City Medical Centre · multi-specialty surgery clinicOpen 24/7

Treatment of Inflammatory Joint Conditions in Ondo

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

Knee joint: regenerative treatment without surgery
Joint treatment without surgery. Free consultation and review of your scans

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What it is

What is arthritis
and when does this treatment fit?

In arthritis the joint is inflamed. People typically notice pain even at rest or at night, stiffness on waking that goes on for more than half an hour, swelling, and a red, warm joint. Behind it may be an autoimmune condition such as rheumatoid or psoriatic arthritis, gout, an infection or old trauma.

  • No surgery — an injection instead of an operation
  • Own tissue — your blood and adipose tissue
  • Ultrasound guidance for every injection
Knee joint: an injection under ultrasound guidance

Who the treatment suits

A doctor examines you, reviews your scans and then decides whether the treatment is suitable

Suitable

A doctor reviews knee X-rays with a patient
  • Pain, crunching or stiffness in a joint
  • Painkillers only help for a short time
  • Recovery after injuries and surgery
  • You need a second opinion on your scans
  • You want to avoid or postpone joint replacement
  • Early or moderate arthrosis or arthritis
  • High load on the joints — sport or physical work

Not suitable

A doctor examines a patient's knee
  • Cancer
  • Pregnancy
  • Blood clotting disorders
  • Acute infections, including infection in or near the joint
  • Flare-up of a serious chronic illness
  • Temporary contraindications: fever, flu or a cold, or inflamed skin over the joint being treated

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 me

How it works

How the procedure goes: step by step

Consultation and scan review1

Consultation 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.

Blood sample for PRP2

Blood sample for PRP

Blood is taken from a vein in a small amount, later to be turned into platelet-rich plasma with growth factors.

Adipose tissue sample3

Adipose tissue sample

Roughly 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.

Processing in a centrifuge4

Processing in a centrifuge

The sample is spun in a centrifuge and separates into layers. The stromal vascular fraction is isolated and mixed with the platelet-rich plasma.

Injection into the joint5

Injection into the joint

Ultrasound guidance helps position it precisely as the prepared material is injected directly into the affected joint.

Follow-up6

Follow-up

After the procedure there is no hospital stay and no need for crutches; the doctor stays in touch and follows the joint's progress.

Book a consultation

Call or message us — our coordinator will contact you shortly and book your consultation

A doctor talks with a patient about joint treatment
Book a consultation
A doctor talks with a patient about joint treatment

Results

After the procedure

  • Doctor talking warmly with a patient after the procedure

    1 week

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

  • Doctor consulting an older patient one month after treatment

    1 month

    The pain usually eases.

  • Doctor explaining progress to a patient using a knee joint model

    ~3 months

    Mobility and activity improve.

  • Doctor and patient walking together at a follow-up visit

    ~6 months

    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

Methods we use

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

Cell therapy (SVF) from your own adipose tissue

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.

A doctor explains SVF cell therapy for the knee to a patient on a tablet

When the acute flare has died down, it can be used in inflammatory arthritis to act on local inflammation and help tissue repair.

Material
Your adipose tissue and plasma
How it is given
Into the joint, under ultrasound
Duration
The whole procedure is done in one day.

PRP — platelet-rich plasma from your own blood

Your blood, in a small amount, provides plasma rich in platelets and growth factors; injected into the joint, it helps ease inflammation and creates better conditions for repair of the tissues.

A doctor explains PRP therapy for joints to a patient on a monitor

Recommended in some cases of rheumatoid and other inflammatory arthritis, it is one part of a broader treatment plan.

Material
Your blood from a vein
How it is given
Into the joint, under ultrasound
Duration
The whole procedure is done in one day.

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

Book a consultation

Joints

Joints we treat

We treat large and small joints; the joint, the method and the injection count are set by the doctor after a review of your scans

  • KneeKneePain climbing stairs and after walking, plus cartilage wear and meniscus problems
  • HipHipEarly hip osteoarthritis, groin pain, limited rotation
  • ShoulderShoulderPain when raising the arm, wear of the joint and surrounding tendons
  • ElbowElbowWear on the joint surfaces and pain after overuse or sports strain
  • Hand and wrist jointsHand and wrist jointsStiffness with pain in the small joints of the fingers and the wrist
  • AnkleAnklePain and stiffness after sprains and old injuries

Advantages

Why patients choose City Medical Centre

We aim to preserve your own joint instead of replacing it — treatment without surgery

Your own tissue

Your own tissue

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

No crutches

No crutches

Punctures, not incisions; local anaesthetic; and rehabilitation that is not long

Second opinion

Second opinion

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

Support after the procedure

Support after the procedure

Not just the day of the injection: we stay in touch afterwards and follow how the result develops

About the clinic

A clinic where you can feel at ease

Modern equipment, comfortable rooms and care for every patient

A doctor and a patient at the clinic

Contact us the way that suits you

We will answer your questions and find a convenient time for a consultation

Request a free call

Price

Arthritis treatment prices

You learn the cost from the doctor after the consultation, as it depends on the joint, the method and the type of arthritis

FAQ

Joint treatment: frequently asked questions

About the conditions

More about these conditions

Arthritis treatment in Ondo: what you should know

Arthritis treatment in Ondo 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.

PRP may be given as a course of injections or together with SVF. The method and number of injections are chosen for each patient from Ondo after the examination.

A consultation is the first step for every patient from Ondo. It is free, and after it you know whether the treatment fits, the method and the cost.

Arthritis in Ondo: why joint pain deserves an early conversation

Ondo is the second largest city in Ondo State, with about 375,000 inhabitants. It is a working town where people spend long hours on their feet, carrying loads, bending in fields and standing at market stalls. Joints take a lot of strain in that kind of life, and many residents have learned to live with aching knees, hips, hands or ankles without asking what lies behind the pain.

Ordinary wear and tear is one thing, and arthritis is another. In arthritis 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 this sounds familiar, it is worth a proper assessment rather than another round of tablets bought over the counter.

Possible causes include autoimmune conditions such as rheumatoid arthritis, infections, gout and psoriasis. Each cause calls for different handling, which is why the first step is always diagnosis. This section explains how a person in Ondo can approach that step, what the SVF-based option involves, and how the decision fits into everyday life in the city.

Daily life in a trading town and what it means for joints

Ondo is the trade centre for the surrounding region. Yams, cassava, grain, tobacco and cotton are grown around it, and the town is the largest producer of cocoa products in the region. Many families are connected to farming, processing, transport or buying and selling. Such work means lifting sacks, walking between stalls, squatting, kneeling and long periods in one position, all of which load the knees, hips, spine and hands.

A person who trades in the market or works with crops often postpones medical care until the pain stops them from working. That delay matters, because inflammation that is left alone can keep damaging the joint. If you notice night pain, morning stiffness that lasts longer than half an hour, or a joint that is swollen and warm to the touch, treat it as a reason to talk to a specialist soon rather than at the end of the busy season.

When you describe your symptoms to a doctor, bring the practical details: which tasks make the pain worse, whether the joint wakes you at night, whether both sides of the body are affected, and how long the morning stiffness lasts. A trader, a farmer, a teacher and a driver can all have the same diagnosis but need different advice about returning to work.

How SVF therapy works and where it fits

SVF therapy uses the patient's own adipose 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. The sample is then processed to obtain the cell fraction that the doctor will use in the treatment plan.

The approach is considered at an early stage of joint damage. 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 distinction is central: the method is not a substitute for surgery when the joint is already badly destroyed, and an honest specialist will say so.

For someone in Ondo the practical meaning is simple. The earlier the joint problem is identified and staged, the more options remain. Waiting until walking becomes very difficult narrows the choice. Asking for imaging and a clear staging statement is therefore the most useful thing you can do before any decision about treatment.

Remote consultation from Ondo, step by step

The first contact is an online consultation, which is free. You do it from home in Ondo, and coordinators are available around the clock (24/7) on Telegram and Telegram. That matters in a town where working hours are long and where it can be hard to leave a shop, a farm or a classroom during the day. You can write in the evening or at night and receive an answer when it suits you.

Prepare a short summary before you write. Include the joint that hurts, how long the problem has lasted, what the pain is like at rest and at night, how long stiffness lasts in the morning, and whether there is swelling, redness or warmth. Add any earlier diagnoses, such as gout, psoriasis or rheumatoid arthritis, and the medicines you already take. Photographs of the swollen joint and any scans or blood test results you already have will help the doctor form a first opinion.

Scans on a phone or as files can be sent through the same messaging channels. The doctor will tell you whether the information is enough, whether further tests are needed, and whether the SVF option is realistic for your stage. If it is not, you will be told that directly, and you can then discuss other routes with your local physician.

Planning around the season, heat and daily routine

After the small puncture used to collect adipose tissue, the area on the abdomen or inner thigh needs to be kept clean and protected from friction. Since no stitches are needed, aftercare is simple, but it still helps to plan the days around the procedure. In Ondo, as anywhere with warm and humid spells, loose breathable clothing is more comfortable than tight garments, and sweat and dust should not be allowed to irritate the puncture site.

Choose a period when your work can be lightened. For people who depend on the harvest, trading seasons or the school calendar, it is wise to pick a quieter stretch rather than the busiest one. Teachers and staff at the town's many schools may find the gaps between terms convenient, and students at the local universities and polytechnic can look at the break between exams and the next semester.

Whatever the weather on the day, avoid long exposure to strong sun and heavy dust while the puncture site is healing, and follow the doctor's advice about swimming pools, rivers and other water. Do not rely on neighbours' advice about home remedies for the skin. Ask the coordinator exactly what to do and what to avoid, and write it down.

Returning to work, farming, trade and sport

Recovery after the sample collection is usually straightforward because it is a small puncture under local anaesthetic. The more important question is what you do with the joint afterwards. If the treatment aims to support blood supply and slow the damage, the joint should not be overloaded in the following period. Ask your doctor to define what 'light activity' means for your job.

For a market trader this may mean arranging for someone else to carry goods for a while and sitting on a proper stool instead of squatting. For a farmer it may mean postponing heavy digging, harvesting and lifting yams and cocoa sacks. For a driver or a tailor working on cloth such as Aso Oke, it may mean taking short breaks to move the joint and avoiding long static postures.

Sport and community football or running should also be discussed individually. Do not return to impact exercise because the pain has temporarily eased. Pain relief can create a false sense of recovery, while the inflammation underneath is still active. Agree a step-by-step plan with the doctor and follow it, even when you feel well.

Family, festivals and food culture in Ondo

Ondo is a town with a strong sense of tradition. The monarch carries the title Osemawe, and the cloth Aso Oke is part of how people dress for important occasions. Weddings, naming ceremonies and festivals bring long hours of standing, dancing, greeting guests and cooking for many people. For someone with arthritis, these are exactly the moments that can make a painful joint worse.

Plan the procedure and the recovery away from big family events when possible. If an occasion cannot be moved, tell relatives that you need to sit, rest and avoid carrying heavy pots or furniture. People close to you are usually glad to help once they understand that the joint needs protection.

Food also matters. Yams, cassava and other staples are the base of many meals, and excess body weight adds load to knees and hips. The World Health Organization describes obesity and overweight as a health concern that raises the strain on the body, so sensible portions, less fried food and regular gentle walking are useful alongside any medical treatment. Gout in particular is influenced by diet and drinking habits, so ask the doctor which foods and drinks to limit in your case.

Questions to ask the surgeon and who is a suitable candidate

Before agreeing to anything, ask which stage your joint has reached and whether SVF therapy is appropriate at that stage. Ask what the doctor expects the treatment to support, how the 30 ml sample will be taken, how the area heals, and what you must avoid afterwards. Ask what happens if there is no improvement and when surgery would be the sensible next step.

Also ask how your underlying cause will be handled. If your arthritis comes from an autoimmune condition, an infection, gout or psoriasis, the cause needs its own management, and a local physician or rheumatologist in Nigeria should stay involved. An honest doctor will not present one procedure as an answer to every kind of joint pain.

In general terms, the best candidates are people with early-stage joint changes, usually stages 1–2, who have been properly assessed. Those with advanced destruction usually need surgery. Active infection, uncontrolled illness or unexplained fever are reasons to pause and discuss the situation with the doctor first. Your coordinator can arrange this discussion through Telegram or Telegram at any hour.

How do I start a consultation if I live in Ondo?

Write to the coordinators on Telegram or Telegram. They are available around the clock (24/7), and the online consultation is free. Send a short description of your symptoms and any scans or test results you already have.

What symptoms suggest arthritis rather than ordinary tiredness of the joints?

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 instead of treating the pain on your own.

What causes arthritis?

Possible causes include autoimmune conditions such as rheumatoid arthritis, infections, gout and psoriasis. Finding the cause is part of the diagnosis, because it affects the whole treatment plan.

How is the adipose tissue collected for 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.

At what stage can SVF therapy be considered?

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.

I work in the market or on a farm near Ondo. Can I continue working?

That depends on your joint and your tasks. Ask the doctor for a concrete plan: what to avoid, who can help with heavy lifting, and when to return gradually to full activity. Do not rush back because the pain has eased.

Is there a best time of year to plan the procedure?

Choose a period when your workload is lighter, for example a quieter stretch in trading or farming, or a break in the school or university calendar. Avoid big family events during the first days of recovery and protect the puncture site from heat, sweat and dust.

Can food and weight affect my joints?

Yes. Extra body weight loads the knees and hips, and the WHO treats obesity and overweight as a significant health issue. Gout is also influenced by diet. Ask your doctor which foods and drinks suit your diagnosis.

What if SVF therapy is not suitable for me?

Then the doctor will say so. If the joint is at a later stage, surgery is usually required, and if the cause is an infection or an autoimmune disease, that condition needs its own treatment from a local specialist.