1Consultation and scan review
The doctor checks your joint, reviews the X-ray, MRI or ultrasound and makes the decision on whether the procedure is suitable for you. If scans already exist, you can send them before the visit.
Regenerative SVF and PRP injections for knees, hips, shoulders and other joints, with your scans checked free beforehand
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What it is
Regenerative care for joints is based on your own material. Platelet-rich plasma (PRP) is obtained from blood, and the stromal vascular fraction (SVF) from a small amount of adipose tissue; the doctor then injects it into the affected joint to reduce pain and inflammation and to support its internal tissues.
It is an option for people with joint pain who want to avoid or postpone surgery, or who have been told that joint replacement is the only choice. The earlier the stage of the condition, the better the chance of a lasting effect — the doctor assesses this from your scans.

Your suitability for the treatment is decided by a doctor following 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 checks your joint, reviews the X-ray, MRI or ultrasound and makes the decision on whether the procedure is suitable for you. If scans already exist, you can send them before the visit.
2Blood is drawn from a vein — only a small amount. Later, platelet-rich plasma with growth factors is made from it.
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.
4The sample is spun in a centrifuge and separates into layers. The stromal vascular fraction is isolated and mixed with the platelet-rich plasma.
5The prepared material is injected directly into the affected joint under ultrasound guidance, which helps place it precisely.
6You go without crutches and without a hospital stay; the doctor keeps in contact after the procedure and follows your joint's progress.
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 rely solely on your own blood and adipose tissue, without donor or synthetic 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.

It is usually chosen when the changes in the joint are more pronounced and a longer-lasting effect is the goal.
The joint receives an injection of plasma rich in platelets and growth factors, separated from a small amount of your blood. It helps soothe inflammation and creates better conditions for the tissues to repair.

Used by itself as an injection course, or together with SVF.
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
From large joints to small ones: the doctor picks the joint, the technique and the injection count after studying your scans
KneePain climbing stairs or after walking, cartilage wear, meniscus trouble
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderPain as the arm goes up, wear of the joint and adjacent tendons
ElbowOveruse or sports-related pain and wear of the joint surfaces
Hand and wrist jointsPainful, stiff small joints of the fingers and the wrist
AnklePain and stiffness after sprains and old injuriesAdvantages
The goal is your own joint kept, not replaced, through treatment without surgery

We rely solely on your own blood and adipose tissue, without donor or synthetic material

Local anaesthetic and punctures in place of incisions mean no long rehabilitation

A doctor gives a free, independent assessment of the X-rays, MRI or reports you send us

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
Because the joint, the stage of the condition and the method all affect the cost, the doctor states 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
PRP comes from your blood and is plasma rich in platelets; SVF is a cellular fraction from a small sample of your adipose tissue. Each works in its own way, and combining them often gives the joint a stronger regenerative effect.
The tissue comes from you in both methods, so the risk of rejection or allergy is very low. As after any injection, temporary pain, swelling or bruising are possible; infection is rare. At the consultation, the doctor explains the risks that apply to you.
That varies. Often the effect after PRP lasts several months up to about a year, and after SVF it can be longer. The duration depends on the stage of the condition and on your body, so a fixed result cannot be promised.
It is not done during pregnancy, in people with cancer, acute infections or blood clotting disorders, or while a serious chronic illness is flaring up. The consultation is where the doctor checks this.
At an early stage, combining PRP or SVF injections with exercise therapy and physiotherapy can reduce pain and help movement. When the joint is already badly damaged, replacement may be more realistic, and the doctor will say so honestly after seeing your scans.
At stages 1–2, SVF therapy can be considered to help the blood supply to the femoral head and delay joint replacement; at later stages surgery is usually necessary.
A replacement is major surgery: rehabilitation is long, there are risks such as infection, and the implant may eventually need redoing. If changes are early or moderate, it often makes sense to try saving your own joint first.
Yes. A doctor will review your X-rays, MRI, CT or medical reports free of charge once you send them, and explain whether the procedure could suit you and what else might be needed.
In most cases within a day or two. No crutches, no long rehabilitation — the doctor recommends how to manage load and exercise in the first weeks.
PRP is applied to shoulder joint and rotator cuff problems, and SVF may be considered if arthritis of the shoulder is more advanced. Whether it suits you depends on the cause of the pain — the first thing the doctor establishes.
About the conditions
Arthritis is an inflammatory disease of the joints. Typical signs are pain at rest and at night, morning stiffness lasting more than 30 minutes, swelling, redness and warmth over the joint. Causes include autoimmune conditions such as rheumatoid arthritis, infections, gout and psoriasis.
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.
Osteoarthritis is wear of the cartilage: aching pain on movement, crunching, stiffness after rest. Arthritis is inflammation: pain at rest and at night, swelling, redness and warmth over the joint. The approach to treatment differs, so the diagnosis comes first.
Non-surgical joint treatment is not for everyone. It is not done with cancer, acute infections, blood clotting disorders, during pregnancy or during a flare-up of a serious chronic illness. The doctor checks this for every patient in Arusha at the consultation.
PRP can be given as a course of injections or together with SVF. The number of injections and the method are chosen individually for each patient from Arusha after the examination and scan review.
Patients from Arusha can start with a free second opinion: send your X-rays, MRI, CT or reports, and a doctor will tell you whether SVF or PRP could help. The price of treatment is named at the consultation.
Joint treatment is a broad field. It begins with conservative care for the knee and hip: assessment of the pain, work on movement and load, and treatment of inflammation. It can continue to arthroscopy, a keyhole look into the joint, and in advanced cases to joint replacement. A resident of Arusha, a city of 617,631 people and the capital of the Arusha Region, usually starts with one question: is my problem still at a stage where it can be slowed down, or has the joint already changed so much that surgery is the realistic path?
City Medical Centre answers that question through a free online consultation. You write from Arusha, send your complaints, any scans or reports you already have, and a short description of your daily load. Coordinators are available around the clock (24/7) on WhatsApp and Telegram, so you can reach them after a working day or a long drive on the Arusha Nairobi road, whenever it suits you.
The aim of the first conversation is not to push you towards an operation. It is to place you on the map: conservative care, a minimally invasive procedure, or replacement. Only a surgeon who has seen your imaging can decide, and the online format lets you ask for that opinion without leaving your home or your work.
Arusha lies at an elevation of 1,400 metres on the southern slopes of Mount Meru. Despite being close to the equator, the altitude keeps temperatures relatively low and eases humidity. The temperature typically ranges between 10 and 30 °C, and cool dry air is common for much of the year. For someone recovering after a knee or hip procedure this is a comfortable background: you are rarely forced to stay in stifling heat while a joint is swollen.
The city has distinct wet and dry seasons. The long masika rains fall from March to May, the short vuli rains usually come in November and December, and the dry kiangazi season runs from June to October. Annual rainfall averages 1,180 millimetres. Wet ground, muddy side streets and slippery steps are a practical concern for anyone walking with a stiff knee or using crutches, so shoes with a good grip and a dry route to the door matter more in the rainy months.
Hot days do occur. Arusha averages 29.8 days a year above 32 °C, all of them between November and March. In that period swelling in a recently treated leg may feel worse by the evening, and a compression garment or bandage can feel warm. General advice is to keep the leg raised when resting, drink enough water, wear breathable clothing and follow the surgeon's instructions on compression. Dust on dry-season roads is another reason to keep any wound clean and covered until the surgeon says otherwise.
Arusha is a working city. It is a regional capital, a hub for tourism, farming, education and the East African Community, so many patients have jobs that involve standing, driving, guiding, carrying or sitting through long meetings. Each of these loads a knee or hip differently. A driver on the Arusha Nairobi road asks about sitting and pedal work, a guide asks about walking on uneven ground, a teacher or office worker asks about stairs and long hours at a desk.
Students are also part of the city. Arusha is home to the Arusha Technical College, the Nelson Mandela African Institute of Science and Technology, the Mount Meru University and other institutes. Young people with joint pain after sport or injury often delay seeking help because of exams. The online format helps here: the consultation can be fitted around lectures, and the surgeon can suggest when a procedure and the following weeks of limited activity would cause the least disruption to a study term.
When planning, make a short list for the coordinator: your main duties at work, how many steps you climb daily, whether you care for children or elderly relatives, and who can help at home. This list lets the surgeon judge how soon you can return to your routine and what adjustments you may need at first, such as lighter duties or working from home for a time.
Sport is part of the city's identity. Arusha is the home of the Tanzanian rugby national team and hosts international rugby matches. It has a local league football club, a motor sports club, and it hosted the Mount Meru Marathon from 1985 to 2004. Many residents run, play football or rugby on weekends, and the altitude and open landscape around Mount Meru invite walking and training.
These sports put high stress on knees and hips: twisting, sudden stops, tackling and repeated impact on hard ground. Typical complaints are pain after a match, a knee that locks or gives way, or a hip that aches in the groin after running. Such symptoms should not be ignored for years, because a small problem in cartilage or a meniscus can become a larger one if the joint keeps being loaded.
If you play or run, tell the surgeon your sport, your level and your goal. For some people the goal is a full return to competition, for others it is simply walking to the market and playing with their children without pain. The honest answer depends on the diagnosis and the type of treatment. After arthroscopy or replacement the surgeon will tell you which activities are allowed, which should be avoided and when, and you should follow those instructions rather than the advice of teammates.
Food in the Arusha area draws on the farming of the northern highlands. Bananas, potatoes, cabbage, carrots, leafy greens and coffee are grown around the city, and these foods are part of everyday meals. Family gatherings, weddings and religious celebrations in a city with Christian, Muslim, Sikh and Hindu communities bring large shared meals and long hours of sitting, standing and cooking.
Body weight matters for the knee and the hip because every step passes the body's load through them. The World Health Organization describes overweight and obesity as a major health issue and notes the link with other chronic diseases. For a person with sore joints, even a modest and steady reduction of weight, agreed with a doctor, can reduce the load and improve the effect of any treatment. It is a supportive measure, not a replacement for medical assessment.
Plan the weeks after a procedure around food as well. Heavy cooking, carrying water or shopping and standing for long periods at a family event can be tiring for a recovering leg. Ask relatives to take over these tasks for a while. Eating enough protein and vegetables, avoiding strong alcohol during recovery and keeping hydrated are general habits that support healing, and your own doctor can adapt them to your health conditions.
There is no single correct month, but the local calendar offers useful points. The dry kiangazi season from June to October brings firmer ground and less mud, which makes the first walks outside easier. The cooler air at 1,400 metres also helps with swelling. Many people therefore consider this period for a planned operation if their symptoms allow waiting.
The rainy months from March to May bring slippery paths, and the hottest days between November and March can be tiring when a leg is swollen. This does not mean treatment must be postponed. If pain is severe, if the joint is deteriorating or if the surgeon sees a reason for an earlier procedure, the medical need is more important than the weather. A good plan simply adds practical precautions: non-slip shoes, a sheltered route, a cool room and help at home.
Think also about the school year, harvest or tourist high season if your work depends on it. Guides, drivers and hotel staff are busiest when visitors arrive for the national parks, and they may prefer a quieter period for recovery. Discuss these dates with the coordinator early so the surgeon can see the whole picture before suggesting a timeline.
The first step is to understand what is wrong. Arthritis is an inflammatory disease of the joints. Typical signs are pain at rest and at night, morning stiffness lasting more than 30 minutes, swelling, redness and warmth over the joint. Causes include autoimmune conditions such as rheumatoid arthritis, infections, gout and psoriasis. This differs from wear of cartilage, which usually hurts with load and eases with rest. A joint that is red, hot and painful at night needs a prompt examination and often blood tests, not only a scan.
Regenerative options exist for selected cases. 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. Under local anaesthetic, a small portion of adipose tissue (about 30 ml) is taken through a puncture on the abdomen or inner thigh, and no stitches are needed. At later stages surgery is usually required. The surgeon will tell you honestly which group you belong to after reviewing your images.
In general terms, people with an active infection, uncontrolled chronic illness, serious problems with blood clotting or heart and lung disease that is not stable may need extra preparation or a different plan. Tell the surgeon about every medicine you take, including traditional remedies, and about earlier operations and allergies. This information is for preparation and does not replace an individual medical decision.
You contact the coordinators on WhatsApp or Telegram at any hour; they work 24/7. You describe the pain, where it is located, how long it has lasted, what makes it better or worse, and what treatment you have tried. Photographs of reports, X-ray or MRI images and previous discharge notes can be sent in the same chat. The consultation is free and does not commit you to anything.
The material is then passed to a specialist, who studies it and answers your questions. If something is missing, such as a standing X-ray or a blood test, you will be told what to obtain locally. Having your records ready, in order by date, speeds up the process. If your connection is weak, send images in smaller batches or in the evening when the network is steadier.
Bring a written list of questions to the conversation. Useful ones are: what is my diagnosis and stage; is conservative care still reasonable; what would arthroscopy or replacement change in my case; what anaesthesia is used; how long is the stay in hospital; what will my first weeks look like; when can I drive, work and exercise; and what warning signs mean I must call at once. The answers should be clear enough for you to explain to your family.
Yes. The consultation is online and free. You send your complaints and any scans or reports to the coordinators on WhatsApp or Telegram, and a specialist reviews them and answers you.
Coordinators are available around the clock, 24/7, on WhatsApp and Telegram. You can write in the evening after work or early in the morning and receive a reply in the same chat.
No. Many problems begin with conservative care, and the surgeon decides after reviewing your images and history. Surgery such as arthroscopy or replacement is considered when other measures are not enough or the joint is badly damaged.
Arthritis is an inflammatory disease. Typical signs are pain at rest and at night, morning stiffness lasting more than 30 minutes, swelling, redness and warmth over the joint. Causes include autoimmune conditions such as rheumatoid arthritis, infections, gout and psoriasis. Only an examination and tests can confirm the cause.
It uses a small portion of your own adipose tissue (about 30 ml), taken under local anaesthetic through a puncture on the abdomen or inner thigh, with no stitches needed. 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.
It does in practical ways. The altitude of 1,400 metres keeps the air cooler, which helps with swelling, but the rainy months bring slippery ground and the hot days between November and March can make a swollen leg uncomfortable. Choose non-slip shoes, keep the leg raised when resting and follow the surgeon's advice on compression.
Often the aim is to return to the activity that fits your joint after treatment, but the answer depends on the diagnosis and the procedure. Tell the surgeon your sport and level, and follow the surgeon's timeline rather than the advice of teammates.
Collect X-ray and MRI images, reports, a list of medicines and allergies, and notes on earlier treatment. Add a short description of your work, your daily steps and stairs, and your goals. This helps the specialist give a precise answer.
Yes. The WHO treats overweight as a serious health issue linked to chronic disease, and extra weight adds load to the knees and hips. A gradual reduction agreed with your doctor can support any treatment, but it does not replace assessment.