Knee and Hip Treatment in Nuremberg Without Surgery
PRP and SVF cell therapy for the knee, hip, shoulder and more. We review your scans free of charge before any decision
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?
Everything used in regenerative joint treatment comes from you: platelet-rich plasma (PRP) is made from your blood, and the stromal vascular fraction (SVF) from a little adipose tissue. The doctor injects it into the painful joint to lessen inflammation and pain and to support the joint's inner tissues.
People with joint pain choose it to avoid surgery or push it back, including those told a joint replacement is the only way. A lasting effect is more likely the earlier the condition is caught; the doctor evaluates this using 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
Aching after strain from sport or overuse, joint surface wear
Hand and wrist joints
Stiffness and pain in the small joints of the hand and wrist
Knee
Meniscus problems, cartilage wear and pain on stairs or after a walk
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Pain on lifting the arm, wear of the joint and nearby tendons
Methods we use
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.
It is usually chosen when the changes in the joint are more pronounced and a longer-lasting effect is the goal.
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.
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
A small volume of blood is drawn from a vein, which is later turned into platelet-rich plasma with growth factors.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
A small portion of adipose tissue (about 30 ml) is taken under local anaesthetic through a puncture on the abdomen or inner thigh. There is no need for stitches.
Processing in a centrifuge
Centrifugation divides the sample into layers, so the stromal vascular fraction can be isolated and then mixed 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
A small volume of blood is drawn from a vein, which is later turned into platelet-rich plasma with growth factors.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
A small portion of adipose tissue (about 30 ml) is taken under local anaesthetic through a puncture on the abdomen or inner thigh. There is no need for stitches.
Processing in a centrifuge
Centrifugation divides the sample into layers, so the stromal vascular fraction can be isolated and then mixed 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
Follow-up visits let the doctor see how the joint responds and adjust the plan — pain usually eases over the first month, mobility improves over about three months, and the full effect develops 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: 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
Usually you leave the same day and resume ordinary daily activity within a day or two, with small dressings over the puncture sites. The joint may ache slightly more during the first week — an expected reaction. Over the first month pain typically eases; over roughly three months mobility and activity improve; the full effect develops over about six months. Its duration is individual and depends on the stage of the condition, body weight, activity and other factors, so no fixed result can be promised. The doctor advises you personally 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
No donor or synthetic material: only your own blood and adipose tissue are used
No crutches
Punctures, not incisions; local anaesthetic; no prolonged rehabilitation
Second opinion
Free of charge: a doctor's independent assessment of the X-rays, MRI or reports you send
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
Pricing depends on the joint, the condition's stage and the method; you learn it from the doctor 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?
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?
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.
How long does the effect last?
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.
Who should not have the procedure?
People with cancer, acute infections or blood clotting disorders cannot have the procedure, nor can pregnant women or anyone in a flare-up of a serious chronic illness. The doctor checks this at the consultation.
Is it possible to treat hip osteoarthritis (coxarthrosis) without surgery?
When the condition is at an early stage, injections of PRP or SVF alongside exercise therapy and physiotherapy can ease pain and improve mobility. With a badly damaged joint, replacement may be the realistic option, and the doctor will be honest about this after seeing your scans.
Can avascular necrosis of the hip be treated?
In the early stages (1–2), SVF therapy may be considered to support the blood supply to the femoral head and put off the need for joint replacement. Later stages usually require surgery.
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. 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?
Most people return within a day or two. There is no long rehabilitation and no need for crutches; the doctor gives advice on load and exercise for the first weeks.
Does the treatment help with shoulder pain?
PRP is used for problems with the shoulder joint and rotator cuff, while SVF may be considered for more advanced shoulder arthritis. Whether it suits you depends on what causes the pain, which the doctor establishes first.
City Medical Centre licences
Other services at our clinic
How SVF and PRP therapy works for Nuremberg residents
Joint pain does not always mean surgery. In Nuremberg, many people with early or moderate changes in the knee, hip or shoulder first try to preserve their own joint. SVF and PRP injections aim to reduce pain and inflammation and to slow further wear of the cartilage.
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 Nuremberg.
A consultation is the first step for every patient from Nuremberg. It is free, and after it you know the method, the number of injections and the cost.
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