Arthrosis Treatment in Düsseldorf Without Surgery
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 known as arthrosis — is a chronic disease in which joint cartilage steadily wears thin. Cartilage acts as a cushion, so as it breaks down the bones begin to rub, leading to pain, stiffness and less movement. It is degenerative in nature rather than inflammatory, but flare-ups with swelling still 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
Large and small joints alike. The joint, the technique and the number of injections are chosen by the doctor based on your scans
Elbow
Pain after overuse or sports strain, wear of the joint surfaces
Hand and wrist joints
Small finger and wrist joints that are stiff and painful
Knee
Pain after walking and climbing stairs, worn cartilage, meniscus problems
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.
Early and moderate osteoarthritis is where it is mostly used — to slow cartilage wear and reduce friction between the surfaces of the joint.
PRP — platelet-rich plasma from your own blood
A small blood sample provides plasma rich in platelets and growth factors; this is injected into the joint to help ease inflammation and create better conditions for the tissue to repair.
For mild osteoarthritis it is often used alone, and with SVF when the effect needs to be stronger.
How the procedure goes: step by step
Consultation and scan review
First comes an examination of the joint and a look at your X-rays, MRI or ultrasound, after which the doctor decides whether the procedure suits you. Already have scans? Send them before the visit.
Blood sample for PRP
A small volume of venous blood is collected; from it, platelet-rich plasma with growth factors is prepared later on.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Through a puncture on the abdomen or inner thigh, and under local anaesthetic, about 30 ml of adipose tissue is collected. No stitches are required.
Processing in a centrifuge
The sample goes into a centrifuge and divides into layers; the stromal vascular fraction is taken out and mixed with the 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 crutches, no stay in hospital. The doctor keeps in contact after the procedure and watches how your joint responds.
Consultation and scan review
First comes an examination of the joint and a look at your X-rays, MRI or ultrasound, after which the doctor decides whether the procedure suits you. Already have scans? Send them before the visit.
Blood sample for PRP
A small volume of venous blood is collected; from it, platelet-rich plasma with growth factors is prepared later on.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Through a puncture on the abdomen or inner thigh, and under local anaesthetic, about 30 ml of adipose tissue is collected. No stitches are required.
Processing in a centrifuge
The sample goes into a centrifuge and divides into layers; the stromal vascular fraction is taken out and mixed with the 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 crutches, no stay in hospital. The doctor keeps in contact after the procedure and watches how your joint responds.
Follow-up visits
Through follow-up visits the doctor sees how the joint responds and adjusts the plan accordingly — pain usually settles over the first month, mobility improves across about three months, and around six months are needed for the full effect.
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
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
We work on keeping your own joint rather than replacing it — treatment without surgery
Your own tissue
The treatment relies solely on your own blood and adipose tissue — no donor or synthetic material
No crutches
Instead of incisions we use punctures, under local anaesthetic, with no long rehabilitation
Second opinion
An independent assessment from a doctor, free of charge — send your X-rays, MRI or reports
Support after the procedure
Not just the injection day — we stay in touch after the procedure and follow your result
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?
Yes, in many cases, provided treatment is not left too late. SVF and PRP injections aim to ease pain and support cartilage without an operation. Joint replacement is the last option, for a joint that has already been destroyed.
How soon will I notice a result?
The first changes are often felt 2–3 weeks after the procedure, and a stable result forms over about six months, lasting several months to several years depending on the person. Osteoarthritis is chronic, which is why it needs an ongoing plan instead of 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 with the highest load, namely knees, hips and ankles, as well as the small joints of the hand and the spine. Regenerative treatment covers all 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?
X-ray is the main method and it shows the stage; MRI provides detail on the cartilage and soft tissues; ultrasound shows inflammation and joint fluid; blood tests help rule out inflammatory conditions. The doctor can review your existing results free of charge.
How is osteoarthritis different from arthritis?
In osteoarthritis the cartilage wears, causing aching pain on movement, crunching and stiffness after rest; in arthritis the joint is inflamed, with pain at rest and at night, swelling, redness and warmth. The treatment approach differs, so diagnosis is the first step.
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?
Yes, and it helps. Well-chosen activity strengthens the muscles that unload the joint, improves the cartilage's nutrition and keeps you mobile. Swimming, water aerobics, cycling, Nordic walking and yoga work well, while running on hard surfaces, jumping, heavy lifting and sudden movements are best avoided.
City Medical Centre licences
Other services at our clinic
Choosing osteoarthritis treatment in Düsseldorf
Knee and hip osteoarthritis are the most common reasons patients from Düsseldorf 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 Düsseldorf go home the same day.
How much does arthrosis treatment cost in Düsseldorf? The doctor names the price after assessing the stage from your X-ray or MRI and choosing PRP, SVF or a combination. Send a request or message us in any messenger.
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