1Consultation 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.
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
Consultation and review of your scansFree
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What it is
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
- 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: having a fever, a cold or flu, or inflamed skin over 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 opinionFree of charge: a doctor's independent assessment of the X-rays, MRI or reports you send
How it works
How the procedure goes: step by step
1
2Blood sample for PRP
A small volume of blood is drawn from a vein, which is later turned into platelet-rich plasma with growth factors.
3Adipose 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.
4Processing 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.
5Injection into the joint
The finished material is injected into the affected joint itself, guided by ultrasound so that it lands precisely.
6Follow-up
No crutches, no hospital stay — and after the procedure the doctor keeps in touch to follow the joint's response.
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
No donor or synthetic material: only your own blood and adipose tissue are used
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.
- 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 or small, each joint is assessed on your scans first — then the doctor chooses the method and how many injections are needed
KneeMeniscus problems, cartilage wear and pain on stairs or after a walk
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderPain on lifting the arm, wear of the joint and nearby tendons
ElbowAching after strain from sport or overuse, joint surface wear
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
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
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
Pricing depends on the joint, the condition's stage and the method; you learn it from the doctor 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.
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.
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.
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.
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.
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.
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.
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. 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.
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.
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.
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.