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
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.
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
Large joints and small joints — having reviewed your scans, the doctor chooses which joint, which method and how many injections
Elbow
Joint surface wear and pain after overloading or sports strain
Hand and wrist joints
Small joints of the fingers and wrist: pain and stiffness
Knee
Meniscus problems, cartilage wear and pain when walking or on stairs
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Wear of the joint and nearby tendons, pain when lifting the arm
Methods we use
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.
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.
How the procedure goes: step by step
Consultation 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.
Blood sample for PRP
A small volume of venous blood is collected; from it, platelet-rich plasma with growth factors is prepared later on.
The doctor tells you in advance which tests are needed.
Adipose 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.
Processing 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.
The whole procedure is done in one day.
Injection into the joint
Directly into the affected joint, under ultrasound guidance — this is how the prepared material is injected for precise placement.
Follow-up
No crutches, no stay in hospital. The doctor keeps in contact after the procedure and watches how your joint responds.
Consultation 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.
Blood sample for PRP
A small volume of venous blood is collected; from it, platelet-rich plasma with growth factors is prepared later on.
The doctor tells you in advance which tests are needed.
Adipose 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.
Processing 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.
The whole procedure is done in one day.
Injection into the joint
Directly into the affected joint, under ultrasound guidance — this is how the prepared material is injected for precise placement.
Follow-up
No crutches, no stay in hospital. The doctor keeps in contact after the procedure and watches how your joint responds.
Follow-up visits
Follow-up visits let the doctor see how the joint responds and adjust the plan — pain usually eases over the first month, mobility improves over about three months, and the full effect develops 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: 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 go home on the same day and are back to their usual daily activity within a day or two, with small dressings over the puncture sites. The joint may ache a little more during the first week — an expected reaction. Pain usually eases over the first month, mobility and activity improve over about three months, and the full effect develops over around six months. How long it lasts varies between people and depends on the stage of the condition, 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
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
Osteoarthritis treatment prices
The price depends on the joint, the method and the stage of osteoarthritis, so the doctor gives 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 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.
Can hip osteoarthritis be treated without surgery?
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.
How soon will I notice a result?
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.
At which stage does the treatment work best?
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.
Which joints are most often affected?
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.
What happens if osteoarthritis is left untreated?
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.
Which tests and scans are needed?
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.
How is osteoarthritis different from arthritis?
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.
Can I get a consultation about my case?
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.
Can I exercise with osteoarthritis?
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.
City Medical Centre licences
Other services at our clinic
How osteoarthritis is treated without surgery for Nuremberg residents
Cartilage works as a shock absorber. When it thins, the bones start to rub against each other, and the joint becomes painful and less mobile. Osteoarthritis in Nuremberg is a degenerative condition rather than an inflammatory one, although flare-ups with swelling happen.
Osteoarthritis is chronic, so it needs an ongoing plan rather than a single injection. In Nuremberg, the doctor combines SVF or PRP with advice on weight, exercise and load for the joint.
A consultation is the first step for every patient from Nuremberg. It is free, and after it you know the stage, the method and the cost of treatment.
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