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
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)?
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
Ultrasound guidance for every injection
Free consultation and review of your scans
Joints we treat
Large and small joints — the doctor chooses the joint, the method and the number of injections after reviewing your scans
Elbow
Pain that follows sports strain or overuse, and joint surface wear
Hand and wrist joints
Small finger and wrist joints that are stiff and painful
Knee
Worn cartilage and meniscus problems; pain after walking and on the stairs
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Lifting the arm hurts; the joint and surrounding tendons are worn
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.
Doctors use it chiefly in early and moderate osteoarthritis, aiming to slow cartilage wear and cut friction between the joint surfaces.
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.
How the procedure goes: step by step
Consultation 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.
Blood sample for PRP
A small amount of venous blood is drawn, to be processed later into platelet-rich plasma with growth factors.
The doctor tells you in advance which tests are needed.
Adipose 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.
Processing in a centrifuge
In a centrifuge the sample separates into layers; the stromal vascular fraction is isolated and combined 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
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.
Consultation 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.
Blood sample for PRP
A small amount of venous blood is drawn, to be processed later into platelet-rich plasma with growth factors.
The doctor tells you in advance which tests are needed.
Adipose 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.
Processing in a centrifuge
In a centrifuge the sample separates into layers; the stromal vascular fraction is isolated and combined 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
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.
Follow-up visits
At follow-up visits the doctor checks how the joint is responding and adjusts the plan. Pain usually eases during the first month, mobility improves over about three months, and the full effect develops over around six months.
Conditions we treat
Whether the treatment suits you is decided by a doctor after an examination and a review of your scans
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: a fever, a cold or flu, or skin inflammation over the joint to be 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
Usually you leave the same day and return to everyday activity within a day or two; the puncture sites just need small dressings. The joint can ache a bit more in the first week — this reaction is expected. Pain typically eases over the first month, mobility and activity improve over about three months, and the full effect develops over around six months. How long the result lasts is individual and depends on the stage of the condition, body weight, activity and other factors; a fixed result cannot be promised by anyone. A healthy weight and regular joint-friendly exercise help it last.
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
Osteoarthritis treatment prices
The stage of osteoarthritis, the joint and the method all affect the cost, so it is named 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?
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?
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.
How soon will I notice a result?
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.
At which stage does the treatment work best?
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.
Which joints are most often affected?
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.
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?
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.
How is osteoarthritis different from arthritis?
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.
Can I get a consultation about my case?
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.
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.
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How osteoarthritis is treated without surgery for Stuttgart residents
Without treatment, osteoarthritis usually progresses: pain becomes constant, movement becomes limited and the joint may deform. Early diagnosis, weight control, exercise and working with a doctor make a real difference for every patient in Stuttgart.
The procedure does not require crutches or a hospital stay. Patients from Stuttgart return to normal daily activity within a day or two and receive recommendations on load for the first weeks.
The price depends on how many joints are treated and on the method. For patients from Stuttgart, the doctor explains the plan and the cost at a free consultation before any procedure.
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