1Consultation 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.
Hip Osteoarthritis Treatment in Stuttgart
SVF therapy and PRP injections for arthrosis in knees, hips and other joints — and a complimentary review of your MRI or X-rays to find the stage
Consultation and review of your scansFree
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What it is
What is osteoarthritis
(arthrosis)?
Osteoarthritis (arthrosis) is a long-term condition where the cartilage covering a joint slowly thins and wears down. Because cartilage cushions the joint, its loss lets the bones grind against one another, bringing pain, stiffness and reduced movement. The disease is degenerative, not inflammatory, though swollen flare-ups can occur.
The joints under the heaviest load are affected most often: the knee (gonarthrosis), the hip (coxarthrosis), the ankle and the small joints of the hand. Treatment gives the best results at early and moderate stages, while the joint surfaces are still in fair condition; if the stage is advanced, the doctor will say plainly when joint replacement is the more realistic choice.
- 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 the treatment suits you is decided by a doctor after an examination and a review of your scans
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: a fever, a cold or flu, or skin inflammation over the joint to be 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 opinionSend your X-rays, MRI or reports and a doctor will give an independent assessment free of charge
How it works
How the procedure goes: step by step
1
2Blood sample for PRP
A small amount of venous blood is drawn, to be processed later into platelet-rich plasma with growth factors.
3Adipose tissue sample
With local anaesthetic, a small amount of adipose tissue — around 30 ml — is obtained through a puncture on the abdomen or inner thigh, and no stitches are needed.
4Processing in a centrifuge
In a centrifuge the sample separates into layers; the stromal vascular fraction is isolated and combined 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
There is no hospital stay and you will not need crutches. The doctor remains in contact after the procedure and follows the joint's response.
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
No donor or synthetic material: we use only your own blood and adipose tissue
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.
Doctors use it chiefly in early and moderate osteoarthritis, aiming to slow cartilage wear and cut friction between the joint surfaces.
- 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
Your own blood, in a small amount, is processed to separate plasma rich in platelets and growth factors, which goes into the joint to calm inflammation and improve conditions for tissue repair.
Used often in mild osteoarthritis, it is added to SVF when a more pronounced effect is required.
- 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 and small joints — the doctor chooses the joint, the method and the number of injections after reviewing your scans
KneeWorn cartilage and meniscus problems; pain after walking and on the stairs
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderLifting the arm hurts; the joint and surrounding tendons are worn
ElbowPain that follows sports strain or overuse, and joint surface wear
Hand and wrist jointsSmall finger and wrist joints that are stiff and painful
AnklePain and stiffness after sprains and old injuries
Advantages
Why patients choose City Medical Centre
Keeping your own joint instead of replacing it: that is the goal of treatment without surgery
Your own tissue
No donor or synthetic material: we use only your own blood and adipose tissue
No crutches
Only punctures, no incisions — under local anaesthetic and without a long rehabilitation
Second opinion
Send your X-rays, MRI or reports and a doctor will give an independent assessment free of charge
Support after the procedure
Not just the injection day — we stay in touch after the procedure and follow your result
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 stage of osteoarthritis, the joint and the method all affect the cost, so it is named 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.
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.
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.
Around 2–3 weeks after the procedure, many patients feel the first changes. A stable result builds over about six months and lasts from several months to several years, which varies individually. Since osteoarthritis is chronic, a single injection is not enough — it needs an ongoing plan.
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.
The knees, hips and ankles, which bear the most load, and the spine and small joints of the hand. We use regenerative treatment 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.
Diagnosis relies mainly on an X-ray, which shows the stage. MRI adds a detailed view of the cartilage and soft tissues, ultrasound picks up inflammation and fluid in the joint, and blood tests help exclude inflammatory conditions. Any results you have can be reviewed by the doctor free of charge.
Osteoarthritis is wear of the cartilage, with aching pain on moving, crunching and stiffness after rest; arthritis is inflammation, with pain at rest and at night, swelling, redness and warmth over the joint. The treatment is not the same, so diagnosis must come first.
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.
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.