Arthrosis Treatment in Cologne Without Surgery
SVF cell therapy and PRP for knee, hip and other joints affected by arthrosis. A free review of your X-rays or MRI to check the stage
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, which doctors also call arthrosis, is a chronic process of cartilage thinning and wearing away inside a joint. The cartilage is there to absorb shock, and as it deteriorates the bones rub together, producing pain, stiffness and reduced mobility. It is degenerative rather than inflammatory, although flares with swelling occur.
Joints carrying the greatest load are affected most frequently — the knee (gonarthrosis), the hip (coxarthrosis), the ankle and the small hand joints. Treatment is most successful at an early or moderate stage, before the joint surfaces are badly damaged; with advanced disease the doctor will honestly say if joint replacement is the more realistic route.
No surgery — an injection instead of an operation
Ultrasound guidance for every injection
Free consultation and review of your scans
Joints we treat
Any joint, large or small — once your scans are reviewed, the doctor settles on the joint, the method and the injection count
Elbow
Joint surface wear and pain after overloading or sports strain
Hand and wrist joints
Stiff, painful small joints in the fingers and the wrist
Knee
Meniscus problems, cartilage wear and pain when walking or on stairs
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Joint and tendon wear around it, pain on lifting the arm
Methods we use
Cell therapy (SVF) from your own adipose tissue
A small sample of your adipose tissue is processed to isolate the stromal vascular fraction (SVF) — a mix of cells involved in tissue repair. Combined with your own plasma, it is injected into the affected joint.
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
Plasma rich in platelets and growth factors is separated from a small amount of your blood and injected into the joint. It helps calm inflammation and creates better conditions for tissue repair.
Commonly used for mild osteoarthritis — and together with SVF when you need a stronger effect.
How the procedure goes: step by step
Consultation and scan review
An examination of the joint and a review of your X-rays, MRI or ultrasound let the doctor decide if the procedure is suitable. Existing scans can be sent in advance of the visit.
Blood sample for PRP
We take a small amount of blood from a vein, which is later used to prepare platelet-rich plasma with growth factors.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
A small portion of adipose tissue (about 30 ml) is taken under local anaesthetic through a puncture on the abdomen or inner thigh. There is no need for stitches.
Processing in a centrifuge
The sample is centrifuged so that it splits into layers. The stromal vascular fraction is then isolated and mixed with platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
The doctor injects the prepared material directly into the affected joint, with ultrasound guidance helping place it precisely.
Follow-up
No hospital stay and no crutches are needed. After the procedure, the doctor remains in touch and tracks how the joint responds.
Consultation and scan review
An examination of the joint and a review of your X-rays, MRI or ultrasound let the doctor decide if the procedure is suitable. Existing scans can be sent in advance of the visit.
Blood sample for PRP
We take a small amount of blood from a vein, which is later used to prepare platelet-rich plasma with growth factors.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
A small portion of adipose tissue (about 30 ml) is taken under local anaesthetic through a puncture on the abdomen or inner thigh. There is no need for stitches.
Processing in a centrifuge
The sample is centrifuged so that it splits into layers. The stromal vascular fraction is then isolated and mixed with platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
The doctor injects the prepared material directly into the affected joint, with ultrasound guidance helping place it precisely.
Follow-up
No hospital stay and no crutches are needed. After the procedure, the doctor remains in touch and tracks how the joint responds.
Follow-up visits
The doctor follows the joint's response at follow-up visits and adjusts the plan as needed — pain tends to ease during the first month, mobility improves over about three months, and the full effect develops over around six months.
Conditions we treat
Only a doctor, after an examination and a review of scans, decides whether this 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: flu or a cold, fever, or skin inflammation over the joint being 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
You will most likely go home that same day and be back to normal activity within a day or two; small dressings are placed over the puncture sites. For the first week the joint may ache a little more than before, which is expected. Pain generally eases over the first month, mobility and activity improve over about three months, and the full effect takes around six months. The result lasts differently for each person, depending on the stage of the condition, body weight, activity and other factors, so no fixed result can be promised. Staying at a healthy weight and exercising regularly in a joint-friendly way helps.
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
Your own blood and adipose tissue are the only materials used — nothing donor or synthetic
No crutches
Instead of incisions we use punctures, under local anaesthetic, with no long rehabilitation
Second opinion
Get a free, independent doctor's assessment of your X-rays, MRI or reports — simply send them over
Support after the procedure
Not just the injection day — we stay in touch after the procedure and follow your result
Osteoarthritis treatment prices
The doctor quotes the cost after the consultation, as it depends on the joint, the method and the stage of osteoarthritis
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 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.
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?
Many people notice early changes 2–3 weeks after the procedure, while a stable result forms over about six months and lasts from several months to several years depending on the person. Osteoarthritis is chronic, so an ongoing plan is needed rather than one injection.
At which stage does the treatment work best?
At early and moderate stages. The milder the stage, the faster and longer-lasting the effect usually is, and it may reduce the need for regular hyaluronic acid injections. At the most advanced stage, when the joint space has almost disappeared, a lasting effect cannot be expected.
Which joints are most often affected?
The joints that carry the most load: the knees, hips and ankles, as well as the small joints of the hand and the spine. Regenerative treatment is used for all of these joints.
What happens if osteoarthritis is left untreated?
Typically it progresses, with constant pain, more limited movement, possible joint deformity and difficulty walking. Early diagnosis, weight control, exercise and working together with a doctor make a real difference.
Which tests and scans are needed?
An X-ray is the primary method, and it shows the stage. MRI details the cartilage and soft tissues, ultrasound shows joint fluid and inflammation, and blood tests help to rule out inflammatory conditions. If you already have test results, the doctor will review them free of charge.
How is osteoarthritis different from arthritis?
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.
Can I get a consultation about my case?
Yes — send X-rays, MRI or test results, and a doctor will review them at no charge, assess the stage of osteoarthritis and, if appropriate, suggest a non-surgical plan.
Can I exercise with osteoarthritis?
Yes — exercise is encouraged. The right activity builds the muscles that take the load off the joint, improves how the cartilage is nourished and keeps you mobile. Try swimming, water aerobics, cycling, Nordic walking or yoga, and avoid running on hard ground, jumping, heavy lifting and sudden movements.
City Medical Centre licences
Other services at our clinic
Osteoarthritis treatment in Cologne: what you should know
Treatment of osteoarthritis in Cologne uses your own tissue: plasma from a small blood sample and the stromal vascular fraction from a small sample of adipose tissue. There is no donor or synthetic material.
Blood tests help rule out inflammatory conditions before treatment. If you are a patient from Cologne, the doctor tells you in advance which tests are needed so you can prepare.
Knee or hip osteoarthritis? Patients from Cologne can send their X-rays or MRI and get a free assessment of the stage and a clear answer on suitable treatment and its price.
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