1Consultation and scan review
The doctor decides on the procedure only after examining the joint and reviewing your X-rays, MRI or ultrasound. You are welcome to send any scans you have before the appointment.
PRP together with SVF cell therapy supports arthritis care in the knee, hand, shoulder and other joints; first comes a doctor's review of your case
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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.
Helping to reduce inflammation and pain and to support tissue inside the joint — that is the role of PRP and SVF, alongside, not instead of, a rheumatologist's care for a systemic disease. The doctor first confirms the type of arthritis and waits for the right moment, never acting during a severe flare or an active joint infection.

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
1The doctor decides on the procedure only after examining the joint and reviewing your X-rays, MRI or ultrasound. You are welcome to send any scans you have before the appointment.
2The doctor draws a small amount of blood from a vein, which later becomes platelet-rich plasma with growth factors.
3Under 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.
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.
6The doctor follows how the joint responds and stays in touch after the procedure — and you need no crutches or hospital stay.
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
From a small sample of adipose tissue we isolate the stromal vascular fraction (SVF), a mix of repair-related cells. Combined with your own plasma, the material is injected into the joint that is affected.

Once the acute flare has settled, it is used in inflammatory arthritis for its effect on tissue repair and local inflammation.
Injected into the joint, plasma rich in platelets and growth factors — separated from a small amount of your blood — helps calm inflammation and makes conditions for tissue repair better.

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
Small joints as well as large — the doctor reviews your scans and then chooses the joint, the method and how many injections to give
KneeCartilage that has worn, meniscus trouble, pain after walks and on stairs
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderPain lifting the arm, with wear of the joint and its surrounding tendons
ElbowWear of the joint surfaces, and pain after overuse or strain from sport
Hand and wrist jointsPain and stiffness affecting the small joints of the fingers and wrist
AnklePain and stiffness after sprains and old injuriesAdvantages
We aim to preserve your own joint instead of replacing it — treatment without surgery

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

Instead of incisions we use punctures, with local anaesthetic and no long rehabilitation

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

We remain in contact after the procedure and follow the result, well beyond 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
After the consultation the doctor names the cost, which depends on the joint, the arthritis type 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 — inflammation of the joints — typically shows as pain at rest and at night, morning stiffness of more than 30 minutes, swelling, and redness with warmth over the joint. It may result from autoimmune conditions (rheumatoid arthritis, for instance), infections, gout or psoriasis.
Platelets release growth factors that influence both tissue repair and the immune response, which is why PRP may be used in rheumatoid and other inflammatory arthritis to help reduce local inflammation, pain and swelling. It complements rather than replaces your rheumatologist's prescribed treatment.
Being chronic, psoriatic arthritis cannot at present be cured completely. The target is a long remission in which inflammation is controlled and joint deformity prevented; regenerative injections can be one element of the plan.
Research in this field is ongoing: SVF contains cells that can modulate the local immune response and support repair of damaged joint tissue, and the doctor will discuss realistic expectations for your type of arthritis.
It is not done during an active joint infection, a severe flare, pregnancy, cancer or blood clotting disorders. In these cases the doctor postpones the procedure or suggests another option.
An autoimmune reaction, infection or gout can inflame the knee — that is knee arthritis, with redness, warmth, marked swelling and tenderness to touch. Osteoarthritis is cartilage wear, usually noticed as a dry crunch and aching pain when the knee moves.
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: 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 — send us your X-rays, MRI, ultrasound or blood test results. A doctor reviews them free of charge and tells you whether your type of arthritis could suit regenerative treatment.
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.
Growth factors released by platelets influence the immune response and tissue repair. For patients from Makurdi with rheumatoid and other inflammatory arthritis, PRP may be one part of the overall plan.
No crutches and no hospital stay are needed. The puncture sites are small and covered with dressings, and the doctor stays in touch with patients in Makurdi after the procedure.
The price depends on how many joints are treated and on the method. For patients from Makurdi, the doctor explains the plan and the cost at a free consultation.
Makurdi is the capital of Benue State, in the Middle Belt of central Nigeria, on the Benue River. In 2017 the urban population was 517,342. A city of this size has a large share of people who work on their feet, carry loads, farm, trade in markets or sit for long hours in offices, and all of these put steady demands on the knees, hips, hands and spine. When a joint starts to hurt, many residents first assume it is tiredness or age, and they wait.
Arthritis is not simply wear and tear. It means the joints are affected by inflammation. The typical picture is pain even at rest and at night, stiffness on waking that lasts more than 30 minutes, swelling, redness and a warm joint. If a resident of Makurdi recognises this combination, it is a reason to ask for a proper assessment rather than to keep taking painkillers bought at a market stall.
The possible causes differ a great deal: autoimmune conditions such as rheumatoid arthritis, infections, gout and psoriasis. Each needs a different approach, so the first task of any consultation is to understand which kind of arthritis is present. The City Medical Centre coordinators help patients from Makurdi prepare for exactly this conversation, online and free of charge.
You do not need to leave the city to start. The consultation is free and online, and the coordinators are available around the clock (24/7) on Telegram and Telegram. For someone in Makurdi this matters in practical terms: you can write in the evening after work, or early in the morning before the day at the market or the university begins, and you do not have to rearrange your schedule around a waiting room.
A useful first message is short and factual. Describe which joints hurt, since when, whether the pain wakes you at night, how long the morning stiffness lasts, and whether any joint is swollen, red or warm. Add any diagnoses you already have, and attach photos of existing results, scans or laboratory reports if you have them. The more clearly the history is written, the more useful the first reply will be.
The coordinators then arrange a review of your documents by a specialist and explain the possible directions in plain language. This does not replace a physical examination by a local doctor, and a good plan usually combines the two: your own doctor in Makurdi examines you and does the routine tests, while the remote consultation helps you understand the options and prepare your questions.
Because the city lies in the valley of the Benue River, Makurdi has warm temperatures most of the year. The period from November to January, when the harmattan is felt, is relatively cooler. Many people with arthritis notice that their joints feel different between the warm months and the harmattan, and some report more stiffness on cool mornings. It is worth keeping a simple diary of symptoms across the seasons and sharing it with the specialist.
Heat affects any recovery period in practical ways. In warm weather swelling can feel worse by the evening, and sweating can irritate the skin around a small puncture. After a minimally invasive step, keep the puncture area clean and dry, wear loose breathable clothing, avoid strong direct sun on the area, and follow the dressing advice you are given. Dusty harmattan days call for the same care: do not touch the puncture area with dirty hands or cloth.
Hydration matters in a hot river-valley city. Drink water steadily through the day, rest in shade, and plan walking for the cooler parts of the day. These are general suggestions only; your doctor will give the instructions that apply to your own case.
Patients in Makurdi often ask whether there is something between tablets and joint replacement. For one specific situation, there may be. 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 an honest boundary: the earlier a problem is recognised, the more options remain, and the later it is found, the fewer there are.
The material for SVF comes from your own fat tissue. 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 a busy person in Makurdi, a procedure that uses local anaesthetic and a puncture rather than an incision is easier to fit into life, though the specialist decides whether it suits you.
It is not a treatment for every kind of arthritis. Inflammation caused by an infection, gout or psoriasis must be dealt with according to its cause. SVF is discussed only after the type and stage of the problem are clear, and many patients will be told that another route is more suitable. That outcome is a normal and useful result of a consultation.
Makurdi is a commercial hub for the Middle Belt. The economy is driven by trade and agriculture, and the Makurdi Modern Market is a key distribution point for produce such as yams and cassava. People who lift, carry, stand behind a stall or work in the fields need to ask the surgeon very concrete questions: when can I lift sacks again, when can I stand for a full day, and what should I avoid while the puncture area heals.
Students at Benue State University, the University of Agriculture and Akawe Torkula Polytechnic have a different calendar. Many would prefer to plan around lecture periods and examinations, and long sitting in a lecture hall can itself increase stiffness. Tell the coordinator about your timetable so that the discussion of timing is realistic.
Family occasions are also part of planning. Weddings, funerals and festive gatherings bring long hours of standing, dancing, cooking and hosting, and the communities of Makurdi, including Tiv, Idoma, Igede and others, value these gatherings highly. If you have a big event approaching, say so openly. It may be wiser to schedule the procedure after the event than to push through pain or to rush back to activity too soon.
Local food in Benue State rests on staples such as yams and cassava, with rice also grown in the region. These are filling, energy-dense foods, and portion size and frequency of meals matter for body weight. Extra weight loads the knees and hips, which is one reason weight is part of any joint conversation. The WHO fact sheet on obesity and overweight is a reliable general reference on this subject.
This is not a call to give up traditional dishes. A practical approach is to adjust portions, add vegetables and beans, prefer boiled or grilled preparation over heavy frying, and keep sugary drinks occasional. If gout is one of the possible causes, the specialist may also discuss which foods and drinks are worth limiting, because gout responds to such changes differently from other forms of arthritis.
Ask the specialist for a plain written list of dietary advice that fits what you actually buy and cook in Makurdi. General advice that does not match your local market is rarely followed.
There is no single best month. The relatively cool harmattan period from November to January may feel more comfortable for rest and for wearing any supportive clothing, but dust and dry air then need attention. In the warm months, heat and sweating require more care with the puncture area and more rest in shade. Discuss your own plan with the coordinator rather than choosing by season alone.
After a procedure through a small puncture with no stitches, daily life usually resumes sooner than after open surgery, but the exact pace is set by the doctor. Do not copy what a neighbour did. Ask specifically: when may I return to desk work, when to physical work, when to walking longer distances, and when to sport. For sport, ask about each activity separately, since football, running and gym work load the joints differently.
Keep following the treatment of the underlying cause during recovery. If the arthritis is autoimmune, your regular medicines and follow-up are not replaced by any single procedure. Bring your full medicine list to the consultation so that interactions and timing can be reviewed.
Prepare a short list before the online consultation. Which type of arthritis do I have, and has it been confirmed by tests? At which stage is the joint? Is SVF therapy realistic for me, or is another approach more suitable? What exactly is done during the procedure, and what do I feel? What are the possible complications? What follow-up is needed, and who in Makurdi can examine me afterwards? What would signal that I should contact the coordinators urgently?
In general terms, the best candidates are people with a clear diagnosis whose joint problem is at an early stage and who are ready to follow instructions. Active infection, an untreated cause of inflammation, serious general illness or unrealistic expectations are reasons for caution or for choosing another route. Pregnancy, blood-clotting problems and some chronic conditions also need to be discussed openly.
Be wary of anyone who promises certainty. Honest medicine explains what may help, what may not, and what remains uncertain. A good consultation leaves you with a clearer picture, whatever the decision.
Yes. The online consultation is free, and the coordinators are available around the clock (24/7) on Telegram and Telegram. You can send your first message at any hour and attach existing reports or scans.
Pain even at rest and at night, stiffness on waking that lasts more than 30 minutes, swelling, redness and a warm joint are typical signs of inflammation in the joint. If you notice this combination, ask for a proper assessment rather than relying on painkillers alone.
Possible causes include autoimmune conditions such as rheumatoid arthritis, infections, gout and psoriasis. Because treatment depends on the cause, the first step is always to find out which type you have.
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. Other causes of inflammation are treated according to their type.
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.
It can. Makurdi is warm most of the year, with a relatively cool harmattan period from November to January. Heat, sweat and dust call for clean, dry skin around the puncture, loose clothing, shade and enough water. Your doctor gives the exact instructions.
Tell the coordinator what you lift and how long you stand. Ask the specialist in advance when you may return to each kind of task, and arrange help at your stall or on your land for the first days of recovery.
Yes. A local doctor can examine you, run routine tests and monitor you afterwards. The remote consultation helps you understand the options and prepare, and the two work together.
It can. Body weight affects the load on knees and hips, and in gout certain foods and drinks matter. Ask for dietary advice that fits local staples such as yams, cassava and rice, rather than generic lists.