Osteoarthritis Treatment for Patients from Berlin
SVF cells and platelet-rich plasma for joints worn by arthrosis — knee, hip and others. Stage checked through a free review of your X-rays or MRI
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 osteoarthritis
(arthrosis)?
In osteoarthritis, sometimes called arthrosis, the joint's cartilage lining wears away bit by bit over years. That cartilage normally absorbs shock; once it breaks down, bone rubs on bone and the joint becomes painful, stiff and less mobile. It is a disease of wear rather than inflammation, even if episodes of swelling happen.
The joints under the heaviest load are affected most often: the knee (gonarthrosis), the hip (coxarthrosis), the ankle and the small joints of the hand. Treatment gives the best results at early and moderate stages, while the joint surfaces are still in fair condition; if the stage is advanced, the doctor will say plainly when joint replacement is the more realistic choice.
No surgery — an injection instead of an operation
Ultrasound guidance for every injection
Free consultation and review of your scans
Joints we treat
Large joints and small joints — having reviewed your scans, the doctor chooses which joint, which method and how many injections
Elbow
Pain after sports strain or overuse, plus wear of the joint surfaces
Hand and wrist joints
Painful, stiff small joints of the wrist and fingers
Knee
Cartilage wear with meniscus trouble and 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 on raising the arm; wear of the joint and the tendons around it
Methods we use
Cell therapy (SVF) from your own adipose tissue
We take a small sample of your adipose tissue and process it to isolate the stromal vascular fraction (SVF), a mix of cells that take part in tissue repair. It is combined with your own plasma and injected into the affected joint.
It is used mainly at early and moderate stages of osteoarthritis to slow cartilage wear and reduce friction between the joint surfaces.
PRP — platelet-rich plasma from your own blood
The joint receives an injection of plasma rich in platelets and growth factors, prepared from a small amount of your blood. It helps reduce inflammation and creates a better setting for tissue repair.
For mild osteoarthritis it is often used alone, and with SVF when the effect needs to be stronger.
How the procedure goes: step by step
Consultation and scan review
The doctor checks the joint, studies your X-rays, MRI or ultrasound and decides if this procedure fits your case. If scans are already done, send them before the visit.
Blood sample for PRP
The nurse takes a little blood from a vein. Platelet-rich plasma with growth factors is prepared from this blood later.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Roughly 30 ml of adipose tissue is taken through a puncture on the inner thigh or abdomen under local anaesthetic. No stitches are needed.
Processing in a centrifuge
The sample is spun in a centrifuge and separates into layers. The stromal vascular fraction is isolated and mixed with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Using ultrasound guidance, the doctor injects the prepared material directly into the affected joint so it is placed precisely.
Follow-up
No crutches and no hospital stay. The doctor stays in touch after the procedure and follows how the joint responds.
Consultation and scan review
The doctor checks the joint, studies your X-rays, MRI or ultrasound and decides if this procedure fits your case. If scans are already done, send them before the visit.
Blood sample for PRP
The nurse takes a little blood from a vein. Platelet-rich plasma with growth factors is prepared from this blood later.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Roughly 30 ml of adipose tissue is taken through a puncture on the inner thigh or abdomen under local anaesthetic. No stitches are needed.
Processing in a centrifuge
The sample is spun in a centrifuge and separates into layers. The stromal vascular fraction is isolated and mixed with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Using ultrasound guidance, the doctor injects the prepared material directly into the affected joint so it is placed precisely.
Follow-up
No crutches and no hospital stay. The doctor stays in touch after the procedure and follows how the joint responds.
Follow-up visits
Follow-up appointments let the doctor monitor the joint and adjust the plan. As a rule, pain eases in the first month, mobility improves over about three months and the full effect develops over around six months.
Conditions we treat
After an examination and a review of your scans, a doctor decides whether the treatment suits you
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, or skin inflammation 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 are home the same day and resume normal daily life within a day or two, with small dressings on the punctures. Slightly more aching in the joint during the first week is an expected reaction. Over the first month pain usually eases; over about three months activity and mobility improve; over around six months the full effect develops. The duration of the result is individual, depending on the stage, body weight, activity and other factors — no one can promise a fixed outcome. Regular, joint-friendly exercise and a healthy weight help it last longer.
Why patients choose City Medical Centre
Treatment without surgery that works to keep your own joint rather than swap it for an implant
Your own tissue
We use your own adipose tissue and blood only, with no donor or synthetic material
No crutches
Instead of incisions we use punctures, under local anaesthetic, with no long rehabilitation
Second opinion
Your X-rays, MRI or reports are assessed independently by a doctor at no charge once you send them
Support after the procedure
After the procedure we stay in contact and track the result — not just on injection day
Osteoarthritis treatment prices
Since the joint, the method and the stage of osteoarthritis determine the cost, it is named by 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 osteoarthritis in simple terms?
Osteoarthritis is slow wear of the cartilage over the ends of the bones inside a joint. Thinner cartilage means less cushioning, so the bones rub and you get pain, stiffness and crunching. It is degenerative, not inflammatory.
Can hip osteoarthritis be treated without surgery?
Often it can, as long as treatment is not postponed. SVF and PRP injections set out to reduce pain and support the cartilage, avoiding an operation; replacement of the joint is the last option when it is already destroyed.
How soon will I notice a result?
Many patients see the first changes 2–3 weeks after the procedure. A stable result takes about six months to form and can last from several months to several years, depending on the person. Because osteoarthritis is chronic, it needs an ongoing plan, not a single injection.
At which stage does the treatment work best?
The early and moderate stages. As a rule, the milder the stage, the faster and longer the effect, and regular hyaluronic acid injections may be needed less. A lasting effect cannot be expected at the most advanced stage, when the joint space has almost vanished.
Which joints are most often affected?
Mostly the heavily loaded knees, hips and ankles, along with the small joints of the hand and the spine. Regenerative treatment is used for all these joints.
What happens if osteoarthritis is left untreated?
In most cases it progresses: the pain becomes constant, movement narrows, the joint may deform and walking can get difficult. A real difference comes from early diagnosis, weight control, exercise and working with a doctor.
Which tests and scans are needed?
An X-ray is the key test and shows the stage. A detailed view of the cartilage and soft tissues comes from MRI, ultrasound shows fluid and inflammation in the joint, and blood tests help rule out inflammatory diseases. Results you already have can be reviewed by the doctor free of charge.
How is osteoarthritis different from arthritis?
In osteoarthritis the cartilage wears, causing aching pain on movement, crunching and stiffness after rest; in arthritis the joint is inflamed, with pain at rest and at night, swelling, redness and warmth. The treatment approach differs, so diagnosis is the first step.
Can I get a consultation about my case?
Yes, you can. Send the X-rays, MRI or test results; a doctor will review them free of charge, assess the osteoarthritis stage and recommend a non-surgical plan if suitable.
Can I exercise with osteoarthritis?
Yes, and you should. The right activity strengthens the muscles that unload the joint, improves cartilage nutrition and keeps you mobile. Swimming, water aerobics, cycling, Nordic walking and yoga are good choices; avoid running on hard surfaces, jumping, heavy lifting and sudden movements.
City Medical Centre licences
Other services at our clinic
Osteoarthritis treatment in Berlin: a short guide
Knee and hip osteoarthritis are the most common reasons patients from Berlin consider joint replacement. SVF and PRP therapy is a way to try to delay or avoid surgery while the joint can still be preserved.
Osteoarthritis treatment in Berlin is not done with cancer, acute infections, blood clotting disorders, during pregnancy or during a flare-up of a serious chronic illness. The doctor checks this at the consultation.
Book a free consultation in Berlin to find out whether SVF or PRP could slow your osteoarthritis. The doctor names the price after examining the joint.
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