SVF and PRP for Osteoarthritis in Essen
Cell therapy (SVF) plus PRP for arthrosis of the knee, hip and beyond. Send your X-rays or MRI — the stage review costs nothing
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 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.
Most often it hits the most heavily loaded joints — knee (gonarthrosis) and hip (coxarthrosis) — along with the ankle and the small hand joints. Early and moderate stages respond best, before serious damage to the joint surfaces; at an advanced stage the doctor will be honest with you if replacing the joint is the more realistic path.
No surgery — an injection instead of an operation
Ultrasound guidance for every injection
Free consultation and review of your scans
Joints we treat
We treat large and small joints; the doctor picks the joint, method and injection count once your scans are reviewed
Elbow
Wear of joint surfaces, pain after heavy use or sports strain
Hand and wrist joints
Painful, stiff small joints of the wrist and fingers
Knee
Pain on stairs and after walks, cartilage wear, meniscus issues
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
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.
Mainly at early and moderate stages of osteoarthritis — to reduce friction between the joint surfaces and slow down cartilage wear.
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.
Mild osteoarthritis is a common indication; when a stronger effect is needed, it is used together with SVF.
How the procedure goes: step by step
Consultation and scan review
The doctor checks the joint, studies your X-rays, MRI or ultrasound and decides if this procedure fits your case. If scans are already done, send them before the visit.
Blood sample for PRP
Blood is taken from a vein in a small amount. Later, platelet-rich plasma containing growth factors is prepared from it.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Local anaesthetic is used while a small portion of adipose tissue, about 30 ml, is taken through a puncture on the abdomen or inner thigh. The site needs no stitches.
Processing in a centrifuge
A centrifuge separates the sample into layers. From them the stromal vascular fraction is isolated and added to the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Directly into the affected joint, under ultrasound guidance — this is how the prepared material is injected for precise placement.
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
The doctor checks the joint, studies your X-rays, MRI or ultrasound and decides if this procedure fits your case. If scans are already done, send them before the visit.
Blood sample for PRP
Blood is taken from a vein in a small amount. Later, platelet-rich plasma containing growth factors is prepared from it.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
Local anaesthetic is used while a small portion of adipose tissue, about 30 ml, is taken through a puncture on the abdomen or inner thigh. The site needs no stitches.
Processing in a centrifuge
A centrifuge separates the sample into layers. From them the stromal vascular fraction is isolated and added to the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Directly into the affected joint, under ultrasound guidance — this is how the prepared material is injected for precise placement.
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
Follow-up visits show the doctor how your joint responds so the plan can be adjusted; usually pain eases within the first month, mobility improves over about three months, and the full effect takes around six months to develop.
Conditions we treat
Whether this treatment is right for you is a doctor's decision, made after an examination and a scan review
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
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
Treatment without surgery — our aim is to keep your own joint, not to replace it
Your own tissue
Only material from your body — blood and adipose tissue — no donor or synthetic products
No crutches
Only punctures, no incisions — under local anaesthetic and without a 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
We follow the result and keep in touch after the procedure, not only on the day of the injection
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?
Osteoarthritis is slow wear of the cartilage over the ends of the bones inside a joint. Thinner cartilage means less cushioning, so the bones rub and you get pain, stiffness and crunching. It is degenerative, not inflammatory.
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?
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?
When osteoarthritis is at an early or moderate stage. A milder stage generally brings a faster, longer-lasting effect and may reduce the need for regular hyaluronic acid injections; at the most advanced stage, with almost no joint space left, 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?
Generally it progresses — constant pain, increasingly limited movement, a possibly deformed joint and trouble walking. What makes a real difference is 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?
Osteoarthritis is about cartilage wear: pain that aches on movement, crunching, stiffness after rest. Arthritis is about inflammation: pain at rest and at night, swelling, redness and warmth over the joint. Because treatment is different, the diagnosis comes first.
Can I get a consultation about my case?
Yes. Your X-rays, MRI or test results are reviewed by a doctor free of charge, the stage of osteoarthritis is assessed, and a non-surgical plan is suggested if appropriate.
Can I exercise with osteoarthritis?
Yes, and you should. The right activity strengthens the muscles that unload the joint, improves cartilage nutrition and keeps you mobile. Swimming, water aerobics, cycling, Nordic walking and yoga are good choices; avoid running on hard surfaces, jumping, heavy lifting and sudden movements.
City Medical Centre licences
Other services at our clinic
Osteoarthritis in Essen: stages, methods and price
The stage matters most. At early and moderate stages, SVF and PRP injections aim to ease pain, reduce friction between the joint surfaces and slow cartilage wear. At the most advanced stage, the doctor will tell patients in Essen honestly if joint replacement is the more realistic option.
Osteoarthritis is chronic, so it needs an ongoing plan rather than a single injection. In Essen, the doctor combines SVF or PRP with advice on weight, exercise and load for the joint.
Book a free consultation in Essen to find out whether SVF or PRP could slow your osteoarthritis. The doctor names the price after examining the joint.
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