1Consultation 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.
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
Consultation and review of your scansFree
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What it is
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
- Own tissue — your blood and adipose tissue
- Ultrasound guidance for every injection
Who the treatment suits
Whether this treatment is right for you is a doctor's decision, made after an examination and a scan review
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: fever, flu or a cold, inflamed skin over the joint that is 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 opinionFree of charge, a doctor gives an independent assessment of the X-rays, MRI or reports you send
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 will later be used to prepare platelet-rich plasma with growth factors.
3Adipose 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.
4Processing 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.
5Injection into the joint
Directly into the affected joint, under ultrasound guidance — this is how the prepared material is injected for precise placement.
6Follow-up
There are no crutches and no hospital stay. After the procedure the doctor keeps in touch 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
Only your own blood and adipose tissue are used — no donor or synthetic material
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.
- 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
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.
- 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
KneePain on stairs and after walks, cartilage wear, meniscus issues
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderWear of the joint and the tendons around it, painful arm raising
ElbowJoint surface wear and pain after overloading or sports strain
Hand and wrist jointsStiff and sore small joints in the wrist and the fingers
AnklePain and stiffness after sprains and old injuries
Advantages
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
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.