1Consultation and scan review
The doctor examines the joint, reviews your X-rays, MRI or ultrasound and decides whether the procedure suits you. If you already have scans, you can send them before the visit.
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
Inflammation of a joint is what arthritis is. Its usual signs: pain at night and at rest, morning stiffness that takes over half an hour to wear off, swelling, redness and heat over the joint. Possible causes range from autoimmune diseases — rheumatoid or psoriatic arthritis — to gout, infection or a previous injury.
PRP and SVF are there to help calm inflammation and pain and to support the joint's tissues; they do not stand in for a rheumatologist treating a systemic disease. The doctor first confirms what kind of arthritis it is and chooses the right time — never during an active joint infection or a severe flare.

Suitability is decided by a doctor following an examination and a review of your scans


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
1The doctor examines the joint, reviews your X-rays, MRI or ultrasound and decides whether the procedure suits you. If you already have scans, you can send them before the visit.
2A small blood sample is taken from a vein. Later, platelet-rich plasma with growth factors is prepared from this blood.
3The doctor numbs the area with local anaesthetic and takes about 30 ml of adipose tissue through a puncture on the abdomen or inner thigh; stitches are not needed.
4Once the centrifuge has spun the sample into layers, the stromal vascular fraction is isolated and added to the platelet-rich plasma.
5Ultrasound guidance helps position it precisely as the prepared material is injected directly into the affected joint.
6After the procedure there is no hospital stay and no need for crutches; the doctor stays in touch and follows the joint's progress.
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
Everything used comes from you — your blood and adipose tissue — with no synthetic or donor material
Your adipose tissue, in a small sample, is processed to isolate the stromal vascular fraction (SVF) — a combination of cells engaged in tissue repair. The affected joint then receives it by injection, together with your own plasma.

When the acute flare has died down, it can be used in inflammatory arthritis to act on local inflammation and help tissue repair.
It helps calm inflammation and improves conditions for tissue repair: plasma rich in platelets and growth factors, separated from a small amount of your blood and injected into the joint.

Rheumatoid and other inflammatory arthritis may call for it as one part of the overall treatment plan.
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
Both large and small joints — after reviewing your scans, the doctor decides on the joint, the method and how many injections you need
KneeCartilage that has worn, meniscus trouble, pain after walks and on stairs
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderJoint and surrounding tendon wear, with pain on lifting the arm
ElbowPain brought on by overuse or sporting strain, with wear of the joint surfaces
Hand and wrist jointsPain and stiffness affecting the small joints of the fingers and wrist
AnklePain and stiffness after sprains and old injuriesAdvantages
Treatment without surgery that sets out to keep your own joint instead of replacing it

Everything used comes from you — your blood and adipose tissue — with no synthetic or donor material

Local anaesthetic, punctures rather than incisions, and no long rehabilitation

Free of charge, a doctor gives an independent assessment of the X-rays, MRI or reports you send

We follow your result and stay in touch after the procedure, not just on injection day
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
Price depends on the joint, the method and your type of arthritis, and 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
Joint inflammation defines arthritis. It typically brings pain at rest and at night, morning stiffness that lasts more than 30 minutes, swelling, redness and warmth over the joint. Autoimmune conditions like rheumatoid arthritis, infections, gout and psoriasis can all lead to it.
PRP may be used in rheumatoid and other inflammatory arthritis to help reduce local inflammation, pain and swelling. Growth factors released by platelets influence the immune response and tissue repair. It complements, but does not replace, the treatment prescribed by your rheumatologist.
As a chronic disease, psoriatic arthritis cannot yet be cured completely; treatment works towards long remission, controlled inflammation and prevention of joint deformity. Regenerative injections can be part of that plan.
SVF contains cells that can modulate the local immune response and support the repair of damaged tissue in the joint. Research in this area is ongoing, so the doctor will discuss realistic expectations for your type of arthritis.
The procedure is not performed during an active joint infection, a severe flare, pregnancy, cancer or blood clotting disorders; in such cases the doctor postpones it or suggests another option.
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.
PRP, SVF and other treatment aimed at reducing inflammation can ease this pain, because inflammation keeps stimulating the joint's pain receptors all the time — at rest, on movement and at night.
No. PRP, SVF and other joint injections are contraindicated during pregnancy; how to treat arthritis while pregnant is decided only together with a rheumatologist and an obstetrician.
Yes. Your X-rays, MRI, ultrasound or blood test results are reviewed by a doctor free of charge, and you will hear whether regenerative treatment could suit your type of arthritis.
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 treatment in Gusau uses your own tissue: platelet-rich plasma from a small blood sample and the stromal vascular fraction from a small adipose tissue sample. There is no donor or synthetic material.
Pain usually eases over the first month, and mobility improves over about three months. For patients from Gusau, the full effect develops over around six months, and its duration differs from person to person.
Book a free consultation in Gusau to find out whether PRP or SVF could help your arthritis. The doctor names the price after examining the joint.
Gusau is a city in northwestern Nigeria and the capital of Zamfara State. The Gusau Local Government Area covers 3,364 km² and had a population of 383,162 at the 2006 census. The city has long been an agricultural and commercial centre, and that history still shapes how people live. Many residents spend their days on their feet, carrying loads, bending in the fields, trading in markets or working with livestock. Healthy joints are part of earning a living here.
When arthritis begins, it rarely looks like a medical problem at first. A person may put the pain down to hard work, age or the weather. In arthritis the joints are affected by inflammation, and the 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 recognise this pattern, it is a reason for a proper consultation. It is not something to wait out.
City Medical Centre works with patients in Gusau through a free online consultation. Coordinators are available 24/7 on Telegram and Telegram, so you can write after the working day, after prayers or in the evening when the household is quiet. You describe your symptoms, send the documents you already have, and the coordinator arranges the discussion with a specialist.
Gusau has a tropical savanna climate (Köppen Aw). The dry season is partially cloudy and hot, and the wet season is oppressive and generally cloudy. Climate change is making the local climate warmer. Patients with inflamed joints often notice that their symptoms change with the seasons, and it helps to keep a short diary. Note when the pain is worse, when the swelling rises and when the morning stiffness lasts longer. This diary gives the specialist useful information during the remote consultation.
Heat can make swollen joints feel heavier and more tiring, and dehydration makes everyday life harder. Drink enough fluids, rest in shade during the hottest part of the day and choose light, loose clothing that does not press on a painful joint. In the wet season the air is humid and the sky is overcast. Many people become less active then, and that can increase stiffness. Gentle movement at home is better than staying still for hours.
You should not change medication or start a new treatment because of the weather alone. Seasonal comfort is one question. The cause of the inflammation is another. Rheumatoid arthritis and other autoimmune conditions, infections, gout and psoriasis can all be behind joint inflammation, and each one needs its own approach.
Many people in Gusau ask what the procedure actually is. 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. The specialist explains what is done with this material and why it may be considered for some joint problems. The explanation takes place during the consultation, before any decision is made.
The method is not a universal answer to every form of arthritis. 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. That is why the stage of the condition matters so much, and why we ask for imaging and test results early.
If you have only a phone and a few old reports, that is still enough to start. The coordinator will tell you which documents are useful, such as X-ray images, MRI descriptions, blood test results and notes from previous doctors. Photographs of paper reports taken in good light are usually readable.
Gusau grew as a farming and trading town, and today many families still depend on agriculture, livestock or small commerce. Planning matters for this reason. A trader who stands all day, a farmer who works through the planting period and a teacher who walks to school all have different physical demands. Tell the specialist exactly what your day looks like, because the plan for load and rest depends on it.
The farming calendar is a practical point. Peak seasons for sowing and harvesting are hard to postpone, so think ahead about who can help with heavy tasks. Agree on this with relatives before starting treatment, not afterwards. A planned period of lighter work is much easier to keep when the family expects it.
For office and shop work, the question is usually about sitting and standing. Short breaks, a supportive chair and a change of position can reduce the strain on sore joints. Ask the surgeon when light duties are reasonable and when heavier lifting should wait. We do not promise a date in advance, because the answer depends on which joint is affected and how advanced the condition is.
In Gusau, the period from late October to mid-March is the most comfortable for hot-weather outdoor activity, according to the beach and pool score. For someone planning treatment, a calmer and drier part of the year can make daily routines easier. Recovery does not depend on the calendar alone, though. It depends on your health, the joint involved and the advice you receive.
Whatever the season, heat deserves respect. After the puncture for tissue collection, keep the area clean and protected from dust, and avoid tight clothing that rubs the abdomen or inner thigh. Choose loose cotton garments. Ask the specialist about washing and about when pools, rivers or other open water are suitable. Do not enter them until you have the specialist's confirmation.
The wet season brings humidity and cloud cover, and many people spend more time indoors. That can be a good moment for rest, but it should not mean complete inactivity. Ask which gentle movements are appropriate for your joint during the first period after the procedure.
Food and gatherings are central to life in a Hausa city such as Gusau. Weddings, naming ceremonies and religious holidays bring relatives together, and hosting often means long hours of cooking, serving and standing. If you have an inflamed joint, ask the family to share the work. Sitting with guests is not rude. Looking after your health is a reasonable reason to step back.
Body weight places extra load on the knees and hips. The WHO obesity and overweight fact sheet is a useful general reference. A balanced diet with vegetables, legumes and moderate portions supports joint health in general terms. Gout is one possible cause of arthritis, and the specialist may ask about your diet and your fluid intake. Be honest about it, because it helps to choose the right tests.
Do not use food as a treatment on your own, and do not follow advice from social media about miracle diets. Bring your questions to the consultation. If you fast for religious reasons, tell the specialist, because this can matter for medication, fluids and planning.
A good consultation is a conversation. Prepare your questions in advance and write them in the chat, so that nothing is forgotten. Useful questions are: What type of arthritis do I have, and has the cause been confirmed? Which stage is my joint at? Is SVF therapy reasonable for me, or is another approach more appropriate? What are the alternatives, including surgery?
Ask about the procedure itself. Where will the tissue be collected, from the abdomen or the inner thigh? How is the local anaesthetic used? What can I expect on the first day? When can I return to work, to household tasks and to sport? What signs should make me contact the coordinator immediately, such as increasing redness, a joint that becomes hot or a high temperature?
Ask also what is not known. An honest specialist will tell you that results differ between patients, and will not promise a cure. If an answer is unclear, ask for it to be explained again in simpler words. You have the right to understand before you decide.
In general terms, the first step is to confirm that the problem really is arthritis and to find the cause. Pain in a joint can come from inflammation, from wear, from injury or from other conditions. For this reason the specialist looks at your history, your examination findings and your imaging. For SVF therapy, the stage matters: at early stages (1–2) it may be considered, and at later stages surgery is usually required.
Some situations call for caution or for a different plan. Active infection, an untreated autoimmune flare, unexplained fever, serious chronic illness or uncertainty about the diagnosis should be discussed with the specialist before any procedure. Tell them about all medicines you take, including blood thinners, and about allergies, especially to local anaesthetics.
Pregnancy, breastfeeding and cancer history are also worth mentioning. The decision is made by the specialist after reviewing your documents. The coordinator cannot decide it for you, and neither can friends or relatives.
The process is simple. You contact the coordinators on Telegram or Telegram, at any time, because they work around the clock. You describe the problem, say which joints hurt, since when, and what you have already tried. Then you send your documents: scans, laboratory results and a list of medicines.
The coordinator prepares your case and arranges a free online consultation with a specialist. Use a quiet room with a stable connection. If the network in your area is weak, tell the coordinator, and a voice call or a written summary can be used instead. A relative may join you, which is common and helpful.
After the consultation you receive an explanation of the findings and the options. You are not obliged to decide at once. Take time, discuss it with your family and ask more questions in the chat. Our coordinators do not pressure patients.
Yes. The online consultation is free. You contact the coordinators on Telegram or Telegram from Gusau, send your documents and receive a specialist's opinion without paying for the first discussion.
See one if you have pain at rest or at night, stiffness on waking that lasts more than 30 minutes, swelling, redness or a warm joint. These are typical signs of inflammation, and a clear diagnosis is the first step.
Possible causes include autoimmune conditions such as rheumatoid arthritis, infections, gout and psoriasis. Tests are needed to find the cause, because the approach differs for each one.
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.
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. The specialist will assess your stage.
Heat and humidity can make swelling and tiredness harder to bear. Wear loose clothing, drink enough fluids, protect the puncture area from dust and ask the specialist when pools or open water are suitable.
Tell the specialist about your daily physical load. Arrange help with heavy tasks in advance and ask when light duties and heavier lifting are reasonable for your joint.
X-ray or MRI images or their descriptions, blood test results, previous doctors' notes and a list of the medicines you take. Clear photographs of paper reports are usually sufficient.
Tell the coordinator. They can adapt the format, for example with a voice call or a written summary, so you still get a full explanation.