Osteoarthritis Treatment in Munich: Steps and Results
We treat arthrosis in the knee, hip and other joints with SVF cell therapy and PRP, and review your X-rays or MRI for free to judge the stage
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)?
Arthrosis (osteoarthritis) means slow, chronic wear of the cartilage lining the joint. Healthy cartilage softens impact; when it thins, the bones rub on each other and the joint hurts, stiffens and moves less. Although flare-ups with swelling happen, this is a degenerative disease rather than an inflammatory one.
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 joints and small joints — having reviewed your scans, the doctor chooses which joint, which method and how many injections
Elbow
Pain after sports strain or overuse, plus wear of the joint surfaces
Hand and wrist joints
Small joints of the fingers and wrist: pain and stiffness
Knee
Worn cartilage, meniscus problems, pain after walking and on stairs
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Pain on raising the arm; wear of the joint and the tendons around it
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.
Most often it is applied in early and moderate osteoarthritis, helping slow the wear of cartilage and reduce friction in the joint.
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.
How the procedure goes: step by step
Consultation and scan review
The doctor examines the joint, reviews your X-rays, MRI or ultrasound and decides whether the procedure suits you. If you already have scans, you can send them before the visit.
Blood sample for PRP
A small amount of blood is taken from a vein. Platelet-rich plasma with growth factors is later prepared from it.
The doctor tells you in advance which tests are needed.
Adipose 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.
Processing in a centrifuge
Spinning in a centrifuge splits the sample into layers, after which the stromal vascular fraction is isolated and mixed with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Under ultrasound guidance the prepared material is injected straight into the affected joint, which helps to place it precisely.
Follow-up
No hospital stay and no crutches are needed. After the procedure, the doctor remains in touch and tracks how the joint responds.
Consultation and scan review
The doctor examines the joint, reviews your X-rays, MRI or ultrasound and decides whether the procedure suits you. If you already have scans, you can send them before the visit.
Blood sample for PRP
A small amount of blood is taken from a vein. Platelet-rich plasma with growth factors is later prepared from it.
The doctor tells you in advance which tests are needed.
Adipose 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.
Processing in a centrifuge
Spinning in a centrifuge splits the sample into layers, after which the stromal vascular fraction is isolated and mixed with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Under ultrasound guidance the prepared material is injected straight into the affected joint, which helps to place it precisely.
Follow-up
No hospital stay and no crutches are needed. After the procedure, the doctor remains in touch and tracks how the joint responds.
Follow-up visits
The doctor uses follow-up visits to see how the joint responds and to fine-tune the plan. Typically pain eases over the first month, movement improves over about three months and the full effect builds over around six months.
Conditions we treat
It is up to the doctor, after examining you and reviewing your scans, to decide whether the treatment fits
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 leave on the day of the procedure and get back to daily routines within a day or two, with small dressings covering the puncture sites. A little extra aching in the first week is an expected reaction. The pain usually eases over the first month; mobility and activity improve over about three months; the full effect develops over around six months. How long it lasts is individual, shaped by the stage, 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
Your own joint is kept, not replaced — we treat without surgery
Your own tissue
Only your own adipose tissue and blood — no synthetic or donor material
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
The result is followed after the procedure too; we stay in touch, not only on the day of the injection
Osteoarthritis treatment prices
After the consultation the doctor names the cost, which depends on the joint, the stage of osteoarthritis and the method
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?
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.
Can hip osteoarthritis be treated without surgery?
Frequently yes, if treatment is not delayed. With SVF and PRP injections the aim is pain relief and cartilage support without an operation. Joint replacement remains the last option, used when the joint 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?
It works at early and moderate stages: a milder stage usually means a faster and more durable effect and may reduce the need for regular hyaluronic acid injections. At the most advanced stage, with the joint space almost gone, you cannot expect a lasting effect.
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?
Left alone, it usually progresses: pain becomes constant, the range of movement shrinks, the joint may become deformed and walking can be difficult. Early diagnosis, exercise, weight control and a doctor's guidance make a real difference.
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?
You can. Once you send your X-rays, MRI or test results, a doctor reviews them free of charge, assesses the osteoarthritis stage and suggests a non-surgical plan if it fits.
Can I exercise with osteoarthritis?
Yes, it is worth doing. The right exercise strengthens the muscles unloading the joint, improves nutrition of the cartilage and maintains mobility. Swimming, water aerobics, cycling, Nordic walking and yoga suit well; running on hard surfaces, jumping, heavy lifting and sudden movements should be avoided.
City Medical Centre licences
Other services at our clinic
Osteoarthritis treatment in Munich step by step
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 Munich honestly if joint replacement is the more realistic option.
The right activity strengthens the muscles that unload the joint and helps cartilage nutrition. Patients from Munich are advised swimming, cycling, Nordic walking or yoga, and to avoid running on hard surfaces, jumping and heavy lifting.
A consultation is the first step for every patient from Munich. It is free, and after it you know the stage, the method and the cost of treatment.
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