1Consultation and scan review
First comes an examination: the doctor checks the joint and your X-ray, MRI or ultrasound images and decides whether the procedure fits. If you have scans already, send them in advance.
Cell therapy (SVF) and PRP for the knee, hip, shoulder and other joints. A free review of your scans before any decision
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What it is
Your blood provides platelet-rich plasma (PRP), and a small sample of adipose tissue provides the stromal vascular fraction (SVF). In regenerative joint treatment this material goes into the affected joint by injection, helping to reduce pain and inflammation and to support the tissues inside it.
People with joint pain choose it to avoid surgery or push it back, including those told a joint replacement is the only way. A lasting effect is more likely the earlier the condition is caught; the doctor evaluates this using your scans.

Whether this treatment is right for you is decided by a doctor after 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
1First comes an examination: the doctor checks the joint and your X-ray, MRI or ultrasound images and decides whether the procedure fits. If you have scans already, send them in advance.
2A little blood is drawn from a vein; platelet-rich plasma with growth factors is prepared from it later.
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 is centrifuged and divides into layers; the stromal vascular fraction is isolated from it and mixed with platelet-rich plasma.
5The prepared material is injected directly into the affected joint under ultrasound guidance, which helps 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
Only your own blood and adipose tissue are used — no donor or synthetic material
Processing a small sample of adipose tissue yields the stromal vascular fraction (SVF), a blend of cells that help tissue repair. The doctor combines it with your plasma and injects it into the problem joint.

The usual reason to choose it: more pronounced changes in the joint and the goal of a longer-lasting effect.
The doctor separates plasma rich in platelets and growth factors from a small amount of your blood and injects it into the joint. This helps to calm inflammation and supports tissue repair.

Either on its own, as a series of injections, 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
Large or small, each joint is assessed on your scans first — then the doctor chooses the method and how many injections are needed
KneeCartilage wearing down, meniscus problems, pain after walking or on stairs
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderPain when raising the arm, wear of the joint and surrounding tendons
ElbowPain after overuse or sports strain, wear of the joint surfaces
Hand and wrist jointsStiffness and aching in the finger and wrist joints
AnklePain and stiffness after sprains and old injuriesAdvantages
No surgery: our work is about keeping your own joint, not swapping it for an implant

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

No long rehabilitation: punctures instead of incisions, done under local anaesthetic

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
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
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 between patients. After PRP the effect commonly lasts from several months to about a year, and after SVF possibly longer. Because duration depends on the stage of the condition and your body, nobody can promise a fixed result.
The procedure is not done in people with cancer, acute infections, blood clotting disorders, during pregnancy or during a flare-up of a serious chronic illness. The doctor checks this at the consultation.
Early-stage osteoarthritis often responds to PRP or SVF injections together with exercise therapy and physiotherapy, which can reduce pain and improve movement. If the joint is badly damaged already, replacement may be the more realistic option, as the doctor will honestly tell you after seeing your scans.
When the condition is at an early stage (1–2), SVF therapy may be considered to support blood supply to the femoral head and delay a joint replacement; at later stages surgery is usually required.
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.
Yes. After you send your X-rays, MRI, CT or medical reports, a doctor reviews them at no cost and tells you whether the procedure could be suitable and what else may be required.
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 used for problems of the shoulder joint and the rotator cuff, and SVF may be considered for more advanced arthritis of the shoulder. Whether it suits you depends on the cause of the pain, which the doctor establishes first.
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 Entebbe, the doctor often combines the two.
Over about three months mobility and activity usually improve, and the full effect develops over around six months. How long it lasts depends on the stage of the condition, body weight and activity, so no one can promise a fixed result to patients in Entebbe.
The cost of joint treatment depends on the joint, the stage of the condition and the method, so the price is set at the consultation. The initial consultation and review of your scans are free for patients from Entebbe. Leave your name and phone number, and a coordinator will contact you.
Entebbe is a city in Central Uganda on a peninsula of Lake Victoria, about 36 kilometres southwest of Kampala. It was once the seat of government of the Protectorate of Uganda before independence in 1962, and today it still hosts State House, the official office and residence of the President. For many residents life here means a working day built around public service, administration, education, hospitality, lake-related trades and commuting along the main highway towards the capital. Almost all of these routines depend on healthy knees and hips.
The national census of 27 August 2014 put the population of Entebbe at 69,958. It is a town of moderate size where people tend to know their neighbours, colleagues and relatives. When someone starts limping on the stairs, avoids the church steps or stops walking along the lake shore in the evening, the family notices quickly, and the question of what to do becomes a shared one.
Joint treatment covers a wide range: conservative care, arthroscopy of the knee, and joint replacement of the knee or hip. This text explains how each step fits into daily life in Entebbe, so that you can prepare questions before your online consultation with City Medical Centre. It is general information and not a diagnosis. Only an examination and imaging reviewed by a specialist can show which path suits you.
Entebbe has a tropical rainforest climate with no real dry season. The driest month is July, with average precipitation of 72 millimetres, and the wettest is April, with 264 millimetres. The altitude moderates the temperature: February is the hottest month at an average of 22.8 °C, and July is the coolest at 20.6 °C. This is a mild, humid setting without extremes of cold or heat.
Many patients report that damp weather makes stiff joints feel worse, and a few say they notice more discomfort in the long rainy months. Weather does not cause arthritis or wear of cartilage, but it changes how much you move, what you wear and how safe the ground is under your feet. After any joint procedure, wet paths, muddy yards and slippery tiles near the house are a real concern, especially when you walk with crutches or a frame.
For recovery, the steady, moderate temperature is helpful. You are unlikely to struggle with severe heat, which makes compression garments and dressings easier to tolerate. Still, humidity can irritate skin under a bandage or stocking, so ask the surgeon how to keep the wound area clean and dry, how often to change dressings and which fabrics are comfortable. Good footwear with a firm, non-slip sole matters more in Entebbe's rainy weeks than any special equipment.
For most people with joint pain, the first stage is conservative care. It usually means an accurate diagnosis, a review of daily activities, physiotherapy, strengthening of the muscles around the knee and hip, pain control chosen by a doctor and sensible changes to habits. In Entebbe this can fit around a normal week, because exercises can be done at home or on level ground near the lake shore on dry days.
Body weight is one of the factors a doctor will discuss. The World Health Organization describes overweight and obesity as a major health issue, and extra load is a recognised burden for weight-bearing joints. This is a medical point, not a judgement. Local food is often starch-rich, with matoke, posho, cassava and sweet potato eaten in generous portions, and fried fish from the lake is a familiar favourite. Small, realistic adjustments in portions and cooking methods, agreed with your doctor or a dietitian, can reduce strain without giving up the foods you enjoy.
Conservative care is not a lesser option. For many patients it gives enough relief to keep working and moving. It also creates a clear record of what has already been tried, which any surgeon will want to see before recommending an operation. During the online consultation you can share this history so that the coordinator and specialist do not repeat steps that did not help.
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 is different from pain that appears only after a long day on your feet and settles with rest.
If you recognise these signs, say so clearly during the consultation. A person in Entebbe who wakes at night with a hot, swollen knee, or who needs a long time each morning before the hands and hips loosen up, should not simply assume it is age. Inflammatory causes need a specific assessment, and treating them early can protect the joint before damage becomes advanced.
Gout deserves a special mention, because attacks can be sudden and very painful, often in one joint. Infection in a joint is a different matter and needs urgent medical attention, not an online discussion. If a joint becomes suddenly red, hot, very swollen and you feel unwell, seek local emergency care first and contact the coordinators afterwards to arrange follow-up planning.
Arthroscopy is a keyhole procedure in which a surgeon looks inside the joint through small openings and can treat certain problems, such as some meniscus injuries or loose fragments. People in Entebbe who play football, run along the lake road, play netball or have physical jobs often ask whether keyhole surgery can get them back to the field quickly.
The honest answer depends on the cause. Arthroscopy suits some mechanical problems but is not a cure for widespread wear of the cartilage. Ask the surgeon what exactly is expected to be found and treated, what happens if the findings differ from the scan, and what rehabilitation follows. Ask also whether your symptoms are more likely to respond to physiotherapy first.
Because the openings are small, the dressings are usually modest, but you still need to protect the area, keep it clean in humid weather and follow the movement plan you are given. Do not return to sport because the knee feels good after a few days. Ask which movements are allowed in each phase and when jumping, twisting and contact sport can be resumed, and write the answers down.
Some patients with early hip problems ask about cell-based support. 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. The stage is therefore the central question, and it is decided on imaging and examination, not on how long the pain has lasted.
The procedure is described simply. 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. For a working person in Entebbe, this matters because the collection step is gentle and the puncture area is small, though you should still keep it clean and avoid friction from tight belts or waistbands while it settles.
Be realistic in the consultation. SVF therapy is not a replacement for surgery when the joint is badly damaged, and it is not suitable for everyone. Ask the specialist to explain your stage, what you can expect, what the alternatives are and how progress will be monitored. A clear answer that tells you surgery is the better route is as valuable as an offer of a less invasive option.
Joint replacement is considered when pain and loss of function remain serious despite conservative care, and imaging shows advanced damage. Typical candidates are people whose walking, sleeping and daily tasks are limited by the joint. General reasons for caution include active infection, unstable heart or lung conditions, poorly controlled diabetes, and skin problems over the joint. Your specialist will review these in detail.
Planning around Entebbe life is practical. Think about the stairs at home, the height of the bed and toilet, how you reach the lake shore, church, market or workplace, and who can help in the first days. Many households here are multigenerational, so a relative is often available, but agree in advance who will help with dressings, exercises and transport to follow-up checks.
Season matters less here than in countries with harsh winters or heat waves, since temperatures are moderate all year. The more useful question is the rain: April brings the heaviest rainfall, and wet ground is hazardous on crutches. Many patients prefer to avoid starting the most vulnerable period of walking practice in the wettest weeks, while others weigh work and family events more heavily. Discuss both with the surgeon and the coordinator.
Return to work depends on what you do. A desk job in an administrative office is different from standing all day in a shop, driving, teaching on your feet, working in hospitality or doing manual work near the lake. Ask the surgeon for a written outline of light duties, driving, long sitting and standing, and stairs, and share it with your employer or school.
For sport, ask separately about walking, cycling, swimming, light gym work, football and running. Do not set your own timetable based on what a friend did. The answer depends on the type of procedure, the quality of the bone and muscle, the healing of the wound and your rehabilitation. Swimming or lake bathing requires the wound to be fully healed and the doctor's approval first.
Family events and shared meals are important in Entebbe. Weddings, funerals, church gatherings and long family meals involve standing, sitting on low seats and travelling on uneven ground. Tell relatives in advance that you may need a higher chair, a short stay and regular rests. Compression garments, if prescribed, should be worn as instructed, and swelling should be watched, especially after a long day on your feet.
You stay in Entebbe and contact City Medical Centre online. The consultation is free, and coordinators are available around the clock (24/7) on WhatsApp and Telegram. You can write when it suits you, whether that is after work, late in the evening or early before the day begins.
Prepare a short summary: when the pain began, which joint is affected, what makes it better or worse, whether there is morning stiffness, night pain, swelling or redness, medicines already used, previous injuries, other illnesses and any scans or reports you have. Clear photos of documents and imaging help the specialist form a view. Mention your work, family duties and the hardest daily tasks.
After reviewing your information, the team explains what the next step could be and what further data are needed. Use the conversation to ask about the stage of the joint damage, the options from conservative care to arthroscopy, SVF therapy or replacement, the expected rehabilitation and the signs that mean you should seek urgent local care. You decide at your own pace, and you can involve family members in the chat.
Yes. The consultation is free and you contact the coordinators from Entebbe on WhatsApp or Telegram at any hour, 24/7. Send a short description, any scans and the list of medicines you use. A specialist reviews the information and suggests the next step. It is not a diagnosis, but it helps you decide whether conservative care, further tests or surgery should be discussed.
Many people feel stiffer in damp weather, although weather does not cause joint disease. April is the wettest month, with about 264 millimetres of rain on average, and wet ground raises the risk of slipping. If you are recovering from a procedure, choose non-slip footwear, keep paths dry and ask the surgeon about a safe walking plan.
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. If these signs are present, tell the specialist, because inflammatory conditions need a specific assessment.
Only at early stages. At 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. The stage is established from imaging and examination, so send your reports and ask the specialist to explain which stage applies to you.
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. Afterwards keep the puncture area clean, avoid rubbing from tight clothing and follow the instructions from the medical team.
Usually people with serious pain and limited function who did not improve enough with conservative care, and whose imaging shows advanced joint damage. Active infection, unstable heart or lung disease, poorly controlled diabetes or skin problems over the joint may be reasons for delay or a different plan. The decision is individual and made by the surgeon.
It depends on your job and on what was done inside the joint. Office work with limited walking is usually easier to resume than standing, lifting or driving duties. Ask the surgeon for a written plan covering work, stairs, driving and sport, and do not rely on the experience of friends or colleagues.
Yes. The World Health Organization treats overweight and obesity as a significant health concern, and extra weight puts more load on knees and hips. A doctor or dietitian can help you make realistic changes to portions and cooking methods while keeping familiar local foods. This supports both conservative care and recovery after surgery.
Ask which stage your joint is at, which options suit you, what each can and cannot achieve, how rehabilitation will work, when you can walk, work, drive and exercise, what complications to watch for and when to seek urgent local care. Also ask what home arrangements, such as a higher chair or handrails, will make recovery easier.