1Consultation and scan review
Whether the procedure suits you is decided once the doctor has examined your joint and reviewed your X-rays, MRI or ultrasound. If scans already exist, you can send them before visiting.
As part of arthritis care, PRP and SVF cell therapy for the knee, hand, shoulder and other joints — after a doctor has first reviewed your case and tests
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What it is
When a joint becomes inflamed, doctors call it arthritis. Common signs include night and resting pain, morning stiffness longer than half an hour, swelling, and redness with warmth over the joint. It can stem from autoimmune disease (rheumatoid or psoriatic arthritis), gout, infection or an earlier injury.
PRP and SVF can help reduce inflammation and pain and support the tissues inside the joint, but they do not replace care from a rheumatologist for a systemic disease. The procedure is not done during an active joint infection or a severe flare — the doctor first confirms the type of arthritis and chooses the right moment.

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
1Whether the procedure suits you is decided once the doctor has examined your joint and reviewed your X-rays, MRI or ultrasound. If scans already exist, you can send them before visiting.
2A vein provides a small amount of blood, which is later used to prepare platelet-rich plasma rich in growth factors.
3Roughly 30 ml of adipose tissue is removed through a puncture on the abdomen or inner thigh under local anaesthetic, and no stitches are needed afterwards.
4The sample is spun in a centrifuge and separates into layers. The stromal vascular fraction is isolated and mixed with the platelet-rich plasma.
5Ultrasound guidance helps position it precisely as the prepared material is injected directly into the affected joint.
6No crutches and no hospital stay. The doctor stays in touch after the procedure and follows how the joint responds.
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
Nothing donor or synthetic — only your own blood and adipose tissue are used
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.

For inflammatory arthritis it is applied after the acute flare has calmed, because of its effect on local inflammation and on tissue repair.
From a small amount of your blood, plasma rich in growth factors and platelets is separated and injected into the joint. It helps to calm inflammation and creates better conditions for repairing tissue.

It may be recommended for rheumatoid and other inflammatory arthritis 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
Large and small joints — the doctor chooses the joint, the method and the number of injections after reviewing your scans
KneeMeniscus problems, cartilage wear, and pain on the stairs and after walking
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderPain lifting the arm, with wear of the joint and its surrounding tendons
ElbowWorn joint surfaces and pain that follows overuse or sports strain
Hand and wrist jointsStiffness with pain in the small joints of the fingers and the wrist
AnklePain and stiffness after sprains and old injuriesAdvantages
We work on keeping your own joint rather than replacing it — treatment without surgery

Nothing donor or synthetic — only your own blood and adipose tissue are used

Under local anaesthetic, through punctures instead of incisions, with no long rehabilitation afterwards

For a free, independent doctor's assessment, send us your X-rays, MRI or reports

Staying in touch after the procedure, we follow the outcome and not only the 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
The cost depends on the joint, the type of arthritis and the method, so 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 inflames the joints. Classic signs: pain when resting and at night, over 30 minutes of stiffness in the morning, swelling, and a red, warm joint. Infections, gout, psoriasis and autoimmune conditions such as rheumatoid arthritis are among its causes.
It does not replace the treatment prescribed by your rheumatologist, but PRP can complement it: in rheumatoid and other inflammatory arthritis it may help reduce local inflammation, pain and swelling, as platelet growth factors influence the immune response and tissue repair.
At present psoriatic arthritis, a chronic disease, cannot be cured completely. Treatment aims at long remission by controlling inflammation and preventing deformity of the joints; regenerative injections may be one part of this plan.
SVF includes cells that can modulate the immune response at the site and support the repair of damaged joint tissue. Since research in this field is still ongoing, the doctor will discuss realistic expectations for your form of arthritis.
If you have an active joint infection, a severe flare, cancer or a blood clotting disorder, or are pregnant, the procedure is not done; the doctor postpones it or offers another option.
With knee arthritis, an autoimmune reaction, infection or gout causes inflammation — redness, warmth, marked swelling, tenderness to touch. Osteoarthritis is different: the cartilage wears, and the usual signs are a dry crunch and aching pain during movement.
Inflammation stimulates the joint's pain receptors non-stop: on movement, at rest, at night. Reducing the inflammation with treatment such as PRP and SVF can ease this pain.
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. Just send X-rays, MRI, ultrasound or blood test results; a doctor reviews them free of charge and tells you whether regenerative treatment might suit your type of arthritis.
Without treatment the condition can leave the joint permanently deformed, cause loss of function and osteoporosis, and damage internal organs like the heart, lungs and kidneys; timely treatment prevents these complications.
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.
Without treatment, rheumatoid arthritis can lead to permanent joint deformity, loss of function and damage to internal organs. Timely treatment matters for every patient in Kira.
Pregnancy is a contraindication to joint injections, including PRP and SVF. For patients from Kira, arthritis treatment during pregnancy is decided only with a rheumatologist and an obstetrician.
Book a free consultation in Kira to find out whether PRP or SVF could help your arthritis. The doctor names the price after examining the joint.
Kira Town is a municipality in the Wakiso District of the Central Region of Uganda. It is described as the country's second most populous city and is run by the Kira Town Council, an urban local government. The national population agency estimated about 462,900 residents for 2020, and the town grew at an average of 6.68 percent a year between 2014 and 2020. A city that grows this fast is full of people who work, study, raise children and look after elderly relatives, and joint pain affects all of these roles.
Arthritis is not just tired knees after a long day. It means 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. If this pattern sounds familiar to you or to someone in your household in Kira, it deserves a proper medical assessment rather than months of painkillers bought on the way home.
This text is written for people in Kira who want to understand arthritis treatment, ask better questions and plan an online consultation with City Medical Centre. The consultation is free, and coordinators are available 24/7 on WhatsApp and Telegram, so you can begin the conversation from your home in Kira without rearranging your week.
Kira is known as a bedroom community for Kampala. Many residents leave early for work in the capital, spend long hours sitting or standing, and return in the evening. That rhythm matters for joints. Long periods in one position, standing at a counter, sitting in a vehicle or carrying loads can make stiffness and pain more noticeable, especially for someone whose joints are already inflamed.
A useful habit is to keep a short diary for a couple of weeks. Note whether pain is worse at night, how long morning stiffness lasts, which joints swell, and whether the joint becomes red or warm. The 30-minute mark for morning stiffness is a practical reference: stiffness that lasts longer than that points toward an inflammatory process and should be shown to a doctor. A diary like this makes the first online conversation much more productive.
Because so many people in Kira divide their time between home and the capital, the ability to discuss your case online is a real advantage. You can send your questions and documents from wherever you are, in the evening after work or on a weekend, and the coordinators answer around the clock.
Arthritis is a name for inflammation of the joints, and the reasons behind it differ. Possible causes include autoimmune conditions such as rheumatoid arthritis, infections, gout and psoriasis. The treatment plan depends on which of these is behind your symptoms, so the first step is always to clarify the diagnosis, not to pick a procedure.
For a resident of Kira this means gathering what you already have: results of blood tests, imaging reports, notes from earlier appointments and a list of medicines you take. Do not discard old papers. A history of psoriasis on the skin, an episode of a sudden swollen big toe, or a recent infection can each change the direction of the discussion.
During the remote consultation, the specialist will ask about the timing of pain, family history, other conditions and your daily activities. Answer in detail. Describing honestly what you can no longer do, for example climbing stairs, kneeling, carrying a child or standing through a long working day, helps the doctor judge how much the joint disease affects your life.
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 is the honest framing: SVF therapy is not a substitute for surgery when the joint is badly damaged, and it is not suitable for every kind of arthritis.
The procedure itself is modest in scale. 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. For someone in Kira who is nervous about hospitals, it helps to know that this is not a large operation, although the decision about whether it suits you must still be made by a doctor after reviewing your imaging and history.
The timing of seeking advice matters. Many people in a busy town put up with hip or groin pain for a long time because family and work come first. Yet the stage of the disease is exactly what decides which options are open. If you have persistent hip pain, ask directly: what stage am I at, and is early-stage therapy still a reasonable topic for me?
Kira has a working population that commutes toward Kampala, and it also has an educational side. The Shimoni Core Primary Teachers' College opened in Kitikifumba village in January 2011, and St. Augustine International University keeps a campus at Namugongo with its College of Agriculture and Veterinary Medicine. Teachers, students, lecturers and farming or veterinary professionals all use their joints in different ways: standing at a board, walking between lecture rooms, bending in practical work, handling animals or equipment.
When you talk to the surgeon, describe your own working day precisely. A teacher who stands for many hours, a student who sits through long lectures, and an office worker who sits in traffic each need different advice on rest, movement and returning to routine. Ask the doctor to give recommendations that match your actual schedule.
Family events also deserve a place in the plan. Weddings, funerals, school ceremonies and gatherings at home are central in community life, and they involve long standing, dancing, cooking and carrying. Tell the coordinator about any important date in your calendar so the timing of treatment can be discussed sensibly, without pressure and without promises about how fast you will feel ready.
Seasons and weather affect how comfortable recovery is, and general advice applies in Kira as anywhere. The puncture area on the abdomen or inner thigh needs to stay clean and dry. No stitches are needed, but the skin still needs protection from friction, dirt and sweat. On hot or dusty days, loose breathable clothing is more comfortable than tight garments, unless the doctor has recommended a specific compression garment for you.
Rainy periods bring their own concerns: damp clothing, muddy paths and slippery floors. Someone with a painful hip or knee should be careful on wet surfaces, because a fall is the last thing an inflamed joint needs. Choose footwear with a firm grip and plan errands for times when the ground is dry.
Avoid swimming pools, ponds, lakes and any standing water until the doctor confirms the puncture area has healed. Ask for written instructions about when you may return to the pool or to sport, and follow only the timing the doctor gives you. Do not rely on advice from friends, since each case differs.
The Public Health Department of Kira Municipality works on sanitation, safe drinking water, safe disposal of waste and hygiene in schools, markets and other public places. Those priorities are relevant for a patient too. After taking a small portion of adipose tissue, a clean environment at home, clean hands and fresh dressings are simple measures that support healing.
Keep the area covered as the doctor advises, wash your hands before touching it, and avoid crowded, dusty places where you would be pressed against other people in the first days. If you use public transport toward Kampala, ask the doctor when it is reasonable to resume it and how to protect the puncture area from knocks and friction.
Watch for signs that need prompt attention: increasing redness, swelling, warmth, discharge or fever. Write the coordinators on WhatsApp or Telegram with a clear photo and a short description. They are available 24/7 and can pass your message to the medical team.
Excess body weight puts extra load on the hips, knees and feet, and the World Health Organization treats overweight and obesity as a major health concern. For someone with arthritis in Kira, this does not mean blame. It means that gentle, regular movement and attention to weight can be a helpful part of a joint-care plan alongside medical treatment.
Ask the surgeon which activities are suitable in your case. Walking on level ground, gentle stretching and light exercise may be discussed, while jumping, heavy lifting or long standing may need to be limited. For a teammate in a local football or netball group, or for someone who simply likes an evening walk, the answer depends on which joint is affected and how advanced the disease is.
Return to sport should be gradual and agreed with the doctor. Do not test the joint with a full match on the first day you feel better. Pain at rest or at night, or stiffness lasting more than 30 minutes after waking, are reasons to pause and report to your doctor.
The first contact is free and online. You write to the coordinators on WhatsApp or Telegram at any hour, since they are available around the clock. Describe your main complaint, how long it has lasted, and which joints are involved. Add scans, laboratory results and a list of medicines if you have them.
The medical team reviews the material and discusses it with you. They will ask about morning stiffness, night pain, swelling, redness and warmth, and about any history of autoimmune disease, infection, gout or psoriasis. Based on this they explain whether early-stage SVF therapy can be considered or whether surgery is more likely to be needed.
Prepare your questions beforehand. Ask which stage the joint is at, what the procedure involves, what anaesthesia is used, what you must do before and after, and which results are realistic. A good conversation leaves you with a clear picture, not with promises. You decide in your own time, with your family if you wish.
You write to the City Medical Centre coordinators on WhatsApp or Telegram. They are available 24/7, and the first online consultation is free. You can send your complaints and documents from home in Kira.
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. Only a doctor can confirm the diagnosis, so describe your symptoms during the consultation.
Possible causes include autoimmune conditions such as rheumatoid arthritis, infections, gout and psoriasis. Finding the cause is the first step before any treatment is chosen.
No. 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 doctor decides after studying your case.
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.
Yes. Because the consultation is online, you can write in the evening or at the weekend and receive replies from coordinators who work around the clock. Tell them about your working pattern so it is taken into account.
Gather scans, blood test results, earlier medical notes and a list of your medicines. Also write down how long morning stiffness lasts, when pain occurs and which activities have become difficult.
Keep it clean and dry, wear loose breathable clothing unless the doctor recommends a compression garment, and avoid pools and standing water until the doctor allows them. Report redness, swelling, warmth or discharge to the coordinators.
Only when the doctor agrees. Return gradually, and stop and report if pain at rest, night pain or prolonged morning stiffness appears.