1Consultation 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.
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
Consultation and review of your scansFree
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What it is
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
- Own tissue — your blood and adipose tissue
- Ultrasound guidance for every injection
Who the treatment suits
After an examination and a review of your scans, a doctor decides whether the treatment suits you
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, or skin inflammation 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 opinionYour X-rays, MRI or reports are assessed independently by a doctor at no charge once you send them
How it works
How the procedure goes: step by step
1
2Blood sample for PRP
The nurse takes a little blood from a vein. Platelet-rich plasma with growth factors is prepared from this blood later.
3Adipose 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.
4Processing 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.
5Injection into the joint
Using ultrasound guidance, the doctor injects the prepared material directly into the affected joint so it is placed precisely.
6Follow-up
No crutches and no hospital stay. The doctor stays in touch after the procedure and follows how the joint responds.
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 your own adipose tissue and blood only, with no donor or synthetic material
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.
- 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, 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.
- 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 joints and small joints — having reviewed your scans, the doctor chooses which joint, which method and how many injections
KneeCartilage wear with meniscus trouble and pain on stairs or after walking
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderPain on raising the arm; wear of the joint and the tendons around it
ElbowPain after sports strain or overuse, plus wear of the joint surfaces
Hand and wrist jointsPainful, stiff small joints of the wrist and fingers
AnklePain and stiffness after sprains and old injuries
Advantages
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
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
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
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
Doctors usually describe four stages, from early thinning of the cartilage to severe wear. Injection treatment is most often considered in the early and middle stages; the doctor decides after reviewing your X-ray or MRI.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
At early stages, PRP or SVF injections combined with exercise therapy and physiotherapy can reduce pain and improve movement. If the joint is already badly damaged, replacement may be the more realistic option — the doctor will tell you honestly after seeing your scans.
At early stages (1–2), SVF therapy may be considered to support blood supply to the femoral head and delay the need for joint replacement. At later stages surgery is usually required.