1Consultation 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.
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
Consultation and review of your scansFree
Message us on WhatsAppFree online consultation · Reply within 15 minutes
Message our coordinator
Free online consultation · Reply within 15 minutes
Message us on TelegramMessage us on WhatsAppBy messaging us, you agree to our Privacy Policy
What it is
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
- Own tissue — your blood and adipose tissue
- Ultrasound guidance for every injection
Who the treatment suits
A doctor decides whether the treatment suits you after examining you and reviewing your scans
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 opinionShare your X-rays, MRI or medical reports and get a free, independent assessment from a doctor
How it works
How the procedure goes: step by step
1
2Blood sample for PRP
A small amount of venous blood is drawn, to be processed later into platelet-rich plasma with growth factors.
3Adipose 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.
4Processing 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.
5Injection into the joint
Under ultrasound guidance the prepared material is injected straight into the affected joint, which helps to place it precisely.
6Follow-up
No hospital stay and no crutches are needed. After the procedure, the doctor remains in touch and tracks 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
Just your blood and your adipose tissue — no synthetic material and nothing from donors
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.
- 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
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.
- 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
From large joints to small ones — which joint, which method and how many injections is decided after the doctor studies your scans
KneeCartilage wear with meniscus trouble and pain on stairs or after walking
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderPain as the arm goes up, wear in the joint and surrounding tendons
ElbowPain that follows sports strain or overuse, and joint surface wear
Hand and wrist jointsPain and stiffness in the 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
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
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
- TelegramMessage us on TelegramMessage us on Telegram
- TelegramMessage us on TelegramMessage us on Telegram
- Message us on WhatsApp
By messaging us, you agree to our Privacy Policy
Request a free callPrice
Osteoarthritis treatment prices
After the consultation the doctor names the cost, which depends on the joint, the stage of osteoarthritis and the method
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 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.
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 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 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.
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.
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.
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.
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.
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.
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.