1Consultation and scan review
If you already have scans, send them before the visit: the doctor examines the joint, reviews your X-rays, MRI or ultrasound and decides whether the procedure suits you.
First a doctor reviews your tests and history; then PRP and SVF cell therapy may join your arthritis care for the knee, hand, shoulder or other joints
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What it is
An inflamed joint is the core of arthritis. Look for pain at night or when resting, stiffness in the morning for longer than half an hour, swelling, and a joint that is red and warm. The cause can be autoimmune (rheumatoid or psoriatic arthritis), gout, infection or a long-past injury.
While PRP and SVF can lower inflammation and pain and help the joint's inner tissues, a systemic disease still needs a rheumatologist — these injections do not take their place. They are never given during an active joint infection or a strong flare; the doctor first establishes the type of arthritis and times the procedure.

Whether this treatment fits you is a doctor's decision, made after an examination and a scan review


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
Arthritis
Arthrosis
Avascular necrosis
Osteoarthritis
Coxarthrosis (hip osteoarthritis)
Gonarthrosis (knee osteoarthritis)
Meniscus pathology and injury
Rehabilitation after injuries and surgery
Inflammatory joint conditionsHow it works
1If you already have scans, send them before the visit: the doctor examines the joint, reviews your X-rays, MRI or ultrasound and decides whether the procedure suits you.
2Blood is taken from a vein in a small amount, later to be turned into platelet-rich plasma with growth factors.
3With local anaesthetic, a small amount of adipose tissue — about 30 ml — is collected through a puncture on the inner thigh or abdomen, and no stitches are required.
4The sample is placed in a centrifuge, where it splits into layers. From these the stromal vascular fraction is isolated and combined with the platelet-rich plasma.
5Ultrasound guidance helps position it precisely as the prepared material is injected directly into the affected joint.
6You go without crutches or a hospital stay, while the doctor keeps in touch after the procedure and follows the joint's response.
Call or message us — our coordinator will contact you shortly and book your consultation


Results

The joint may ache a little more — this is an expected reaction.

The pain usually eases.

Mobility and activity improve.

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
No synthetic or donor material is involved — only your own adipose tissue and blood
To obtain the stromal vascular fraction (SVF), a mix of cells that support tissue repair, a small sample of your adipose tissue is processed. The SVF is combined with your own plasma and injected into the affected joint.

In inflammatory arthritis, after the acute flare has passed, it is chosen for how it acts on local inflammation and tissue repair.
The joint receives plasma rich in platelets and growth factors, separated from a small amount of your own blood. It helps inflammation settle and creates better conditions for the tissue to repair.

It may be advised for rheumatoid or other inflammatory arthritis, always as just one part of the overall plan of treatment.
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
Large and small joints — the doctor chooses the joint, the method and the number of injections after reviewing your scans
KneeWear of the cartilage, problems with the meniscus, pain after walking and on stairs
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderPain on lifting the arm and wear of the joint and nearby tendons
ElbowWear on the joint surfaces and pain after overuse or sports strain
Hand and wrist jointsSmall finger and wrist joints that feel stiff and hurt
AnklePain and stiffness after sprains and old injuriesAdvantages
Keeping your natural joint rather than having it replaced: treatment without surgery

No synthetic or donor material is involved — only your own adipose tissue and blood

No incisions, only punctures; local anaesthetic; no long rehabilitation

Share your X-rays, MRI or reports and get a doctor's independent assessment at no cost

After the injection day we stay in touch and keep following the result
About the clinic
Modern equipment, comfortable rooms and care for every patient

We will answer your questions and find a convenient time for a consultation
Price
The joint, the type of arthritis and the method determine the cost — the doctor names it after the consultation
Free
Book — Consultation and review of your scansPrice at consultation
Book — PRP therapy (platelet-rich plasma)Price at consultation
Book — Cell therapy (SVF + PRP), one jointFAQ
Arthritis is a disease in which the joints become inflamed. Its typical signs are pain at rest and at night, morning stiffness lasting over 30 minutes, swelling, redness and warmth over the joint. Among the causes are autoimmune conditions like rheumatoid arthritis, as well as infections, gout and psoriasis.
PRP can play a part in rheumatoid and other inflammatory arthritis by helping reduce local inflammation, swelling and pain. Platelets release growth factors that influence tissue repair and the immune response. It works alongside your rheumatologist's prescribed treatment, not instead of it.
Regenerative injections can be one part of the plan for psoriatic arthritis — a chronic disease that cannot currently be cured completely, where the aim is long remission, controlled inflammation and no joint deformity.
Cells contained in SVF may modulate the local immune response and support the repair of damaged tissue in the joint. Because research is ongoing, your doctor will go over realistic expectations for your particular type of arthritis.
The doctor postpones the procedure or suggests another option in cases of active joint infection, a severe flare, pregnancy, cancer or blood clotting disorders, as it is not done then.
Arthritis of the knee means inflammation — from an autoimmune reaction, infection or gout — with redness, warmth, marked swelling and tenderness when touched. Osteoarthritis is the wearing of cartilage and typically brings a dry crunch and aching pain on movement.
Inflammation stimulates the pain receptors in the joint constantly — on movement, at rest and at night. Treatment that aims to reduce inflammation, PRP and SVF included, can ease this pain.
No — pregnancy is a contraindication to any joint injections, PRP and SVF among them. During pregnancy, arthritis treatment is decided only with a rheumatologist and an obstetrician together.
Yes. A free review by a doctor of your X-rays, MRI, ultrasound or blood test results will show whether regenerative treatment could suit your type of arthritis — send them to us.
Untreated, it can result in permanent joint deformity, lost function, osteoporosis and damage to the heart, lungs, kidneys and other internal organs. These complications are prevented by timely treatment.
About the conditions
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.
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.
Arthritis is inflammation of a joint. For patients from Eldoret, typical signs are pain at rest and at night, morning stiffness that lasts longer than half an hour, swelling, redness and warmth over the joint.
Most patients in Eldoret go home the same day and return to normal daily activity within a day or two. During the first week the joint may ache a little more — this is an expected reaction.
Patients from Eldoret can start with a free review of their tests and scans: the doctor tells you whether regenerative treatment could suit your type of arthritis and what it would cost.
Eldoret is a city in the Rift Valley region of Kenya and the capital of Uasin Gishu County. As per the 2019 population census it has a population of 475,716 people and is the fifth most populated urban area in the country. It is a busy place with farming, manufacturing, trade, universities and a strong running culture, and all of these put daily demands on the joints. A knee that complains on the stairs of a market building, a hip that aches after a long day at a processing plant, or a hand that stiffens in the morning can all be early signs of joint disease.
Arthritis means that the joints are affected by inflammation. Typical signs are pain even at rest and at night, stiffness on waking that lasts more than 30 minutes, swelling, redness and a warm joint. Possible causes include autoimmune conditions such as rheumatoid arthritis, infections, gout and psoriasis. Many people in Eldoret put these signs down to hard work, age or the cool mornings, and wait. Waiting is the most common mistake, because the cause decides the treatment, and the cause can only be found by examination and tests.
City Medical Centre offers a free online consultation to patients in Eldoret. Coordinators are available around the clock (24/7) on Telegram and Telegram. You can describe your symptoms, send reports and images you already have, and get a clear idea of what the next step could be without leaving your home town.
Eldoret lies over 2,000 metres above sea level and has a subtropical highland climate with moderate to cool weather. Temperature falls significantly at night, and in the cold season, May to August, it is regularly in single digits Celsius. The cool season is also the wettest, while the warm season is the driest. Many people with arthritis notice that cold, damp mornings make stiffness feel worse. This is something to describe to the doctor, because it helps to separate ordinary weather sensitivity from true inflammation that needs investigation.
For planning, this pattern matters. The cold and rainy months mean heavier clothing, wet ground and slippery steps, all of which are inconvenient while a joint is recovering. The drier warm months make it easier to move around, keep a regular routine and do gentle walking. A procedure involving a small puncture on the abdomen or inner thigh is not tied to one season, but your coordinator can help you choose a period when you can rest comfortably, keep warm and avoid dust and mud on dressings.
Warm layers over the joint help many patients feel more comfortable in the evening. Dry, clean clothing matters more than anything else near the puncture area. If your doctor recommends a compression garment, wear it as instructed and keep it dry during the rainy months.
Under local anaesthetic, a small portion of adipose tissue, about 30 ml, is taken through a puncture on the abdomen or inner thigh. No stitches are needed. This is the only medical detail patients need to understand at the start: the material comes from your own fatty tissue and the access is a small puncture, not an open cut. For someone in Eldoret who works on their feet or is used to physical activity, this is a reassuring starting point.
The material is then used in a regenerative approach that aims to support the tissue around the damaged joint. It is not a replacement for finding out why the joint is inflamed. For that reason, the online consultation always begins with your history: when pain started, whether it wakes you at night, how long morning stiffness lasts, and whether there is swelling, redness or warmth.
Ask the surgeon exactly which joint is being treated, what is expected in your particular case, and what the donor area will look like and feel like afterwards. Local anaesthetic means you stay awake and comfortable, and many patients find that easier to plan around than a longer procedure.
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. This difference is central. A hip that is caught early gives more options than one that has been tolerated for years. Eldoret is a city of runners and active people, and many put up with pain for a long time because they are used to pushing through discomfort. With joint disease, that habit can cost valuable time.
If images show a later stage, the consultation will say so plainly. A responsible doctor does not promise that a cell-based approach will avoid surgery when the joint is already badly damaged. In such a case the useful result of the consultation is a clear recommendation and a realistic plan, which can still save you from months of ineffective treatment.
Bring any X-rays, MRI results, blood tests and earlier prescriptions. If you have none, the coordinator will explain which examinations are usually needed first. Local diagnostic facilities in a city of this size are often enough to produce the basic documents for a remote assessment.
Eldoret is surrounded by farmland and acts as a trading centre for large-scale grain farming, dairy and horticulture. It also has a local manufacturing sector with factories for wood products, textiles, dairy, maize, wheat and pyrethrum. Many patients work in jobs that involve standing, lifting or long hours at a machine, in a shop or at a market stall. Before any procedure, think about which tasks put load on the affected joint and who can cover them in the first period of rest.
Students are a large part of the city. Eldoret is home to Moi University, the University of Eldoret and campuses of several other universities, and hosts the largest university student population outside of the capital. A student with inflammatory joint symptoms should ask how to plan around lectures, practical sessions and examinations, and whether a certificate for the university can be provided. Joint pain in a young person is a reason to look for autoimmune causes, not just to blame sport or posture.
Family events and shared meals are an important part of life in the highlands. Plan the procedure so it does not collide with a wedding, a harvest period or a major family gathering where you would be on your feet for hours. Tell relatives in advance that you need to rest and keep the puncture area clean; this removes pressure and helps you recover calmly.
The agricultural setting means fresh milk, maize, vegetables and other local produce are part of daily meals. Food culture is a strength, but body weight is a real topic in joint care, since extra weight adds load to knees and hips. The World Health Organization describes obesity and overweight as a major health concern, and it is reasonable to discuss weight openly during the consultation without embarrassment.
Gout is one of the possible causes of arthritis, and diet can play a role in how the condition behaves. The doctor may ask about alcohol, red meat and your usual meals. Answer honestly; the aim is a correct diagnosis, not judgement. Keep a short list of what you usually eat, because it helps the doctor see patterns.
Good hydration and regular, balanced meals support general recovery. Avoid any extreme diet around the procedure unless your doctor recommends it. If you have diabetes or take regular medication, say so at the start, because it affects planning.
Eldoret and nearby Iten are known as a training ground for distance runners, helped by the high altitude. The city hosts the Eldoret City Marathon, rugby tournaments, football and cycling events. Whether you are a professional, a club athlete or someone who runs on weekends, you will want to know when you can return to the road. The answer depends on the joint treated, the type of arthritis and how the tissue responds, so the surgeon must give you an individual plan.
Do not return to running, rugby or heavy training on the basis of how you feel on a good day. Pain can ease while the joint is still vulnerable. Ask the doctor which movements are safe at first, when low-impact exercise such as gentle walking or cycling on a flat surface can be introduced, and which signs mean you should stop and call the coordinator.
For recreational players who want to be on the pitch for a local match, a candid conversation helps. If the diagnosis is an inflammatory disease such as rheumatoid arthritis or psoriatic arthritis, the long-term plan includes medical treatment as well, and sport is adjusted to the disease activity.
In general terms, the approach is considered for people with joint disease at early stages, where there is still living tissue to support. It is not suitable for everyone. Active infection, uncontrolled inflammatory disease, certain blood conditions, pregnancy and some other states may be reasons to postpone or choose another route. The doctor will go through your history and decide.
People with late-stage joint damage usually need surgery, as stated above. If you are in this group, it is better to hear it early. If the cause is gout, infection or an autoimmune condition, the underlying disease must be treated first or alongside, and a rheumatologist is often part of the plan.
Tell the doctor about all medicines you take, including pain tablets, blood thinners, traditional remedies and supplements. Mention allergies, especially to anaesthetics. Being complete in this conversation is the best way to avoid surprises.
You contact the coordinators on Telegram or Telegram, at any hour, because they are available around the clock (24/7). You describe the problem, say which joint hurts and since when, and send photographs of swelling or redness if you have them, together with any scans and test results. A doctor reviews the material and the consultation is held online. It is free.
During the consultation, you can ask what the likely cause of your symptoms is, whether your stage suits an SVF approach, what the donor area procedure involves, and what follow-up is expected. Write your questions down beforehand. A stable mobile connection is enough, and the coordinator can help you with the technical side.
After the consultation you receive a clear summary. You can discuss it with your family, take time to decide and continue to ask questions. Nobody pushes you to commit on the same day.
Yes. The consultation with the centre is free. You contact the coordinators on Telegram or Telegram, send your information and arrange the conversation with a doctor from your home in Eldoret.
Yes. Coordinators work around the clock (24/7). You can write in the evening after work or at night when joint pain keeps you awake, and you will get an answer.
Typical signs are pain even at rest and at night, stiffness on waking that lasts more than 30 minutes, swelling, redness and a warm joint. If you notice these, ask for an assessment rather than waiting.
Possible causes include autoimmune conditions such as rheumatoid arthritis, infections, gout and psoriasis. Finding the cause is the first step, because the treatment differs for each.
Under local anaesthetic, a small portion of adipose tissue, about 30 ml, is taken through a puncture on the abdomen or inner thigh. No stitches are needed.
SVF therapy may be considered at early stages (1–2) to support blood supply to the femoral head and delay the need for joint replacement. At later stages surgery is usually required, and the doctor will tell you honestly if you are in that group.
It can. May to August is the cold season, and the cool season is the wettest. Cold and damp may increase stiffness and make moving around harder, so many patients prefer to plan the procedure for a period when they can rest, stay warm and keep dressings dry. Your coordinator will help you choose.
This depends on the joint, the diagnosis and your response, so the surgeon will give you an individual plan. Do not return on the basis of feeling better on one day, and ask which low-impact activities come first.
Collect X-rays, MRI results, blood tests and a list of your medicines and allergies. Note when the pain began, whether it wakes you at night, and how long morning stiffness lasts. Photographs of any swelling or redness are useful.