1Consultation and scan review
First comes an examination of the joint and a look at your X-rays, MRI or ultrasound; then the doctor decides whether the procedure fits your case. Existing scans can be sent before the visit.
Cell therapy (SVF) and PRP as one element of arthritis care — knee, hand, shoulder and other joints, with a doctor reviewing your tests beforehand
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What it is
An inflamed joint is the core of arthritis. Look for pain at night or when resting, stiffness in the morning for longer than half an hour, swelling, and a joint that is red and warm. The cause can be autoimmune (rheumatoid or psoriatic arthritis), gout, infection or a long-past 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.

The treatment is only offered once a doctor has examined you and reviewed your scans and found it suitable


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
1First comes an examination of the joint and a look at your X-rays, MRI or ultrasound; then the doctor decides whether the procedure fits your case. Existing scans can be sent before the visit.
2From a small amount of blood drawn from a vein, platelet-rich plasma with growth factors is prepared later on.
3A puncture on the abdomen or inner thigh, local anaesthetic and about 30 ml of adipose tissue taken — the site needs no stitches.
4A centrifuge spins the sample until it forms layers. The stromal vascular fraction is isolated from them and mixed with platelet-rich plasma.
5The prepared material is placed precisely: it is injected directly into the affected joint under ultrasound guidance.
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
Everything used comes from you — your blood and adipose tissue — with no synthetic or donor material
A small sample of your adipose tissue is processed to isolate the stromal vascular fraction (SVF) — a mix of cells involved in tissue repair. Combined with your own plasma, it is injected into the affected joint.

After the acute flare settles, inflammatory arthritis can be treated with it for its action on tissue repair and local inflammation.
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.

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
KneeStair and post-walking pain, worn cartilage and meniscus problems
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderJoint and surrounding tendon wear, with pain on lifting the arm
ElbowPain after overuse or sports strain, wear of the joint surfaces
Hand and wrist jointsSmall joints of the fingers and wrist that stiffen and hurt
AnklePain and stiffness after sprains and old injuriesAdvantages
Keeping your natural joint rather than having it replaced: treatment without surgery

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

No long rehabilitation — just punctures instead of incisions and local anaesthetic

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

The result matters to us beyond injection day, so we stay in touch after the procedure
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 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.
PRP may help with local inflammation, pain and swelling in rheumatoid and other inflammatory arthritis. The platelets release growth factors that affect tissue repair and the immune response. Your rheumatologist's treatment stays in place — PRP complements it and does not replace it.
Regenerative injections can be one part of the plan for psoriatic arthritis — a chronic disease that cannot currently be cured completely, where the aim is long remission, controlled inflammation and no joint deformity.
SVF brings cells able to modulate the immune response in the joint and to support repair of damaged tissue. This is an area of ongoing research, so expect the doctor to discuss realistic outcomes for your type of arthritis.
The doctor postpones the procedure or suggests another option in cases of active joint infection, a severe flare, pregnancy, cancer or blood clotting disorders, as it is not done then.
The difference: knee arthritis is inflammation from an autoimmune reaction, infection or gout (redness, warmth, marked swelling, tenderness to touch), while osteoarthritis is wear of the cartilage, usually with a dry crunch and aching pain on movement.
Inflammation keeps stimulating the pain receptors in the joint all the time — during movement, at rest and at night. Treatment aimed at reducing the inflammation, including PRP and SVF, can ease this pain.
No — pregnancy is a contraindication to any joint injections, PRP and SVF among them. During pregnancy, arthritis treatment is decided 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.
It needs timely treatment: otherwise it can lead to permanent deformity and loss of function of the joint, osteoporosis and damage to internal organs, including the heart, lungs and kidneys.
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.
Regenerative injections are not done during an active joint infection or a severe flare. In Tamale, the doctor chooses the right moment, usually once the acute inflammation has settled.
The procedure is also not done with cancer, blood clotting disorders or during a flare-up of a serious chronic illness. The doctor checks this for every patient in Tamale at the consultation.
Patients from Tamale can start with a free review of their tests and scans: the doctor tells you whether regenerative treatment could suit your type of arthritis and what it would cost.
Tamale is the capital of the Northern Region of Ghana and the third largest city in the country, with 374,744 people at the 2021 population census. It has been described as the fastest-growing city in West Africa. A city of this size, with so many people working on their feet, carrying loads and moving between home, market and farm, produces a steady number of conversations about aching joints. Patients here often start by asking whether what they feel is ordinary wear, a passing strain or real arthritis.
The difference matters. With arthritis the joints are affected by inflammation. 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. A knee that hurts after a long day and settles with rest is a different story from a joint that wakes you at night and feels stiff well into the morning. If you recognise the second pattern, a proper medical assessment is worth arranging soon.
City Medical Centre works with patients in Tamale through a free online consultation. Coordinators are available around the clock (24/7) on Telegram and Telegram, so you can describe your symptoms at a time that suits your working day instead of rearranging it around an appointment.
Tamale has a tropical savanna climate with a single rainy season each year. Average monthly temperatures sit around 34 °C, and the minimum monthly temperatures are around 23 °C. The mean monthly rainfall is about 89 mm spread over 95 days of tropical showers. Relative humidity is usually lowest between December and March at 30%, and highest around August at 70%.
These conditions shape how people feel their joints and how they plan care. In the dry months, dust and strong heat make long walks tiring, and dehydration can make general fatigue and stiffness feel worse. In the humid rainy months, many patients report that they notice joint discomfort more, although the experience differs from person to person and should not be treated as a rule. What matters for planning is to be realistic about the days when you will want to stay indoors and rest.
If a minimally invasive procedure is being considered, the climate also affects the days right after it. A small puncture site should be kept clean and dry, so heavy sweating, dusty roads and open water are things to plan around. Light, breathable clothing and shade are sensible habits, and your surgeon or coordinator will tell you what applies to your case.
The local economy is based on agriculture, followed by trading, teaching and manufacturing. Many residents spend their days in the market, in classrooms or in the fields around the city. Each of these jobs loads the joints differently. A teacher stands and writes for hours, a trader lifts goods and sits on low stools, and a farmer bends, digs and carries. When arthritis flares, the working pattern often has to change before anything else does.
Before a consultation, it helps to write down which movements hurt: climbing steps, kneeling, gripping, standing up from a low seat, or walking on uneven ground. This gives the doctor a clear picture of how the disease touches your daily life and not only what the scan shows.
The city is also an educational hub for Northern Ghana, and Education Ridge, a suburb, is known for many schools in a small area. Students and young teachers who develop joint symptoms often worry about missing a term. Talking through the calendar in advance, including exams and school holidays, is a practical way to choose a calmer window for any procedure.
Tamale is the heart of the Kingdom of Dagbon, and its culture centre showcases the arts of the whole region. Dances such as the Baamaya and Tora are part of public life, and annual celebrations include the Bugum chugu, the Damba festival, Eid ul-Fitr and Eid Adha. Most of the population is Muslim, and these occasions bring together large families, long hours of standing, dancing, cooking and hosting.
Anyone with active joint inflammation knows that festival days can be both a joy and a strain. If you are planning treatment, it makes sense to avoid the weeks right before a major celebration, so that you are not tempted to push through a recovery period just to attend. Equally, a person who has been limited by pain may want treatment timed so that the next big family gathering can be enjoyed more comfortably.
Food culture matters too. Shared meals and festive dishes are central to social life here, and joint disease linked to gout is often connected with diet in patients' minds. Possible causes of arthritis include autoimmune conditions such as rheumatoid arthritis, infections, gout and psoriasis, so the cause must be established first. The WHO fact sheet on obesity and overweight is a useful reminder that body weight adds load to knees and hips, and a balanced diet supports joint care. No food by itself is a cure, and a doctor should guide any dietary change.
The method discussed in this context uses your own 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 material is then processed in the SVF approach, which is the cell-based therapy the specialists consider for suitable joint conditions.
It is important to understand what is and is not being claimed. 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 means timing is central. A patient in Tamale who has put up with hip or groin pain for years and now cannot walk comfortably may already be beyond the stage where this therapy is an option, and an honest specialist will say so.
For this reason the first step is not the procedure but the assessment: imaging, your history, the pattern of symptoms and the likely cause. Arthritis from gout or psoriasis, for example, needs its own medical management, and an autoimmune form needs a rheumatology-led plan. Cell-based therapy is considered only where it fits the diagnosis.
In general terms, the people who may be considered are those with a confirmed diagnosis, joint changes still at an early stage, and realistic expectations. A person whose imaging shows only early changes and who has symptoms such as night pain and morning stiffness lasting more than 30 minutes should have the question put to a specialist without delay.
Caution is needed in several situations: an active infection anywhere in the body, a joint that is hot, red and swollen for reasons not yet explained, uncontrolled chronic illness, or a condition that affects healing. In those cases the underlying problem comes first. Patients living with an autoimmune disease should also make sure their treating physician knows about any plans.
Where the joint is already badly damaged, the honest message is that surgery is usually required. Hearing that is hard, but it saves time and effort. Our coordinators and doctors would rather explain this clearly during a free remote consultation than let a patient in Tamale organise their work and family around a method that no longer suits their stage.
Choosing the time of year in Tamale is partly about weather and partly about the working calendar. Farmers and traders usually have busy and quieter periods tied to the single rainy season, and the dry months from December to March, with the lowest humidity, can feel easier for staying clean and dry after a small puncture. During the rainy season, mud, storms and heavy showers can complicate movement. Neither period is wrong, but each needs a plan.
Return to work depends on what you do. A desk or classroom role usually differs from field work or lifting goods in the market. Ask the doctor in advance how long you should reduce load on the treated joint and what a gradual return looks like for your specific job. Do not assume a colleague's experience will match yours.
Sport is a big part of local life, from football to casual games in the neighbourhood. Tamale has its own football tradition, and many patients are keen to know when they can kick a ball again. The answer depends on the joint, the stage and your general health. Ask for a written plan with stages instead of a single date, and increase activity gradually.
The consultation is free and takes place online, so you stay in Tamale, near your family and routine. You contact the coordinators on Telegram or Telegram, where they are available 24/7. This is helpful in a city where working hours and prayer, school and market schedules differ widely and where mobile messaging is a natural way to communicate.
Prepare a short summary: when symptoms started, which joints are affected, whether pain occurs at rest and at night, how long morning stiffness lasts, any swelling, redness or warmth, and any earlier diagnoses. Photographs of the joint and copies of recent scans or laboratory results, if you have them, make the discussion much more useful. Keep a list of medicines you take now.
After reviewing your information, the specialists explain whether the stage and the cause suggest that SVF therapy may be considered, whether another approach should come first, or whether surgery is the realistic route. You can ask follow-up questions in the same chat, take time to discuss with relatives, and decide without pressure.
A good consultation is a two-way conversation. Useful questions include: What is the most likely cause of my arthritis, and has it been confirmed? Which stage is my joint at? Is the early stage (1–2) relevant to me? What is expected of the procedure, and what is not? What would happen if I choose to wait?
Ask also about the details of the procedure: where the tissue of about 30 ml would be taken from, the abdomen or inner thigh, how local anaesthesia is used, and what care the puncture site needs afterwards in a hot and dusty climate. Ask what signs after the procedure should make you contact the coordinators at once.
Finally, ask about the longer plan. Arthritis is a condition that needs monitoring, and any single treatment fits inside a wider programme of medication, movement, weight management where relevant, and regular review. A specialist who explains this plainly is giving you a realistic picture.
Arthritis 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 matches what you feel, describe it to a specialist in a free online consultation.
Possible causes include autoimmune conditions such as rheumatoid arthritis, infections, gout and psoriasis. Finding the cause is the first step, because it determines what treatment is appropriate.
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 tissue is then used for SVF therapy.
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.
It can affect comfort and care. Average temperatures are around 34 °C, so light breathable clothing, shade, good hydration and keeping the puncture site clean and dry are sensible. Your doctor will give specific instructions.
Both can work. The dry months from December to March have the lowest humidity, around 30%, while the rainy season brings showers and higher humidity, up to about 70% around August. Choose according to your work calendar and the advice of your doctor.
Yes, and it is wise to. Avoid scheduling a recovery period right before a major celebration so that you do not push yourself too early. Discuss dates with the coordinators during the consultation.
This depends on your job, the joint involved and your general health. Ask for a stepwise plan that fits your work, whether in the classroom, the market or the field, and increase activity gradually.
Write to the coordinators on Telegram or Telegram. They are available around the clock, 24/7, and the online consultation is free. Prepare a short symptom history, any scans or test results and a list of your medicines.