1Consultation 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.
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
Material from your own body is at the heart of regenerative joint treatment — PRP, a platelet-rich plasma derived from blood, and SVF, the stromal vascular fraction derived from a small sample of adipose tissue. Placed into the affected joint by injection, it reduces pain and inflammation and supports the joint's 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 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.
2We take a small blood sample from a vein. From it, platelet-rich plasma containing growth factors is prepared later on.
3The doctor numbs the area with local anaesthetic and takes about 30 ml of adipose tissue through a puncture on the abdomen or inner thigh. Stitches are not needed.
4The sample goes into a centrifuge, where it separates into layers. The stromal vascular fraction is isolated and mixed with your platelet-rich plasma.
5The prepared material is injected directly into the affected joint under ultrasound guidance, which helps place it precisely.
6Afterwards there are no crutches and no hospital stay, and the doctor keeps in touch to follow how the joint is responding.
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
Only your own blood and adipose tissue — no donor or synthetic material is used
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.

More marked changes in the joint and the wish for a longer-lasting effect are the usual reasons to choose it.
Plasma rich in platelets and growth factors comes from a small amount of your blood; once injected into the joint, it helps reduce inflammation and sets up better conditions for tissue repair.

It is suitable as a separate injection course or in combination 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
Treatment covers large and small joints, with the joint, the method and the number of injections chosen after the doctor reviews your scans
KneePain on stairs and after walking, meniscus problems, cartilage wear
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderRaising the arm hurts; wear of the joint and the tendons around it
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
Our aim is to keep your own joint, not replace it — treatment without surgery

Only your own blood and adipose tissue — no donor or synthetic material is used

Punctures, not incisions; local anaesthetic; no prolonged rehabilitation

Send us your X-rays, MRI or reports and a doctor will assess them independently, free of charge

Contact continues after the procedure — we track the result, not just the injection itself
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
How much it costs depends on the joint, the method and the stage of the condition — the doctor tells you 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
Platelet-rich plasma (PRP) is prepared from your blood, while SVF is a cell fraction taken from a small adipose tissue sample. Because they work differently, they are often combined to strengthen the regenerative effect in the joint.
Rejection and allergic reactions are very unlikely because the material in both methods is your own tissue. Temporary pain, swelling or bruising are possible, as with any injection, and infection is rare. Your doctor explains the risks for your case at the consultation.
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 carried out if you have cancer, an acute infection or a blood clotting disorder, if you are pregnant, or during a flare-up of a serious chronic illness. The doctor checks this at the consultation.
PRP or SVF injections, combined with exercise therapy and physiotherapy, can reduce pain and improve movement at early stages. If damage to the joint is already severe, replacement may be more realistic — the doctor gives an honest answer after seeing your scans.
Early on (stages 1–2), the doctor may consider SVF therapy to support the femoral head's blood supply and delay joint replacement. In later stages surgery is generally required.
Replacing a joint is major surgery, with long rehabilitation, risks such as infection and implants that may one day need replacing again. For early or moderate changes, it is often worth trying to keep your own joint first.
Yes — send your X-rays, MRI, CT or medical reports, and a doctor will look at them free of charge, then tell you whether the procedure could suit you and what else may be needed.
Normally within a day or two. You will not need crutches or long rehabilitation, and the doctor gives you load and exercise recommendations for 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.
If you have been told that joint replacement is the only choice, a second opinion is worth getting. In Ashaiman, you can send your scans and reports for a free independent assessment before making any decision about surgery.
Before the procedure, the doctor tells you which tests are needed. If you already have X-rays, MRI or ultrasound results, patients from Ashaiman can send them in advance and receive a preliminary answer on whether the treatment could suit them.
Book a free consultation in Ashaiman to find out whether regenerative joint treatment suits you. The doctor names the price after examining the joint and reviewing your scans.
Ashaiman is a large town and the capital of the Ashaiman Municipal District in the Greater Accra Region of Ghana. According to the 2021 census, the town, together with the district, has a population of 208,060 people. It is a busy, working place, bordered by the Kpone Katamanso Municipal District to the north and east and by the Tema Metropolitan District to the south and west. People here walk a lot, carry loads, stand for long hours and climb into shared transport several times a day. All of this puts steady demand on the knees and hips.
When a joint begins to hurt, the first reaction in many families is to wait, use a balm or a painkiller from a shop and keep going. That is understandable when work and family obligations press. But pain that wakes you at night, a knee that gives way on a step or a hip that makes you shorten your stride deserves a proper assessment. This text explains how joint treatment is organised, from conservative care to arthroscopy and joint replacement, and how a resident of Ashaiman can plan it around real life.
City Medical Centre works with patients from Ashaiman through a free online consultation. Coordinators are available around the clock (24/7) on Telegram and Telegram, so you can send your first questions from home, between shifts or in the evening when the household is quiet.
Joint treatment is not one operation. It is a ladder of options, and the right step depends on the diagnosis, the stage and your goals. The first step is conservative care: a clear diagnosis, adjustment of load, a supervised exercise programme for the muscles around the knee or hip, weight management where relevant, walking aids when needed and medicines chosen by the treating doctor. Many people in Ashaiman can stay on this step for a long time if the cause is found early.
The second step is arthroscopy, a minimally invasive method for the knee and some other joints in which the surgeon works through small openings with a camera. It is used for selected problems such as certain meniscal or cartilage injuries and loose fragments. It is not a universal cure for worn joints, and a good surgeon will tell you honestly when it is unlikely to help.
The third step is joint replacement, usually considered when the joint is badly damaged and pain and limited movement no longer respond to other measures. For the hip, the stage of the disease matters a great deal. 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.
Residents often describe every painful joint as 'arthritis', but the word has a specific meaning. 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 matters because inflammatory arthritis needs a different plan from pain that comes only after activity and eases with rest. If you notice a hot, red, swollen knee, or stiffness that lingers through the morning, mention it clearly in your first message to the coordinator and describe how long it lasts. Photos of the swollen joint, a list of the medicines you already take and any earlier test results make the online consultation far more useful.
Gout in particular is worth a conversation. Diet and family food gatherings in Ashaiman, with their shared dishes and celebrations, can interact with such conditions, and a doctor can explain what is relevant to your case without turning your meals into a list of prohibitions.
Ashaiman has a tropical savanna climate with a wet season and a dry season, and the temperature is hot year-round. Average annual rainfall ranges from 730 to 790 mm. The wet season usually starts from April to June, while the dry season is from September to November. For recovery, heat is the constant factor, and the season changes the details.
Heat and humidity can increase swelling in the operated leg, especially if you sit or stand for long periods. Plan to rest with the leg raised several times a day, drink enough fluids and wear the compression garments or bandages exactly as your surgeon instructs. Light, loose cotton clothing over the dressing helps you stay comfortable. Keep the wound dry and clean, and ask your surgeon when showering is allowed.
In the wet months the main concern is slippery ground. Wet paths, puddles and uneven surfaces are a real hazard when you are using crutches or a walker after knee or hip surgery. Choose shoes with a firm grip, arrange a dry route from the door to the place where you will rest, and ask a relative to accompany you outdoors. In the dry months, dust can settle on dressings and aids, so keep the wound covered and the floor around your resting place clean.
There is no single perfect month in Ashaiman, because it is hot throughout the year. The practical question is which period leaves you the quietest weeks at home. Many people prefer to avoid the weeks around major family events, religious festivals or funerals, which are important occasions in the communities of the town and often involve long sitting, standing and greeting.
The community is mixed: Ga-Adangbe, Ga, Guan, Hausa, Fante, Dagomba, Ewe, Ashanti and Akuapem families live here, and religious life is strong, with Christianity at approximately 80% and Islam at 16.5%. Church services, Friday prayers and festivals are central to the calendar. Tell your family early that you plan a procedure, so that others can take over cooking, hosting and errands during the first weeks of recovery.
The wet season, from April to June, brings slippery surfaces and may make mobility harder in the first days with aids. The dry season, from September to November, brings less rain but dust and heat. Either period can work if you prepare the home. The decision should be made together with the surgeon, based on your condition rather than the weather alone.
The largest economic sector in Ashaiman is agriculture, followed by manufacturing and services. That means a wide range of physical demands. A person who works on the land, in a workshop or factory, or as a trader on their feet all day will need a different return-to-work plan from someone who works at a desk or a counter.
Before the procedure, ask the surgeon three things in writing: when you can sit for long periods, when you can stand through a working day and when you can lift or carry. Heavy lifting and long periods of kneeling or squatting are often the last activities to return after knee or hip surgery, and many people need adjusted duties for a time. If you are self-employed, a plan for who covers the stall, the shop or the workshop in the early weeks removes a lot of pressure.
Students and parents of students face a similar question. A town with institutions such as Ashaiman Senior High School has many families where grandparents and parents help with school runs. If you are the one who usually walks children to school or stands in a queue for transport, arrange alternatives in advance. A young adult with a sports injury of the knee may be a candidate for arthroscopy, and should discuss with the surgeon how to fit recovery around exam periods.
In general terms, a good candidate for surgery is a person whose joint problem is confirmed by examination and imaging, who has tried suitable conservative care and still has pain or loss of function that limits daily life. A good candidate also understands that the operation is only part of the work: rehabilitation, weight control and regular follow-up are equally important.
Some conditions call for caution or postponement. These include an active infection anywhere in the body, uncontrolled diabetes, serious heart or lung disease that has not been evaluated, untreated anaemia, skin problems over the joint and some blood-clotting disorders. Smoking and excess weight raise the difficulty of healing and of the operation itself. The WHO publishes general information on obesity and overweight, and weight is a topic to discuss openly and without embarrassment with your doctor.
Your doctor may also recommend that you not have surgery at all at this moment. That can be the correct answer when symptoms are mild, when the pain comes from another source such as the spine, or when conservative measures have not yet been given a fair chance. A trustworthy consultation includes this possibility.
The first contact is simple and free. Write to the coordinators on Telegram or Telegram at any time, day or night, since they are available 24/7. Describe which joint hurts, for how long, what makes it worse, what you have already tried and any diagnosis you were given. Add scans, X-ray images and reports if you have them, as photographs or files.
The coordinators then arrange a conversation with a specialist who reviews your material. You can take part from your own home in Ashaiman, with a relative beside you if you want support. Use this conversation to understand the diagnosis, the stage, the range of options and what each would involve, including the realistic course of recovery.
Reliable connectivity is helpful, so choose a quiet moment and a place with a good signal. If a question comes up later, you can return to the same chat. Nothing in the consultation obliges you to proceed with treatment.
A 190-bed district hospital was announced for Ashaiman in October 2024 under Ghana's Agenda 111 programme, a national initiative aimed at improving access to healthcare infrastructure. As of December 2025, construction had not commenced at the proposed site, and no official public statement had confirmed its continuation or revised status. For patients, the lesson is practical: plan your follow-up, physiotherapy and wound care before the procedure, not after it.
Ask the surgeon what checks will be needed after the operation, which signs should prompt an urgent message, and what a local doctor or physiotherapist near your home should be told about your treatment. Keep a folder with your reports, images and operation record, and carry a copy to every appointment.
For a person living in a dense, busy town, the home arrangement matters as much as the medical plan. Clear the walkways, remove loose mats, make sure the bed and the seat are at a comfortable height, and set up the place where you will rest during the day with water, medicines and a phone within reach.
Anyone with knee or hip pain that limits walking, stairs or sleep, or with a swollen, warm joint. Pain that appears at night or at rest, or stiffness lasting more than 30 minutes in the morning, is a reason to seek an assessment sooner rather than later.
Yes. The online consultation is free for residents of Ashaiman. You contact the coordinators on Telegram or Telegram, send your information and arrange a conversation with a specialist.
At any time. Coordinators are available around the clock (24/7), so you can write after work, at night or on a weekend and receive an answer in your own chat.
Describe the painful joint, how long the problem has lasted, what you have tried, and any medicines you take. Add X-rays, scans, laboratory results and doctors' notes if you have them, and a clear photo if the joint is swollen or red.
Not necessarily. Many problems are managed with conservative care first. Arthroscopy suits selected problems, and joint replacement is usually considered when the joint is badly damaged. At early hip 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.
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 specialist will explain whether this approach fits your diagnosis and stage.
The temperature is hot year-round, so swelling can be more noticeable. Raise the leg when resting, drink enough fluids, wear compression garments as instructed and choose loose, light clothing. In the wet season, watch for slippery ground, and in the dry season keep dressings clean from dust.
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. A doctor confirms the cause with examination and tests.
This depends on the joint, the procedure and your work. A desk job and a job involving lifting, kneeling or long standing will differ. Ask the surgeon for a written plan covering sitting, standing, carrying and sport, and follow the rehabilitation stages rather than the calendar alone.
Ask what the exact diagnosis and stage are, which alternatives exist, what the operation involves, what the recovery looks like at home in a hot climate, which complications are possible, what follow-up is needed and what you can do beforehand to prepare, including weight management and treating other health conditions.