Preparation for the procedure — patient checklist

7 days before the procedure

Stop NSAIDs

Ibuprofen, diclofenac, meloxicam, nimesulide, celecoxib, naproxen. They suppress platelet activation and reduce PRP/CGF efficacy. If pain is severe — paracetamol is allowed.

Stop aspirin and salicylates

Even "baby" aspirin (75–100 mg) alters platelet function. If aspirin is prescribed by a cardiologist — discuss withdrawal with the prescribing physician.

Stop "platelet modulators"

Ginkgo biloba, high-dose omega-3, high-dose vitamin E, curcumin. Normal daily diet is not restricted.

Anticoagulants

Warfarin, rivaroxaban, dabigatran, apixaban — ONLY by agreement with your prescribing physician. We do not stop life-critical medications without coordination.

Minimize alcohol

3 days before — alcohol-free. It affects coagulation and liver function, which is part of regeneration.

Optimize sleep and routine

Adequate sleep, sufficient hydration (2 liters of water daily), balanced nutrition. Your cells work better when you're in good shape.

1 day before the procedure

Drink 2 liters of water

Good hydration eases the blood draw and improves the quality of the biological material.

Light dinner

Avoid fatty and heavy food. Complex carbohydrates, vegetables, lean protein — optimal.

Shower and clean skin

Take a shower in the evening. And in the morning. The skin in the procedure area should be clean, without creams or lotions.

On the procedure day

Light breakfast

Procedure under local anesthesia — fasting is not required. Breakfast: porridge, yogurt, fruit. Tea or coffee — moderate.

Comfortable clothing

Clothes you can remove easily around the procedure area. For knees — loose pants; for shoulder — a T-shirt you can remove painlessly.

Arrive 15–20 minutes early

To complete paperwork calmly, change clothes, answer staff questions. Pre-procedure rush increases anxiety.

Routine medications — take as usual

Antihypertensives, glucose-lowering, thyroid and others — on the usual schedule. Only the medications listed above require a pause.

What to bring

Documents

Passport or ID. Insurance (if applicable). Doctor's referral (if any).

Current imaging

MRI, ultrasound, X-ray — on disk or in cloud storage. Reports. Previous opinions.

Medication list

Everything you take, with doses. Including vitamins and supplements.

What NOT to bring

Large amounts of cash, jewelry, valuables. The clinic provides everything needed.

After the procedure

1–2 hoursIn-clinic observation

Same dayHome

3–5 daysNo NSAIDs

2–4 wkUntil next session

In the first 1–3 days mild discomfort is possible — part of the regenerative process. Paracetamol, warm compresses, reduced loading are sufficient. NSAIDs in this period are contraindicated — they suppress regeneration.

Clinic and method matching — free of charge

Describe your case and attach your MRI report. We will identify clinics that use the relevant methods and forward your request to them. No obligation; we reply within 24 hours.

Send a request

Frequently asked questions

Can I eat and drink before the procedure?

Yes. The procedure is done under local anaesthesia, so a light breakfast and water are fine unless the physician advises otherwise.

Which medicines should be stopped?

NSAIDs (ibuprofen, diclofenac) and supplements affecting platelets are usually stopped 5–7 days before. Anticoagulants and aspirin prescribed by a cardiologist must not be stopped on your own — the physician decides.

Which tests are needed?

An MRI of the affected area (ideally not older than 6–12 months) and its report. The clinic may ask for a blood count, coagulation tests and glucose. The coordinator sends the exact list after reviewing your scans.

What should I bring?

Your passport, scans on a disc or via a link, medical reports, a list of your medicines and comfortable clothing that leaves the treated area free.

Can I come alone?

Yes. A companion is not required, but after a procedure on the leg it is easier if someone helps you get to the hotel. The coordinator arranges transfers.

How does RegenPAS help organise treatment?

RegenPAS is a patient service centre in Munich, not a clinic. We review your images and symptoms and send a request to several partner clinics at once. Clinics that can accept you send their own conditions and price; prices differ between clinics, and you choose the option that suits you. The coordinator replies within 24 hours, and a clinic physician’s preliminary opinion follows in 1–3 business days. We then arrange the appointment, visa invitation, interpreter, transfers and accommodation. Treatment decisions are made by the clinic physician. Contact a coordinator.

What is needed for a preliminary assessment?

Your MRI (or CT, X-ray) report and the images if you have them, plus a short description of your symptoms and previous treatment. Send them via the form on the website — the assessment is free and without obligation: the coordinator replies within 24 hours, and the clinic physician’s preliminary opinion follows in 1–3 business days.

How much does treatment cost and how long do I need to stay in Munich?

The cost depends on the method, the diagnostics needed and the clinic itself: prices differ between clinics. We request offers from several clinics and send you their conditions and quotes so you can compare. Price guidance is on the treatment cost page. For an outpatient procedure, 2–3 days in Munich are usually enough: examination, procedure and follow-up visit.