1Consultation 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.
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
Consultation and review of your scansFree
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What it is
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
- 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: flu or a cold, fever, or skin inflammation over the joint being 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 blood is taken from a vein. Platelet-rich plasma with growth factors is later prepared from it.
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
Spinning in a centrifuge splits the sample into layers, after which the stromal vascular fraction is isolated and mixed with the platelet-rich plasma.
5Injection into the joint
Under ultrasound guidance the prepared material is injected straight into the affected joint, which helps to place it precisely.
6Follow-up
No hospital stay and no crutches are needed. After the procedure, the doctor remains in touch and tracks how the joint responds.
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
Only your own adipose tissue and blood — no synthetic or donor material
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.
- 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
Large joints and small joints — having reviewed your scans, the doctor chooses which joint, which method and how many injections
KneeWorn cartilage, meniscus problems, pain after walking and on stairs
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderPain on raising the arm; wear of the joint and the tendons around it
ElbowPain after sports strain or overuse, plus wear of the joint surfaces
Hand and wrist jointsSmall joints of the fingers and wrist: pain and stiffness
AnklePain and stiffness after sprains and old injuries
Advantages
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
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.