1Consultation 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.
Hip Osteoarthritis Treatment in Frankfurt am Main
Treatment of arthritic knees, hips and other joints using SVF and PRP. A doctor reviews your MRI or X-rays free to establish the stage
Consultation and review of your scansFree
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What it is
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.
The knee (gonarthrosis) and the hip (coxarthrosis) are the most common sites, being the most loaded joints, together with the ankle and the small joints in the hand. Early and moderate stages are where treatment works best, before the joint surfaces are seriously harmed; at an advanced stage you will get an honest answer if 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
It is up to the doctor, after examining you and reviewing your scans, to decide whether the treatment fits
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: a fever, a cold or flu, or skin inflammation over the joint 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 opinionA doctor will assess your X-rays, MRI or reports independently and free of charge — just send them
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
Under local anaesthetic, the doctor collects a small portion of adipose tissue (roughly 30 ml) via a puncture on the abdomen or the inner thigh. Stitches are not needed.
4Processing 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.
5Injection into the joint
Ultrasound guidance allows the prepared material to be injected directly and precisely into the affected joint.
6Follow-up
You need neither crutches nor a hospital stay. The doctor stays in contact afterwards and monitors the joint's response.
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
Your own blood and adipose tissue are the only materials used — nothing donor or synthetic
Cell therapy (SVF) from your own adipose tissue
The stromal vascular fraction (SVF), a mix of cells that play a part in tissue repair, is obtained by processing a small sample of your adipose tissue. Together with your own plasma, it goes into the affected joint by injection.
Early and moderate osteoarthritis is where it is mostly used — to slow cartilage wear and reduce friction between the surfaces of the joint.
- 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
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.
- 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
Both large and small joints — after reviewing your scans, the doctor selects the joint, the method and how many injections you need
KneePain on stairs and after walks, cartilage wear, meniscus issues
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderPain while raising the arm and wear of the joint and its tendons
ElbowPain after sports strain or overuse, plus wear of the joint surfaces
Hand and wrist jointsStiffness and aching in the fingers' and wrist's small joints
AnklePain and stiffness after sprains and old injuries
Advantages
Why patients choose City Medical Centre
We work on keeping your own joint rather than replacing it — treatment without surgery
Your own tissue
Your own blood and adipose tissue are the only materials used — nothing donor or synthetic
No crutches
No incisions, only punctures — local anaesthetic and no lengthy rehabilitation
Second opinion
A doctor will assess your X-rays, MRI or reports independently and free of charge — just send them
Support after the procedure
We stay in contact once the procedure is done and follow the result beyond 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
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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.
Gradual wear of the cartilage covering the ends of the bones is what happens in this condition. Thinning cartilage removes the joint's cushioning, the bones rub together, and pain, stiffness and crunching result. It is degenerative, not inflammatory.
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.
Early changes are noticed by many patients 2–3 weeks after the procedure. The result stabilises over about six months and can last several months to several years, depending on the individual. Osteoarthritis being chronic, it requires an ongoing plan, not a one-off injection.
It is used at early and moderate stages; the milder the stage, the faster and more lasting the effect usually is, possibly reducing the need for regular hyaluronic acid injections. At the most advanced stage — joint space almost gone — a lasting effect is not realistic.
Mostly the heavily loaded knees, hips and ankles, along with the small joints of the hand and the spine. Regenerative treatment is used for all these joints.
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.
The stage is shown by an X-ray, the main method. MRI gives a close look at the cartilage and soft tissues, ultrasound detects inflammation and fluid in the joint, and blood tests help exclude inflammatory conditions. Already have results? The doctor reviews them free of charge.
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.
Yes. After you send X-rays, MRI or test results, a doctor reviews them free of charge, gauges the stage of osteoarthritis and proposes a non-surgical plan if it suits your case.
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.
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.