerative joint therapy, two materials from your own body are used — platelet-rich plasma (PRP), taken from blood, and the stromal vascular fraction (SVF), taken from a small adipose tissue sample. Once injected into the affected joint, they work to cut pain and inflammation and support the tissues there.
It is an option for people with joint pain who want to avoid or postpone surgery, or who have been told that joint replacement is the only choice. The earlier the stage of the condition, the better the chance of a lasting effect — the doctor assesses this from 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
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: a cold or flu, fever, inflamed skin above 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 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
From a vein, a small amount of blood is taken. It is later used to prepare plasma rich in platelets and 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
With ultrasound guiding the needle, the prepared material is injected directly and precisely into the affected joint.
6Follow-up
No stay in hospital and no crutches are needed. The doctor stays in touch after the procedure to see 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
We use nothing but your own blood and adipose tissue, with no donor or synthetic material
Cell therapy (SVF) from your own adipose tissue
Processing a small sample of adipose tissue yields the stromal vascular fraction (SVF), a blend of cells that help tissue repair. The doctor combines it with your plasma and injects it into the problem joint.
More marked changes in the joint and the wish for a longer-lasting effect are the usual reasons to choose it.
- 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
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 is suitable as a separate injection course or in combination 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 when raising the arm, wear of the joint and surrounding tendons
ElbowOveruse or sports-related pain and wear of the joint surfaces
Hand and wrist jointsSmall joints of the wrist and fingers that are stiff and sore
AnklePain and stiffness after sprains and old injuries
Advantages
Why patients choose City Medical Centre
No surgery: our work is about keeping your own joint, not swapping it for an implant
Your own tissue
We use nothing but your own blood and adipose tissue, with no donor or synthetic material
No crutches
Punctures instead of incisions, local anaesthetic, 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 is named by the doctor after the consultation, since it depends on the joint, the stage of the condition and the method
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.
Platelet-rich plasma (PRP) is prepared from your blood, while SVF is a cell fraction taken from a small adipose tissue sample. Because they work differently, they are often combined to strengthen the regenerative effect in the joint.
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.
It depends. PRP usually gives an effect lasting from several months to about a year; with SVF it can last longer. Because the stage of the condition and your body affect the duration, no one can promise 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.
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.
With early or moderate changes, trying to keep your own joint first is often the sensible path — a replacement means major surgery, lengthy rehabilitation, risks such as infection and implants that might eventually be redone.
Yes — just send whatever X-rays, MRI, CT or medical reports you have. The review by a doctor costs nothing, and you learn whether the procedure could suit you and what else is needed.
Usually a day or two is enough. There is no long rehabilitation and no crutches, and in the first weeks you follow the doctor's recommendations on load and exercise.
Shoulder joint and rotator cuff problems are treated with PRP; in more advanced shoulder arthritis, SVF may be an option. The doctor first finds the cause of the pain, and that decides whether it suits you.
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.