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.
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
Consultation and review of your scansFree
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What it is
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
- Own tissue — your blood and adipose tissue
- Ultrasound guidance for every injection
Who the treatment suits
Whether the treatment suits you is decided by a doctor after an examination and a review of your scans
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 fever, a cold or flu, 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 opinionSend your X-rays, MRI or reports and a doctor will give an independent assessment free of charge
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
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.
4Processing 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.
5Injection into the joint
The prepared material is injected straight into the affected joint under ultrasound guidance, which helps to place it precisely.
6Follow-up
Afterwards there are no crutches and no hospital stay, and the doctor keeps in touch to follow how the joint is responding.
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.
The usual reason to choose it: more pronounced changes in the joint and the goal of a longer-lasting effect.
- 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
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.
- 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 — the doctor chooses the joint, the method and the number of injections after reviewing your scans
KneeCartilage wearing down, meniscus problems, pain after walking or on stairs
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderWear of the joint and its tendons, pain when raising the arm
ElbowWear of the joint surfaces, pain after overuse or sports strain
Hand and wrist jointsStiffness and aching in the finger and wrist joints
AnklePain and stiffness after sprains and old injuries
Advantages
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
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
Because the joint, the stage of the condition and the method all affect the cost, the doctor states it 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.