Knee Osteoarthritis Treatment in Hamburg
For knees, hips and other joints with arthrosis: SVF cell therapy and PRP. We check the stage from your X-rays or MRI at no cost
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)?
In this chronic disease — osteoarthritis, or arthrosis — joint cartilage is gradually worn thin. Losing the cartilage cushion lets bone rub against bone, which brings pain, stiffness and a smaller range of motion. It is classed as degenerative, not inflammatory, even though swelling may come with flare-ups.
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
Small and large joints are treated; the doctor determines the joint, method and number of injections after looking at your scans
Elbow
Pain linked to overuse or sports strain and worn joint surfaces
Hand and wrist joints
Small joints of the fingers and wrist: pain and stiffness
Knee
Meniscus issues, wearing cartilage, stairs and walking bring pain
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Worn joint and surrounding tendons, with pain when the arm is raised
Methods we use
Cell therapy (SVF) from your own adipose tissue
First a small sample of adipose tissue is processed to isolate the stromal vascular fraction (SVF) — cells involved in tissue repair. This fraction, combined with your plasma, is then injected into the affected joint.
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
We separate plasma rich in platelets and growth factors from a small blood sample and inject it into the joint. This helps quieten inflammation and supports 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
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
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
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
In a centrifuge the sample separates into layers; the stromal vascular fraction is isolated and combined with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
With ultrasound guiding the needle, the prepared material is injected directly into the affected joint and placed precisely.
Follow-up
Crutches and a hospital stay are not required. The doctor stays in touch after the procedure, following the joint's response.
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
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
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
In a centrifuge the sample separates into layers; the stromal vascular fraction is isolated and combined with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
With ultrasound guiding the needle, the prepared material is injected directly into the affected joint and placed precisely.
Follow-up
Crutches and a hospital stay are not required. The doctor stays in touch after the procedure, following the joint's response.
Follow-up visits
The plan is adjusted at follow-up visits, where the doctor sees how the joint responds. Pain usually eases in month one, mobility improves over about three months, and the full effect appears over around six months.
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: a cold, flu or fever, or inflamed skin over the joint planned for treatment
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
Going home the same day is the norm, and normal daily activity usually resumes within a day or two; small dressings cover the puncture sites. In the first week the joint may ache slightly more, which is expected. During the first month pain usually eases, over about three months mobility and activity improve, and around six months are needed for the full effect. Its duration differs from person to person, depending on the stage, body weight, activity and other factors, so no fixed result can be promised. Keeping weight healthy and exercising regularly in a joint-friendly way helps it last longer.
Why patients choose City Medical Centre
We work to keep the joint you have instead of replacing it, using treatment without surgery
Your own tissue
The treatment relies solely on your own blood and adipose tissue — no donor or synthetic material
No crutches
Punctures, not incisions; local anaesthetic; no prolonged rehabilitation
Second opinion
Free of charge, a doctor gives an independent assessment of the X-rays, MRI or reports you send
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
Cost varies with the stage of osteoarthritis, the joint and the method — the doctor states it 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?
In many cases it can be, provided treatment starts in time. The goal of SVF and PRP injections is to ease pain and support cartilage without an operation; replacing the joint is the last resort once it is destroyed.
How soon will I notice a result?
For many patients, first changes come 2–3 weeks after the procedure; a stable result forms over about six months and may last from several months up to several years, depending on the person. Osteoarthritis is a chronic disease that needs an ongoing plan, not one injection.
At which stage does the treatment work best?
The early and moderate stages. As a rule, the milder the stage, the faster and longer the effect, and regular hyaluronic acid injections may be needed less. A lasting effect cannot be expected at the most advanced stage, when the joint space has almost vanished.
Which joints are most often affected?
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.
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?
The main tool is an X-ray, showing the stage. For detail on cartilage and soft tissues there is MRI; ultrasound reveals inflammation and fluid in the joint; blood tests help rule out inflammatory conditions. The doctor can look at results you already have free of charge.
How is osteoarthritis different from arthritis?
With osteoarthritis the cartilage wears down: you get aching pain on movement, crunching and stiffness after rest. With arthritis there is inflammation: pain at rest and at night, swelling, redness and warmth over the joint. The treatment approach is different, so diagnosis comes first.
Can I get a consultation about my case?
Yes, you can. Send the X-rays, MRI or test results; a doctor will review them free of charge, assess the osteoarthritis stage and recommend a non-surgical plan if suitable.
Can I exercise with osteoarthritis?
Yes, you should exercise. Correct activity strengthens the muscles that relieve the joint, improves cartilage nutrition and keeps you mobile. Swimming, cycling, water aerobics, yoga and Nordic walking are good; jumping, heavy lifting, sudden movements and running on hard surfaces are not.
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Osteoarthritis treatment in Hamburg: a short guide
Osteoarthritis, also called arthrosis, is a chronic condition in which the cartilage of a joint gradually thins and wears away. For patients from Hamburg, it usually shows as aching pain on movement, stiffness after rest and crunching in the joint.
The procedure does not require crutches or a hospital stay. Patients from Hamburg return to normal daily activity within a day or two and receive recommendations on load for the first weeks.
How much does arthrosis treatment cost in Hamburg? 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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