Joint Treatment for Patients from Stuttgart
Cell therapy (SVF) and platelet-rich plasma for knee, hip and shoulder joints and beyond, plus a free look at your scans first
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?
The treatment is regenerative and uses only what your body supplies: PRP (platelet-rich plasma from the blood) and SVF (the stromal vascular fraction from a small piece of adipose tissue). Injected into the joint that hurts, it aims to calm inflammation, ease pain and support the tissue within.
The option is aimed at patients with joint pain who wish to avoid or postpone surgery, or who have only been offered a replacement. The chance of a lasting effect is best at an early stage, which the doctor checks on 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 and small joints — the doctor chooses the joint, the method and the number of injections after reviewing your scans
Elbow
Wear of the joint surfaces, pain after overuse or sports strain
Hand and wrist joints
Stiffness and aching in the finger and wrist joints
Knee
Cartilage wearing down, meniscus problems, pain after walking or on stairs
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Wear of the joint and its tendons, pain when raising the arm
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.
The usual reason to choose it: more pronounced changes in the joint and the goal of a longer-lasting effect.
PRP — platelet-rich plasma from your own blood
The joint receives an injection of plasma rich in platelets and growth factors, separated from a small amount of your blood. It helps soothe inflammation and creates better conditions for the tissues to 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
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.
Blood 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.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
With local anaesthetic, a small amount of adipose tissue (around 30 ml) is taken via a puncture on the abdomen or inner thigh — without stitches.
Processing 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.
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
Afterwards there are no crutches and no hospital stay, and the doctor keeps in touch to follow how the joint is responding.
Consultation 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.
Blood 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.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
With local anaesthetic, a small amount of adipose tissue (around 30 ml) is taken via a puncture on the abdomen or inner thigh — without stitches.
Processing 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.
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
Afterwards there are no crutches and no hospital stay, and the doctor keeps in touch to follow how the joint is responding.
Follow-up visits
At follow-up visits the doctor sees how the joint is responding and adjusts the plan: pain usually eases in the first month, mobility improves over roughly three months, and the full effect develops over about six months.
Conditions we treat
Whether the treatment suits you is decided by a doctor after an examination and a review of your scans
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: a fever, a cold or flu, 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
Most patients return home that same day and get back to their usual daily activity in a day or two, with small dressings on the puncture sites. It is an expected reaction for the joint to ache slightly more in the first week. Over the first month the pain usually eases, over about three months mobility and activity get better, and over around six months the full effect develops. How long it lasts is individual — the stage of the condition, body weight, activity and other factors all play a part — and no one can promise a fixed result. In the first weeks, your doctor advises you individually on exercise and load.
Why patients choose City Medical Centre
Keeping your natural joint instead of replacing it is our goal — no surgery involved
Your own tissue
We use nothing but your own blood and adipose tissue, with no donor or synthetic material
No crutches
No long rehabilitation: punctures instead of incisions, done under local anaesthetic
Second opinion
Send your X-rays, MRI or reports and a doctor will give an independent assessment free of charge
Support after the procedure
Contact continues after the procedure — we track the result, not just the injection itself
Joint treatment prices
Because the joint, the stage of the condition and the method all affect the cost, the doctor states it 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?
The difference: PRP is plasma rich in platelets, obtained from your blood, and SVF is a cell fraction isolated from a little of your adipose tissue. Their mechanisms differ, so they are often combined for a stronger regenerative effect.
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?
It is different for everyone: after PRP the effect frequently lasts from several months to roughly a year, and SVF can give a longer effect. The stage of the condition and your body decide the duration, so no fixed result can be promised.
Who should not have the procedure?
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.
Hip osteoarthritis (coxarthrosis): can it be treated without surgery?
In early stages, a combination of PRP or SVF injections, exercise therapy and physiotherapy can reduce pain and improve movement. Where the joint is already badly damaged, replacement may be more realistic; the doctor will be honest with you once your scans are reviewed.
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?
Replacing a joint is major surgery, with long rehabilitation, risks such as infection and implants that may one day need replacing again. For early or moderate changes, it is often worth trying to keep your own joint first.
Can I get a second opinion on my scans?
Yes. Send us your X-rays, MRI, CT or medical reports; a doctor will review them free of charge and tell you whether the procedure could suit you and what else might be needed.
How soon can I return to normal life?
Normally within a day or two. You will not need crutches or long rehabilitation, and the doctor gives you load and exercise recommendations 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 Stuttgart residents
SVF and PRP work in different ways. PRP helps calm inflammation and creates better conditions for repair; SVF contains cells involved in tissue repair and is chosen when changes are more pronounced. For patients from Stuttgart, the doctor often combines the two.
Ultrasound guidance helps place the material exactly where it is needed. For patients from Stuttgart, this is one of the steps that make an injection into the knee, hip or shoulder more precise.
The price depends on how many joints are treated and which method is chosen. For patients from Stuttgart, the doctor explains the plan and the cost at the consultation, which is free.
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