Joint Treatment in Munich: Methods and Steps
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?
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.
This treatment suits people with painful joints who would like to avoid or delay surgery, or who have been told that only a joint replacement will help. The earlier the stage, the better the prospect of a lasting result — the doctor judges this 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 or small, each joint is assessed on your scans first — then the doctor chooses the method and how many injections are needed
Elbow
Pain caused by overuse or sports strain; worn joint surfaces
Hand and wrist joints
Stiffness and pain in the small joints of the hand and wrist
Knee
Worn cartilage, meniscus problems, pain on stairs or after walking
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Pain when you raise your arm, worn joint and surrounding tendons
Methods we use
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.
Usually it is selected where joint changes are more significant and a longer effect is the aim.
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 works either as a stand-alone course of injections or alongside SVF.
How the procedure goes: step by step
Consultation and scan review
The doctor examines the joint, reviews your X-rays, MRI or ultrasound and decides whether the procedure suits you. If you already have scans, you can send them before the visit.
Blood sample for PRP
A small amount of blood is taken from a vein. Platelet-rich plasma with growth factors is later prepared from it.
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
Spinning the sample in a centrifuge separates it into layers, after which the stromal vascular fraction is isolated and added to the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
The prepared material is injected straight into the affected joint under ultrasound guidance, which helps to place it precisely.
Follow-up
There are no crutches and you do not stay in hospital. After the procedure the doctor stays in contact and tracks the joint's response.
Consultation and scan review
The doctor examines the joint, reviews your X-rays, MRI or ultrasound and decides whether the procedure suits you. If you already have scans, you can send them before the visit.
Blood sample for PRP
A small amount of blood is taken from a vein. Platelet-rich plasma with growth factors is later prepared from it.
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
Spinning the sample in a centrifuge separates it into layers, after which the stromal vascular fraction is isolated and added to the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
The prepared material is injected straight into the affected joint under ultrasound guidance, which helps to place it precisely.
Follow-up
There are no crutches and you do not stay in hospital. After the procedure the doctor stays in contact and tracks the joint's response.
Follow-up visits
Check-ups after the procedure show the doctor how the joint responds, so the plan can be adjusted — typically pain eases in the first month, mobility improves within about three months and the full effect develops 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: having a fever, a cold or flu, or 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 puncture sites are covered with small dressings, and most patients go home the same day, returning to normal daily life within a day or two. A little extra aching in the joint during the first week is an expected reaction. Pain generally eases in the first month, mobility and activity improve over about three months, and the full effect develops over around six months. How long the effect lasts differs from person to person — it depends on the stage of the condition, body weight, activity and other factors, and no one can promise a fixed result. For the first weeks, the doctor gives you individual advice on exercise and load.
Why patients choose City Medical Centre
The goal is your own joint kept, not replaced, through treatment without surgery
Your own tissue
Only your own blood and adipose tissue — no donor or synthetic material is 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
Not just the injection day: we keep in touch after the procedure and monitor the result
Joint treatment prices
After the consultation the doctor gives the price, which depends on the joint, the stage and the method
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?
SVF is a cell fraction isolated from a small sample of your adipose tissue, whereas PRP is platelet-rich plasma prepared from your blood. They work differently and are frequently combined for a stronger regenerative effect in the joint.
Is the treatment safe?
Both approaches use tissue from your own body, which makes rejection or an allergic reaction very unlikely. Temporary pain, swelling or bruising may occur, as after any injection, and infection is rare. The risks for your particular case are explained by the doctor at the consultation.
How long does the effect last?
Results vary. The effect of PRP often holds for several months to about a year; SVF can keep working longer. How long it lasts depends on the stage of the condition and your own body — no one can promise a fixed result.
Who should not have the procedure?
The procedure is ruled out for cancer, acute infections and blood clotting disorders, during pregnancy and during a flare-up of a serious chronic illness. This is checked by the doctor at the consultation.
Does hip osteoarthritis (coxarthrosis) always need surgery, or can it be treated without?
At an early stage, combining PRP or SVF injections with exercise therapy and physiotherapy can reduce pain and help movement. When the joint is already badly damaged, replacement may be more realistic, and the doctor will say so honestly after seeing your scans.
Can avascular necrosis of the hip be treated?
When the condition is at an early stage (1–2), SVF therapy may be considered to support blood supply to the femoral head and delay a 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. Send your X-rays, MRI, CT or medical reports, and a doctor will review them free of charge and tell you whether the procedure could suit you and what else may be needed.
How soon can I return to normal life?
Usually after a day or two. Crutches and long rehabilitation are not needed; for the first weeks you get recommendations on load and exercise from the doctor.
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.
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Other services at our clinic
Joint treatment in Munich step by step
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 Munich.
Before the procedure, the doctor tells you which tests are needed. If you already have X-rays, MRI or ultrasound results, patients from Munich can send them in advance and receive a preliminary answer on whether the treatment could suit them.
A consultation is the first step for every patient from Munich. It is free, and after it you know the method, the number of injections and the cost.
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