1Consultation 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.
Osteoarthritis Treatment for Patients from Nuremberg
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.
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
- Own tissue — your blood and adipose tissue
- Ultrasound guidance for every injection
Who the treatment suits
Whether this treatment is right for you is a doctor's decision, made after an examination and a scan review
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 opinionYour X-rays, MRI or reports are assessed independently by a doctor at no charge once you send them
How it works
How the procedure goes: step by step
1
2Blood sample for PRP
A small volume of venous blood is collected; from it, platelet-rich plasma with growth factors is prepared later on.
3Adipose tissue sample
A small portion of adipose tissue (about 30 ml) is taken under local anaesthetic through a puncture on the abdomen or inner thigh. There is no need for stitches.
4Processing in a centrifuge
The centrifuge spins the sample until it separates into layers; the isolated stromal vascular fraction is then mixed with the platelet-rich plasma.
5Injection into the joint
Directly into the affected joint, under ultrasound guidance — this is how the prepared material is injected for precise placement.
6Follow-up
No crutches, no stay in hospital. The doctor keeps in contact after the procedure and watches how your 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
Your own blood and adipose tissue are the only materials used — nothing donor or synthetic
Cell therapy (SVF) from your own adipose tissue
Processing a small portion of your adipose tissue yields the stromal vascular fraction (SVF), a cell mix involved in tissue repair. The doctor combines it with your own plasma and injects it into the affected joint.
The typical indication is early or moderate osteoarthritis: the aim is slower cartilage wear and less 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.
For mild osteoarthritis it is often used alone, and with SVF when the effect needs to be stronger.
- 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
KneeMeniscus problems, cartilage wear and pain when walking or on stairs
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderWear of the joint and nearby tendons, pain when lifting the arm
ElbowJoint surface wear and pain after overloading or sports strain
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
Treatment without surgery — our aim is to keep your own joint, not to replace it
Your own tissue
Your own blood and adipose tissue are the only materials used — nothing donor or synthetic
No crutches
No long rehabilitation: local anaesthetic and punctures instead of incisions
Second opinion
Your X-rays, MRI or reports are assessed independently by a doctor at no charge once you send them
Support after the procedure
We follow the result and keep in touch after the procedure, 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
The price depends on the joint, the method and the stage of osteoarthritis, so the doctor gives it after the consultation
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.
It is gradual wear of the cartilage that covers the ends of the bones in a joint. When the cartilage thins, the joint loses its cushioning, the bones rub against each other, and pain, stiffness and crunching appear. It is a degenerative condition, not an inflammatory one.
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.
The first changes are often noticed 2–3 weeks after the procedure. Over about six months a stable result forms, lasting anywhere from several months to several years depending on the individual. Osteoarthritis is chronic and calls for an ongoing plan rather than one 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.
The joints that carry the most load: the knees, hips and ankles, as well as the small joints of the hand and the spine. Regenerative treatment is used for all of these joints.
The condition usually progresses. Pain becomes constant, movement becomes restricted, deformity of the joint may develop and walking can become difficult. Early diagnosis, exercise, weight control and working with a doctor do make a real difference.
An X-ray remains the main method and shows the stage, while MRI gives a detailed picture of cartilage and soft tissues. Ultrasound shows inflammation and fluid in the joint, and blood tests help rule out inflammatory diseases. Existing results can be reviewed by the doctor free of charge.
Osteoarthritis — cartilage wear, aching pain during movement, crunching and stiffness after rest. Arthritis — inflammation, pain at rest and at night, swelling, redness and warmth over the joint. The approaches to treatment differ, so the first step is the diagnosis.
Certainly. Send your MRI, X-rays or test results for a free review: a doctor will assess the stage of osteoarthritis and suggest a non-surgical plan if it is appropriate.
Definitely yes. The right kind of activity strengthens muscles that unload the joint, supports cartilage nutrition and preserves mobility. Pick swimming, water aerobics, cycling, Nordic walking or yoga; steer clear of 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.