Osteoarthritis Treatment in Dortmund
Arthrosis of the knee, hip or another joint treated with SVF cells and PRP. Your X-rays or MRI are reviewed free of charge to confirm 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)?
With osteoarthritis (arthrosis), the cartilage that lines a joint gradually wears away over time. This cartilage is the joint's shock absorber, and when it is lost the bones rub against each other, causing pain, stiffness and limited mobility. The condition is degenerative, not inflammatory, although it can flare up with swelling.
Knees (gonarthrosis) and hips (coxarthrosis) are affected most, since they carry the greatest load, followed by the ankle and the small joints of the hand. The treatment works best early or at a moderate stage, before the joint surfaces are badly worn; in advanced cases the doctor will tell you frankly if a joint replacement is more realistic.
No surgery — an injection instead of an operation
Ultrasound guidance for every injection
Free consultation and review of your scans
Joints we treat
From large joints to small ones — which joint, which method and how many injections is decided after the doctor studies your scans
Elbow
Pain that follows sports strain or overuse, and joint surface wear
Hand and wrist joints
Pain and stiffness in the 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 as the arm goes up, wear in the joint and surrounding tendons
Methods we use
Cell therapy (SVF) from your own adipose tissue
Your adipose tissue, in a small sample, is processed to isolate the stromal vascular fraction (SVF): a combination of cells that take part in tissue repair. With your own plasma added, it is injected into the joint in question.
Doctors use it chiefly in early and moderate osteoarthritis, aiming to slow cartilage wear and cut friction between the joint surfaces.
PRP — platelet-rich plasma from your own blood
A small amount of your blood is used to separate plasma rich in platelets and growth factors, which is then injected into the joint. It helps settle inflammation and creates better conditions for tissue repair.
It is a common option in mild osteoarthritis and is combined with SVF where a stronger effect is needed.
How the procedure goes: step by step
Consultation and scan review
The doctor examines your joint, looks through your X-rays, MRI or ultrasound and decides whether the procedure is right for you. If you already have scans, you can send them ahead of the visit.
Blood sample for PRP
A small amount of venous blood is drawn, to be processed later into platelet-rich plasma with growth factors.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
With local anaesthetic, a small amount of adipose tissue — around 30 ml — is obtained through a puncture on the abdomen or inner thigh, and no stitches are needed.
Processing in a centrifuge
The centrifuge spins the sample until it separates into layers; the isolated stromal vascular fraction is then mixed with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Under ultrasound guidance the prepared material is injected straight into the affected joint, which helps to 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
The doctor examines your joint, looks through your X-rays, MRI or ultrasound and decides whether the procedure is right for you. If you already have scans, you can send them ahead of the visit.
Blood sample for PRP
A small amount of venous blood is drawn, to be processed later into platelet-rich plasma with growth factors.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
With local anaesthetic, a small amount of adipose tissue — around 30 ml — is obtained through a puncture on the abdomen or inner thigh, and no stitches are needed.
Processing in a centrifuge
The centrifuge spins the sample until it separates into layers; the isolated stromal vascular fraction is then mixed with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Under ultrasound guidance the prepared material is injected straight into the affected joint, which helps to 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
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
A doctor decides whether the treatment suits you after examining you and reviewing your scans
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
Usually you leave the same day and return to everyday activity within a day or two; the puncture sites just need small dressings. The joint can ache a bit more in the first week — this reaction is expected. Pain typically eases over the first month, mobility and activity improve over about three months, and the full effect develops over around six months. How long the result lasts is individual and depends on the stage of the condition, body weight, activity and other factors; a fixed result cannot be promised by anyone. A healthy weight and regular joint-friendly exercise help it last.
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
Just your blood and your adipose tissue — no synthetic material and nothing from donors
No crutches
No long rehabilitation: local anaesthetic and punctures instead of incisions
Second opinion
Share your X-rays, MRI or medical reports and get a free, independent assessment from a doctor
Support after the procedure
We stay in touch after the procedure and follow the result, not just the day of the injection
Osteoarthritis treatment prices
After the consultation the doctor names the cost, which depends on the joint, the stage of osteoarthritis and the method
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?
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 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?
Those that carry the most load: knees, hips, ankles, and also the small hand joints and the spine. Regenerative treatment is applied to every one of them.
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?
Mainly with an X-ray, which reveals the stage. MRI shows the cartilage and soft tissues in detail, ultrasound shows fluid and inflammation in the joint, and blood tests help rule out inflammatory conditions. If you have results already, the doctor can review them at no charge.
How is osteoarthritis different from arthritis?
The difference: osteoarthritis is wear of the cartilage (aching pain on movement, crunching, stiffness after rest), while arthritis is inflammation (pain at rest and at night, swelling, redness, warmth over the joint). Treatment differs, which is why 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?
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.
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Other services at our clinic
Osteoarthritis in Dortmund: stages, methods and price
Knee and hip osteoarthritis are the most common reasons patients from Dortmund consider joint replacement. SVF and PRP therapy is a way to try to delay or avoid surgery while the joint can still be preserved.
During the first week the joint may ache a little more — this is an expected reaction. Pain usually eases over the first month, and mobility improves over about three months. Patients from Dortmund go home the same day.
Knee or hip osteoarthritis? Patients from Dortmund 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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