Hip Osteoarthritis Treatment in Bremen
PRP and SVF cell therapy for the knee, hip and other arthritic joints, plus a free X-ray or MRI review to see which stage you are at
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)?
Osteoarthritis, also called arthrosis, is a chronic condition in which the cartilage lining a joint gradually thins and wears away. Cartilage works as a shock absorber; as it breaks down, the bones start to rub against each other, causing pain, stiffness and a smaller range of movement. It is a degenerative rather than an inflammatory disease, although flare-ups with swelling do 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 and small joints — the doctor chooses the joint, the method and the number of injections after reviewing your scans
Elbow
Joint surface wear and pain after overloading or sports strain
Hand and wrist joints
Stiff and sore small joints in the wrist and the fingers
Knee
Pain on stairs and after walks, cartilage wear, meniscus issues
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Wear of the joint and the tendons around it, painful arm raising
Methods we use
Cell therapy (SVF) from your own adipose tissue
From a small sample of your adipose tissue, the stromal vascular fraction (SVF) is isolated — a set of cells involved in repairing tissue. Mixed with your own plasma, it is then injected into the joint that is affected.
The typical indication is early or moderate osteoarthritis: the aim is slower cartilage wear and less friction between the surfaces of the joint.
PRP — platelet-rich plasma from your own blood
Taken from a small amount of your blood, plasma rich in platelets and growth factors is injected into the joint. There it helps calm inflammation and sets up better conditions for tissue repair.
It is frequently used for mild osteoarthritis, and combined with SVF when a stronger effect is required.
How the procedure goes: step by step
Consultation and scan review
The doctor decides whether the procedure suits you after examining the joint and reviewing X-rays, MRI or ultrasound. Scans you already have can be sent ahead of your visit.
Blood sample for PRP
From a vein, a small amount of blood is taken — it will later be used to prepare platelet-rich plasma with growth factors.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Under local anaesthetic, the doctor collects a small portion of adipose tissue (roughly 30 ml) via a puncture on the abdomen or the inner thigh. Stitches are not needed.
Processing in a centrifuge
Spinning in a centrifuge splits the sample into layers, after which 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
Directly into the affected joint, under ultrasound guidance — this is how the prepared material is injected for precise placement.
Follow-up
There are no crutches and no hospital stay. After the procedure the doctor keeps in touch and follows how the joint responds.
Consultation and scan review
The doctor decides whether the procedure suits you after examining the joint and reviewing X-rays, MRI or ultrasound. Scans you already have can be sent ahead of your visit.
Blood sample for PRP
From a vein, a small amount of blood is taken — it will later be used to prepare platelet-rich plasma with growth factors.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Under local anaesthetic, the doctor collects a small portion of adipose tissue (roughly 30 ml) via a puncture on the abdomen or the inner thigh. Stitches are not needed.
Processing in a centrifuge
Spinning in a centrifuge splits the sample into layers, after which 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
Directly into the affected joint, under ultrasound guidance — this is how the prepared material is injected for precise placement.
Follow-up
There are no crutches and no hospital stay. After the procedure the doctor keeps in touch and follows how the joint responds.
Follow-up visits
Follow-up visits show the doctor how your joint responds so the plan can be adjusted; usually pain eases within the first month, mobility improves over about three months, and the full effect takes around six months to develop.
Conditions we treat
Whether this treatment is right for you is a doctor's decision, made after an examination and a scan review
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: fever, flu or a cold, inflamed skin over the joint that is 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 people go home on the same day and are back to their usual daily activity within a day or two, with small dressings over the puncture sites. The joint may ache a little more during the first week — an expected reaction. Pain usually eases over the first month, mobility and activity improve over about three months, and the full effect develops over around six months. How long it lasts varies between people and depends on the stage of the condition, body weight, activity and other factors — nobody can promise a fixed result. A healthy weight and regular, joint-friendly exercise help the result last longer.
Why patients choose City Medical Centre
Keeping your own joint instead of replacing it: that is the goal of treatment without surgery
Your own tissue
Only your own blood and adipose tissue are used — no donor or synthetic material
No crutches
Only punctures, no incisions — under local anaesthetic and without a long rehabilitation
Second opinion
Free of charge, a doctor gives an independent assessment of the X-rays, MRI or reports you send
Support after the procedure
The result is followed after the procedure too; we stay in touch, not only on the day of the injection
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?
It means gradual wear of the cartilage on the ends of the bones in a joint. With thinning cartilage the joint loses cushioning, bones rub against each other and pain, stiffness and crunching set in — a degenerative, not an inflammatory, condition.
Can hip osteoarthritis be treated without surgery?
In many cases yes, if you start treatment on time. Injections of SVF and PRP are aimed at easing pain and supporting cartilage without an operation. The last option, joint replacement, is for joints already destroyed.
How soon will I notice a result?
The first changes are often noticed 2–3 weeks after the procedure. Over about six months a stable result forms, lasting anywhere from several months to several years depending on the individual. Osteoarthritis is chronic and calls for an ongoing plan rather than one 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?
Knees, hips and ankles, as the joints carrying the most load, plus the small joints of the hand and the spine. Regenerative treatment is used for each of these joints.
What happens if osteoarthritis is left untreated?
As a rule it progresses, so pain becomes constant, movement more limited, the joint may deform and walking can be hard. Early diagnosis, weight control, exercise and working with your doctor make a real difference.
Which tests and scans are needed?
Diagnosis relies mainly on an X-ray, which shows the stage. MRI adds a detailed view of the cartilage and soft tissues, ultrasound picks up inflammation and fluid in the joint, and blood tests help exclude inflammatory conditions. Any results you have can be reviewed by the doctor free of charge.
How is osteoarthritis different from arthritis?
Osteoarthritis — cartilage wear, aching pain during movement, crunching and stiffness after rest. Arthritis — inflammation, pain at rest and at night, swelling, redness and warmth over the joint. The approaches to treatment differ, so the first step is the diagnosis.
Can I get a consultation about my case?
Yes. Send your X-rays, MRI or test results, and a doctor will review them free of charge, assess the stage of osteoarthritis and suggest a non-surgical plan if it is appropriate.
Can I exercise with osteoarthritis?
Definitely yes. The right kind of activity strengthens muscles that unload the joint, supports cartilage nutrition and preserves mobility. Pick swimming, water aerobics, cycling, Nordic walking or yoga; steer clear of running on hard surfaces, jumping, heavy lifting and sudden movements.
City Medical Centre licences
Other services at our clinic
Osteoarthritis in Bremen: from X-ray to follow-up
An X-ray shows the stage of osteoarthritis, MRI gives a detailed view of cartilage and soft tissues, and ultrasound shows inflammation and fluid. Patients from Bremen who already have results can send them before the visit.
Blood tests help rule out inflammatory conditions before treatment. If you are a patient from Bremen, the doctor tells you in advance which tests are needed so you can prepare.
Patients from Bremen can start with a free review of their scans: the doctor assesses the stage of osteoarthritis and tells you whether non-surgical treatment makes sense. The price is named at the consultation.
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