1Consultation and scan review
At the consultation the joint is examined and your X-rays, MRI or ultrasound are reviewed to decide if the procedure suits you. You can send existing scans before you come.
Cell therapy (SVF) and platelet-rich plasma for knee, hip and shoulder joints and beyond, plus a free look at your scans first
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What it is
Regenerative treatment of the joints relies on material taken from your own body: platelet-rich plasma (PRP) prepared from blood, and the stromal vascular fraction (SVF) obtained from a small sample of adipose tissue. This material is injected into the problem joint to ease pain and inflammation and to support the tissues within it.
If you live with joint pain and hope to postpone or avoid surgery — or were told that replacement is the only option — this may be for you. How early the condition is matters for a lasting effect, and the doctor determines the stage from your scans.

A doctor examines you and reviews your scans, then decides whether the treatment is 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
1At the consultation the joint is examined and your X-rays, MRI or ultrasound are reviewed to decide if the procedure suits you. You can send existing scans before you come.
2A little blood is drawn from a vein; platelet-rich plasma with growth factors is prepared from it later.
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.
4Spinning the sample in a centrifuge separates it into layers, after which the stromal vascular fraction is isolated and added to the platelet-rich plasma.
5The prepared material is injected straight into the affected joint under ultrasound guidance, which helps to place it precisely.
6No stay in hospital and no crutches are needed. The doctor stays in touch after the procedure to see 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
We rely solely on your own blood and adipose tissue, without donor or synthetic material
A small sample of adipose tissue is taken and processed to obtain the stromal vascular fraction (SVF), a mix of cells that take part in tissue repair. Mixed with your own plasma, it is then injected into the affected joint.

Usually it is selected where joint changes are more significant and a longer effect is the aim.
Platelet- and growth-factor-rich plasma is obtained from a little of your blood and injected into the joint, where it helps calm inflammation and improves the conditions for tissue repair.

A course of injections can be done with it alone, or it can be paired 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
Large or small, each joint is assessed on your scans first — then the doctor chooses the method and how many injections are needed
KneeCartilage wear, meniscus issues, pain after walking and on stairs
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderWear of the joint and its tendons, pain when raising the arm
ElbowPain caused by overuse or sports strain; worn joint surfaces
Hand and wrist jointsStiffness and pain in the small joints of the fingers and wrist
AnklePain and stiffness after sprains and old injuriesAdvantages
Rather than replacing the joint, we work to keep your own — treatment without surgery

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

No incisions — just punctures under local anaesthetic, with no long rehabilitation

Send X-rays, MRI or medical reports for an independent assessment by a doctor at no cost

After the procedure we keep in touch and follow the result, not only 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
The doctor names the cost after the consultation, as it depends on the joint, the method and the stage of the condition
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 is platelet-rich plasma prepared from your blood; SVF is a cell fraction isolated from a small sample of your adipose tissue. They work in different ways and are often combined for a stronger 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.
It varies. After PRP the effect often lasts from several months to about a year; after SVF it can last longer. Duration depends on the stage of the condition and on your body, so no one can promise a fixed result.
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, at early stages, reduce pain and improve movement. For a joint that is already badly damaged, replacement may be the more realistic option — after seeing your scans, the doctor will tell you honestly.
SVF therapy at early stages (1–2) may be considered to support blood flow to the femoral head and push back the need for joint replacement. Later stages generally need surgery.
With early or moderate changes, trying to keep your own joint first is often the sensible path — a replacement means major surgery, lengthy rehabilitation, risks such as infection and implants that might eventually be redone.
Of course. Send the X-rays, MRI, CT or medical reports you have; a doctor reviews them free and tells you if the procedure could suit you and what further steps may be needed.
Usually after a day or two. Crutches and long rehabilitation are not needed; for the first weeks you get recommendations on load and exercise from the doctor.
The doctor first establishes what is causing the pain: PRP is used for shoulder joint and rotator cuff problems, and SVF may be considered for more advanced arthritis of the shoulder. Suitability depends on that cause.
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.
SVF and PRP work in different ways. PRP helps calm inflammation and creates better conditions for repair; SVF contains cells involved in tissue repair and is chosen when changes are more pronounced. For patients from Bujumbura, the doctor often combines the two.
Before the procedure, the doctor tells you which tests are needed. If you already have X-rays, MRI or ultrasound results, patients from Bujumbura can send them in advance and receive a preliminary answer on whether the treatment could suit them.
Joint treatment in Bujumbura: price at consultation, free scan review, own tissue only. Leave your name and phone number, or message us in any messenger.
Bujumbura is the economic capital, former political capital, largest city and main port of Burundi. It ships most of the country's chief export, coffee, as well as cotton and tin ore. For many residents the working day is physical or semi-physical: standing at a market stall, loading and unloading goods, driving a minibus, walking between offices and universities, or climbing the hilly streets that lead up from the lake. All of this puts daily load on the knees and hips.
When a joint begins to hurt, people in a working port city often wait. They hope it is a passing strain, they keep carrying and walking, and the problem grows quietly. This text explains how a patient in Bujumbura can think through the main options for knee and hip problems, from conservative care to arthroscopy and joint replacement, and how to prepare questions before any decision is made.
City Medical Centre does not have an office in Bujumbura. The contact is a free online consultation, and coordinators are available around the clock (24/7) on WhatsApp and Telegram. You can send your questions, your imaging descriptions and your history from home, and plan the next step without leaving your daily routine.
Bujumbura has a tropical savanna climate bordering on hot semi-arid, with distinct wet and dry seasons. The wet season runs from October to April. Because the city is close to the equator, average temperatures vary little over the year, and thanks to the moderate altitude it is not as hot as many people expect. The high is around 29 °C and the low around 19 °C.
For recovery this is useful. There is no harsh winter with ice and no extreme cold stiffening the joints. But steady warmth means swelling can feel worse by the end of the day, especially after sitting or standing for long hours. A patient recovering after a knee or hip procedure should plan rest with the leg raised in the afternoon, wear any compression garment or support the surgeon recommends, and drink enough water.
In the wet months, wet floors, muddy paths and slippery steps are a real concern for anyone using a stick or crutches. Ask your surgeon how to move safely on uneven ground, what footwear to choose and when it is reasonable to return to ordinary walking outside. In the dry months dust can irritate a healing wound if it is not properly covered, so keep dressings clean and dry and follow the wound care instructions you are given.
The questions we hear from people in the city are practical. Can I avoid an operation altogether? How do I know whether my pain comes from wear of the joint or from inflammation? How long will I be away from work? Can I manage stairs at home? Who will help the family while I recover?
Good answers begin with a clear picture. Pain that appears mostly after load and eases with rest often points to mechanical wear. Pain at rest and at night, together with morning stiffness, swelling and warmth, points more to an inflammatory process. Your doctor should sort out which one you have before any treatment is chosen.
During the online consultation you can describe how your pain behaves through the day, which movements are hardest, what treatment you have already tried and what scans or tests you already have. The more precise the description, the more useful the discussion with the specialist.
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 for Bujumbura because joint pain is easily blamed on hard work or age alone. If your knee or hip is swollen, hot and stiff in the morning, a simple wear explanation may be wrong, and the right treatment may start with a different kind of doctor. Joint replacement or arthroscopy does not treat the underlying cause of an inflammatory disease, so the cause has to be clarified first.
Keep a short diary for two weeks: when the pain is worst, how long the morning stiffness lasts, whether there is swelling or warmth, and whether other joints are involved. Bring it to the consultation.
For many knee and hip complaints the first stage is conservative care. This usually means a medical review, controlling the cause where one is found, adjusting load, supervised exercise to strengthen the muscles around the joint, help with walking aids if needed, and a sensible approach to body weight. The World Health Organization describes overweight and obesity as a major health issue, and extra weight does add load to the knees and hips, so this is a reasonable topic to raise with your doctor.
In a city where much of the day is spent walking, standing or on a motorbike or minibus seat, small changes count: breaks during long standing, a firm chair, comfortable footwear, and avoiding repeated deep squatting or heavy lifting when the joint is inflamed. A swimming pool exercise routine can be gentle on the joints, and Bujumbura has many indoor and outdoor swimming pools. Ask your specialist whether water exercise suits your condition and when it is safe, especially after any procedure with a wound.
Conservative care needs patience and regular follow-up. If after a reasonable period there is no change, or the pain is steadily worse, it is time to discuss the next level.
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 the honest framework: the earlier the problem is recognised, the more options there are.
In the procedure, 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 puncture area is small, so daily life afterwards is usually not disturbed in the way it is after major surgery, but you should still follow the care instructions you receive.
In Bujumbura's warm climate, keep the puncture area clean and dry, avoid soaking it in a pool or lake until your doctor allows it, and wear loose clothing that does not rub. Ask the specialist whether your stage is early enough for this approach, because that depends on imaging and examination, not on how severe the pain feels.
Arthroscopy is a keyhole approach used for certain knee problems and some hip problems. Joint replacement is considered when the joint is badly damaged and pain and limited movement affect ordinary life. Which of them, if either, is right depends on your examination and imaging, and no decision should be made from a message alone.
Questions worth asking the surgeon: What exactly is damaged in my joint? What happens if I wait? Is arthroscopy likely to help in my case, or only delay the problem? What type of implant is planned and why? What anaesthesia is proposed? How long is the hospital stay? What exercises will I do and when? Which signs after surgery should make me call at once?
Candidates are generally people whose pain and limitation persist despite conservative care. Contraindications in general terms include active infection, poorly controlled chronic illness, and conditions that make anaesthesia unsafe. A full review of your health, including blood pressure, blood sugar and heart condition, is a normal part of preparation.
Plan the timing around your real life. A market trader, a driver and an office worker will have different recovery needs. Speak with your employer or colleagues early about lighter duties, and agree who covers heavy tasks. Students at one of the many universities in the city may prefer a quieter academic period for treatment, so that missed classes are limited.
Sport is part of city life: football, basketball, tennis and swimming are all popular, and the Intwari stadium is the country's largest. Return to sport should be gradual and agreed with your doctor. Do not go back to running or jumping just because walking feels fine; strength and control must return first.
Family events and shared meals are central to social life. During recovery you may need to sit or stand less than usual at gatherings, and ask relatives to help with cooking, carrying and shopping. Eating a balanced diet with enough protein, vegetables and fluids supports healing, and keeping a steady body weight protects your joints in the long term.
The consultation is free and online. You write to the coordinators on WhatsApp or Telegram at any hour, since they are available 24/7. Tell them which joint hurts, for how long, what makes it better or worse, and what treatment you have had. Send photos of your reports and scans if you have them.
The specialist then reviews your information and explains the possible directions: continued conservative care, further tests, an early-stage option such as SVF therapy, arthroscopy or joint replacement. You can ask follow-up questions as often as you need before making any decision.
Prepare a short list: your main complaint, your daily demands, your chronic illnesses and medicines, and your expectations. A clear list makes the discussion shorter and more useful.
Not always. Many problems start with conservative care: finding the cause, adjusting load, exercise and weight control. Surgery is considered when pain and limitation persist or when the joint is badly damaged.
Arthritis typically brings pain at rest and at night, morning stiffness lasting more than 30 minutes, swelling, redness and warmth over the joint. Wear pain is more often linked to load. Only an examination can separate them.
Causes include autoimmune conditions such as rheumatoid arthritis, infections, gout and psoriasis.
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.
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 city has a tropical savanna climate with a wet season from October to April and temperatures that vary little, around 29 °C by day and 19 °C at night. Swelling can increase in the warmth, so rest with the leg raised, and be careful on wet, slippery ground.
Only when your doctor confirms that the wound or puncture area has healed. Ask for a clear date for your procedure.
This depends on the procedure, your job and how your joint heals. Desk work usually returns sooner than heavy physical work. Sport should return gradually, with the doctor's approval.
No. The consultation is online and free, with coordinators available 24/7 on WhatsApp and Telegram.
Write down your symptoms, their duration, previous treatment, chronic illnesses and medicines, and have any scan or test reports ready to send.