1Consultation and scan review
The joint is examined and your X-rays, MRI or ultrasound are reviewed by the doctor, who then decides if the procedure is suitable. Scans you already hold can be sent before the visit.
Arthritis care for the knee, hand, shoulder and other joints can include PRP and SVF cell therapy, always after a doctor checks your case and tests
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What it is
Arthritis refers to inflammation within a joint. Typical complaints are resting and night-time pain, morning stiffness beyond half an hour, swelling, redness and warmth. It may be driven by autoimmune disease like rheumatoid or psoriatic arthritis, by gout, by an infection or by a former 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.

It is a doctor who decides, after examining you and going through your scans, whether the treatment suits you


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 joint is examined and your X-rays, MRI or ultrasound are reviewed by the doctor, who then decides if the procedure is suitable. Scans you already hold can be sent before the visit.
2A vein provides a small amount of blood, which is later used to prepare platelet-rich plasma rich in growth factors.
3A puncture on the abdomen or inner thigh, local anaesthetic and about 30 ml of adipose tissue taken — the site needs no stitches.
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.
5Using ultrasound guidance to place it precisely, the prepared material is injected directly into the joint that is affected.
6Without crutches and without a hospital stay: after the procedure the doctor stays in touch 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
We use only your own adipose tissue and blood, with no synthetic or donor material
Processing a small sample of adipose tissue from your body isolates the stromal vascular fraction (SVF) — cells that play a part in tissue repair. This is combined with your plasma and injected straight into the affected joint.

For inflammatory arthritis it is applied after the acute flare has calmed, because of its effect on local inflammation and on tissue repair.
Plasma rich in platelets and growth factors is taken from a small amount of your blood and injected into the joint, where it helps calm inflammation and improves the conditions for tissue repair.

It may form one part of the overall treatment plan in rheumatoid and other types of inflammatory arthritis.
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
Any size of joint, large or small: your scans are reviewed first, then the doctor settles on the joint, the method and the number of injections
KneeWear of the cartilage, problems with the meniscus, pain after walking and on stairs
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderWorn joint and nearby tendons, and pain when the arm is raised
ElbowPain following overuse or sports strain, along with worn joint surfaces
Hand and wrist jointsFinger and wrist small joints that are stiff and painful
AnklePain and stiffness after sprains and old injuriesAdvantages
We aim to preserve your own joint instead of replacing it — treatment without surgery

We use only your own adipose tissue and blood, with no synthetic or donor material

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

An independent assessment from a doctor, free of charge, once you send your X-rays, MRI or reports

We stay in touch after the procedure and follow the result, not just the day of the injection
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 doctor names the cost after the consultation, because it depends on the joint, the type of arthritis and the method
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 an inflammatory joint disease. You may have pain at night or at rest, morning stiffness for longer than 30 minutes, swelling, and redness and warmth over the joint. The causes include infections, gout, psoriasis and autoimmune conditions, rheumatoid arthritis among them.
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.
Psoriatic arthritis is a chronic disease that cannot currently be cured completely. The aim is long remission: controlling inflammation and preventing joint deformity. Regenerative injections can be one part of that plan.
In SVF there are cells that can influence the local immune response and help damaged tissue in the joint to repair. The doctor will discuss realistic expectations for your type of arthritis, since research in this area is ongoing.
It is not carried out during pregnancy, a severe flare or an active joint infection, nor with cancer or blood clotting disorders. In these situations the doctor postpones it or suggests something else.
Knee arthritis is inflammation caused by gout, an infection or an autoimmune reaction, with redness, warmth, marked swelling and tenderness to touch. Osteoarthritis is cartilage wear and usually shows as aching pain and a dry crunch on movement.
Because inflammation keeps the joint's pain receptors stimulated all the time — moving, resting or at night — treatment aimed at reducing it, including PRP and SVF, can ease the pain.
No: joint injections, including PRP and SVF, are contraindicated in pregnancy. Decisions on treating arthritis while pregnant are made 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.
When left without treatment it can bring permanent joint deformity, loss of function, osteoporosis and damage to the heart, lungs, kidneys and other internal organs. To prevent these complications, it needs 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.
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 Klerksdorp.
Most patients in Klerksdorp 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.
Book a free consultation in Klerksdorp to find out whether PRP or SVF could help your arthritis. The doctor names the price after examining the joint.
Klerksdorp sits in the North West Province, about 165 km southeast of the provincial capital Mahikeng, and has about 227039 inhabitants. It grew from a trading town linking Kimberley to Johannesburg into a place of farmers, miners and the people who serve both trades. Many families here have spent years in physical work: underground, on farms, in workshops, in schools and in shops. Joints carry that history, so questions about arthritis come up in ordinary conversation among colleagues, relatives and neighbours.
Arthritis is not the same as the ordinary tiredness of a hard week. It is inflammation of the joint. Typical signs are pain even at rest and at night, stiffness on waking that lasts more than 30 minutes, swelling, redness and a joint that feels warm. If this is how your mornings look in Klerksdorp, the problem deserves a proper assessment rather than another round of painkillers bought without advice.
City Medical Centre works with patients in Klerksdorp through a free online consultation. Coordinators are available around the clock (24/7) on Telegram and Telegram, so a person coming off a shift or finishing a farm day can write when it suits them and does not need to rearrange work around a clinic queue.
The possible causes of arthritis are varied. They include autoimmune conditions such as rheumatoid arthritis, infections, gout and psoriasis. Each cause calls for a different line of treatment, which is why a vague label such as “bad knees” or “old age” is not a useful starting point for a patient in Klerksdorp or anywhere else.
When you write to the coordinators, it helps to describe the pattern rather than a single bad day: which joints hurt, whether the pain wakes you at night, how long the morning stiffness lasts, whether a joint becomes red or warm, and whether you also have skin changes, a recent infection or episodes of sudden severe pain. This kind of description lets the doctor in the online consultation decide which tests and reports to ask for.
Local test results and imaging done in the city can be sent as photos or files. The remote doctor reads them, compares them with your story and explains what is known, what is still unclear and what should be clarified before any procedure is discussed. Treating the underlying cause comes first; no procedure replaces that step.
Klerksdorp has a semi-arid climate with warm to hot summers and cool, dry winters. Average annual precipitation is 482 mm, with most rain falling in summer. Many patients say that cold dry mornings in winter make stiffness feel worse, and that warm months are easier on the joints but bring their own problems for anyone planning a medical procedure.
In the cool season, stiffness on waking can be hard to tell from a flare of inflammation. A simple diary helps: note the time you get up, how long the joint takes to loosen, and whether swelling or warmth is present. If stiffness lasts more than 30 minutes, or the joint is red, swollen and warm, share this with the doctor instead of assuming it is only the weather.
In the hot season, swelling can increase after long hours on your feet, and dry dust on farm roads and mining areas may irritate skin around any small puncture site. General advice is to keep the area clean, wear light clothing that does not rub, and avoid pools, dams and dirty water until the doctor confirms the skin is ready. Direct sun on the sampling area is best avoided while the skin is still sensitive.
For suitable patients, the approach discussed is based on SVF therapy. 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 a short and gentle step compared with surgery, and it is the part of the process that happens in person at the treating facility.
Everything before and after that step can be handled remotely from home. In Klerksdorp, that means you can prepare your records, talk through your daily schedule, and ask about timing before making any decision. The coordinators explain the sequence in plain language and answer follow-up questions on Telegram or Telegram.
You should know what the procedure can and cannot do. It is considered as support for the joint, not as a cure for gout, psoriasis, infection or an autoimmune disease. Those conditions still need their own treatment, and a doctor must decide whether SVF therapy fits alongside it.
The most specific medical point here concerns the hip. 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. Timing therefore matters, and waiting for pain to become unbearable may close the window in which this option is realistic.
For a patient in Klerksdorp, this means that persistent groin or hip pain, night pain, or a limp should be assessed early. A person who delays because of work on a farm, a shift in the mining industry or school and family duties may lose the chance to consider a less invasive approach. The online consultation is a way to find out your stage from your imaging without losing a working week.
If your imaging suggests a later stage, the doctor will say so openly. In that situation the conversation turns to surgical options and how to prepare for them. An honest answer of this kind is more useful than false hope, and you can then plan with your family and your local doctor.
Klerksdorp is described as one of the hubs of South African gold mining, although its importance has been decreasing, and together with Rustenburg it forms the economic heart of the North West Province. It is also a notable medical, retail and educational centre for the province and the northern Free State. The district contributes strongly to agriculture, with maize, sorghum, groundnuts and sunflower among the crops, and the Senwes co-op is the largest agricultural co-op in the Southern Hemisphere.
These are jobs that load the joints: standing on hard floors, lifting, climbing in and out of vehicles, long hours at counters and desks. Office workers at banks and national agencies in the city have different strains, mostly from sitting and repetitive movement. Tell the doctor what your day really looks like, because it affects when a procedure is sensible and how soon you can return to your duties.
Teachers and students are in the same position. The city has many primary and secondary schools, public and private, and a school calendar is easy to plan around. Many people choose a quieter period in the school or work year for any procedure. Ask the doctor in the consultation what return to work looks like for your job, and agree it with your employer in advance.
Klerksdorp offers plenty of reasons to stay active. The Oudorp hiking trail is 12 km long and winds through the oldest parts of town. The Faan Meintjies Nature Reserve lies about 15 km away, with 30 species of game and 150 species of birds. The Johan Neser Dam, also known as Klerksdorp Dam, is 10 km outside the city, and the Harry Oppenheimer Stadium hosts school athletics competitions.
For someone with arthritis, these places are both motivation and a test. Gentle walking is usually encouraged for joint health, but sport during a flare, or on joints that are swollen and warm, is a question for the doctor. Do not decide alone to push through the pain before a school athletics day, a hike or a weekend at the dam.
Before the procedure, ask when you may resume walking, trail routes, swimming and other sport. Medical facts about pool and sport timing come only from the treating doctor after your case is reviewed. Until you have that answer, treat dams, pools and long hikes as postponed, and return to them in steps rather than all at once.
Food culture in a farming and mining city leans on hearty meals, braais with family and friends, and long gatherings at weekends. These events matter, and nobody should be asked to give up their social life. But in planning a procedure it helps to put such events on the calendar early, so that a wedding, a school function or a family celebration does not collide with the days when you should rest.
Body weight is relevant to joints, particularly knees and hips. The World Health Organization publishes general information on overweight and obesity, and it is a reasonable reference for anyone thinking about how daily eating habits affect long-term health. Talk to the doctor about sensible changes rather than crash diets, especially when inflammation is active.
For season planning, many patients prefer the cooler, dry months because light clothing is less necessary and sweating is lower, though the dry air calls for good skin care. Others choose a calm stretch between school terms. There is no single right season; the right choice is the one in which you can rest, follow instructions and avoid dust, dams and pools while the skin heals.
The consultation is free and online. You write to the coordinators on Telegram or Telegram at any hour, send your reports and imaging, and a doctor reviews them with you. You do not need an appointment in Klerksdorp, and nobody will ask you to come to a local office, because the centre does not have one there.
Useful questions to prepare: What kind of arthritis do I seem to have, and what tests are still missing? What stage is my joint at? Is SVF therapy realistic for me, or is surgery more likely? How is the 30 ml of adipose tissue taken, and what should I expect from the puncture on the abdomen or inner thigh? How should I look after the skin and the joint afterwards, and when can I go back to work and sport?
Also ask about contraindications in general terms: active infection, uncontrolled illness, or conditions that call for different treatment first. The doctor will tell you whether anything in your history changes the plan. Write the answers down, share them with your local family doctor, and keep the coordinators informed as you decide.
Yes. The online consultation is free, and the coordinators are available 24/7 on Telegram and Telegram. You send your symptoms, reports and imaging from home, and a doctor reviews them with you remotely.
Typical signs of arthritis are pain even at rest and at night, stiffness on waking that lasts more than 30 minutes, swelling, redness and a warm joint. Ordinary tiredness after a long working day usually settles with rest. If you recognise the first pattern, ask for an assessment.
Possible causes include autoimmune conditions such as rheumatoid arthritis, infections, gout and psoriasis. Each needs its own treatment, so the doctor will want to understand the cause before talking about any procedure.
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.
No. At early stages (1–2), it 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. Your imaging will show where you stand.
In general, the semi-arid climate with warm to hot summers and cool, dry winters means you should protect the puncture site from dust and direct sun, keep the skin clean, and avoid pools and dams until the doctor allows them. Cool dry mornings may also make stiffness feel stronger, so keep a diary of symptoms.
Describe your daily tasks to the doctor: standing, lifting, driving, sitting. The doctor will explain what is suitable for your job. Agree on dates with your employer beforehand, and do not return to heavy work earlier than advised.
Gentle walking is usually encouraged, but sport during a flare or on a swollen, warm joint is a question for the doctor. Ask when you may resume trails, swimming and sport, and increase the load gradually.
No. The consultation and follow-up questions are handled remotely, and the coordinators answer around the clock. You can discuss your records with your local family doctor in parallel.