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.
We treat the knee, hip, shoulder and other joints with SVF and PRP. Before anything is decided, your scans are reviewed at no cost
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What it is
This approach uses your own biological material — PRP, the platelet-rich plasma separated from blood, and SVF, the stromal vascular fraction taken from a small portion of adipose tissue. Injected into the affected joint, it helps reduce pain and inflammation and supports the tissues inside.
This treatment suits people with painful joints who would like to avoid or delay surgery, or who have been told that only a joint replacement will help. The earlier the stage, the better the prospect of a lasting result — the doctor judges this from 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.
2The nurse takes a small amount of venous blood; platelet-rich plasma with growth factors is prepared from it afterwards.
3About 30 ml of adipose tissue is collected through a puncture on the abdomen or the inner thigh under local anaesthetic. The puncture needs no stitches.
4Once spun in a centrifuge, the sample separates into layers, and the stromal vascular fraction isolated from it is mixed with platelet-rich plasma.
5Ultrasound guidance allows the prepared material to be injected precisely, directly into the affected joint.
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
Nothing from donors and nothing synthetic — only your own blood and adipose tissue
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.

Doctors tend to choose it when the joint shows more pronounced changes and a more durable effect is wanted.
A little of your blood is enough to separate platelet-rich plasma full of growth factors. Injected into the joint, it calms inflammation and improves conditions for tissue repair.

It can be a course of injections on its own or be combined 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
KneeMeniscus problems, cartilage wear and pain on stairs or after a walk
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderPain on raising the arm and wear of the joint and nearby tendons
ElbowSports strain or overuse pain and worn-down 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
Our aim is to keep your own joint, not replace it — treatment without surgery

Nothing from donors and nothing synthetic — only your own blood and adipose tissue

Local anaesthetic, punctures instead of incisions, and no long rehabilitation

Your X-rays, MRI or reports get a free independent assessment from a doctor — just send them

We stay in contact once the procedure is over and follow how the result develops
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
Pricing depends on the joint, the condition's stage and the method; you learn it from the doctor 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.
Your own tissue is used in both methods, which keeps the risk of rejection or an allergic reaction very low. Any injection may cause temporary pain, swelling or bruising; infection is rare. The doctor explains your individual risks 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 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.
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.
Stages 1–2 are early enough for SVF therapy to be considered, supporting blood supply to the femoral head and delaying joint replacement. At later stages, surgery is usually unavoidable.
Major surgery, long rehabilitation, risks like infection and implants that may need to be redone eventually — that is what a replacement involves. With early or moderate changes, preserving your own joint first is often sensible.
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.
Within a day or two, as a rule. There are no crutches and no lengthy rehabilitation; the doctor provides recommendations on exercise and load for the first weeks.
For shoulder joint and rotator cuff problems PRP is used, and for more advanced arthritis of the shoulder SVF may be considered. Suitability depends on the cause of your pain, and the doctor identifies that 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 Ilesa, the doctor often combines the two.
Keeping a healthy weight and regular, joint-friendly exercise help the result last longer. The doctor explains which activities suit your joint and which loads to avoid — the same advice applies to every patient in Ilesa.
Do not put off joint pain for years. Book a free consultation in Ilesa: the doctor reviews your scans, assesses the stage and suggests a non-surgical plan if it is appropriate. The price is set at the consultation.
Ilesa is a historic city in Osun State, in southwest Nigeria, and the capital of the old Ijesha state-kingdom. The city has about 325000 inhabitants. A city of this size has many people who live with aching knees and hips: traders who stand all day, farmers and miners who lift and bend, teachers, drivers, and grandparents who carry children and shopping. This text explains how knee and hip problems are handled, from conservative care to arthroscopy and joint replacement, and how a person in Ilesa can plan the process from home.
City Medical Centre works with patients from Ilesa through a free online consultation. Coordinators are available around the clock (24/7) on Telegram and Telegram, so you can send your questions in the evening after work or early in the morning before the market opens. The aim is to help you understand your options before you decide anything, not to push you towards surgery.
Joint treatment is a ladder. The lowest rungs are simple: assessment, imaging, weight management, exercise, walking aids and medication chosen by a doctor. The middle rungs include keyhole procedures and regenerative approaches. The top rung is replacement of the joint. Most people in Ilesa who ask about this topic want to know where they stand on that ladder and what would change it.
Ilesa is a place where people are on their feet. Moving between neighbourhoods, climbing steps, sitting low at family gatherings and getting up again all load the knee and hip. Ilesa is also known for its natural resources and minerals, especially gold, so physical work connected with mining and trade is part of the local economy. Heavy lifting, kneeling and repeated squatting are classic strains on the knee, and long-term overload can lead to wear of cartilage.
Hip pain often starts quietly. A person notices stiffness when getting out of a car or a minibus, pain in the groin, or a limp that grows towards evening. Knee pain tends to show itself on stairs, when standing up from a low seat, or after a long day at a stall. These details are worth writing down before the online consultation, because they help the doctor understand what the joint is doing in real life.
Body weight also matters. The World Health Organization describes overweight and obesity as a major health issue, and extra weight increases the load carried by the knees and hips with every step. Sensible, gradual weight control is therefore a part of joint care for many people in Ilesa, whether or not an operation is planned.
Not every painful joint is worn out by use. 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. If your knee is hot, red and swollen, or you wake at night with pain, say so clearly when you write to the coordinators, because this pattern points to a different path than simple wear.
Inflammatory and infectious causes need to be identified before any procedure. A joint replacement or arthroscopy performed on a joint that is inflamed for another reason may not help, and an active infection is a reason to postpone planned surgery. This is why the first step is always a proper assessment with blood tests and imaging where needed, not a decision made from a photograph alone.
People in Ilesa sometimes try to manage joint pain for years with painkillers bought locally or with traditional remedies. Relief from a tablet or ointment does not tell you what is happening inside the joint. A medical review explains whether the problem is cartilage wear, a torn meniscus, inflammation, gout or a problem with the blood supply to the bone, and each of these has a different treatment.
Many knee and hip problems are treated without an operation, at least at the beginning. Conservative care can include a structured exercise programme to strengthen the muscles around the joint, advice on weight, a walking stick or other support, medication prescribed after examination, and changes to the way you work and move. For someone in Ilesa who spends hours standing or carrying loads, the doctor may also discuss how to arrange the workday, how to rest the joint and how to use seating at home and at events.
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 procedure 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. Whether this option suits you depends on imaging and on the stage of the disease, which the specialist determines during the consultation.
No approach suits everyone. Some people improve with conservative care and never need an operation. Others reach a point where pain at night, limited walking and daily limitation make joint replacement the reasonable choice. A good consultation helps you see which situation is closer to yours and what signs would mean it is time to move to the next step.
Arthroscopy is a keyhole procedure in which a surgeon looks into the joint through small openings and can treat certain problems, such as a damaged meniscus or loose fragments. It is chosen for specific findings, not for every painful knee. When the cartilage is widely worn, arthroscopy often does not solve the underlying problem, and the surgeon will explain this openly.
Joint replacement means that the damaged surfaces of the knee or hip are replaced with an implant. It is considered when pain and limited movement seriously affect daily life and other treatments no longer help enough. For a person in Ilesa this might mean that walking to the market, climbing steps at home or sitting through a family ceremony has become difficult or painful. The decision is made together with the surgeon after examination and imaging.
Candidates are usually assessed for general health, heart and lung condition, blood sugar, body weight, skin condition around the joint, and the absence of active infection. Contraindications in general terms include an infection anywhere in the body, uncontrolled chronic illness, and severe problems with blood vessels in the limb. The specialist will tell you whether these apply to you and what must be corrected first.
Recovery depends more on preparation than on the calendar, but local conditions are worth thinking about. Ilesa has a lively social life, and family events, ceremonies and festivals are an important part of the year. Many people prefer to plan treatment in a quieter period so they can rest without feeling they are missing something. Ask the coordinators to help you build a schedule that leaves room for rest and for follow-up conversations.
Weather affects comfort during recovery. In hot and humid periods, swelling can feel worse and wounds need to stay clean and dry, so light, loose clothing over any compression garment and a cool room are helpful. In rainy periods, wet and slippery ground becomes a risk for anyone walking with a stick or crutches, so plan safe routes, suitable footwear and help with errands. Dust can be a nuisance in dry weather; keep dressings covered as the surgeon instructs. These are general points, and your surgeon gives the exact rules for your case.
Think about your home as well. A low bed, a low toilet seat, steps at the entrance and a floor that gets wet can all complicate the first weeks after a knee or hip operation. A chair with a firm seat and arms, a clear path through the house and a helper for cooking and fetching water make recovery safer. Discuss these arrangements during the remote consultation so that the rehabilitation plan fits the way you actually live.
Return to work depends on the job and on the procedure. A teacher or office worker in Ilesa may go back to light duties sooner than someone who stands, lifts or kneels all day. Students at institutions such as the College of Technology in Ilesa should talk to the doctor about sitting for long lectures, using stairs and carrying books. Do not set a return date yourself: ask the surgeon for guidance based on your operation and your progress.
Sport and exercise come back gradually. Walking is usually the first activity, followed by physiotherapy exercises and, later, low-impact movement as the surgeon allows. If you play football on weekends or exercise with friends, say so, because the surgeon may advise which activities are suitable and which put an artificial joint or a healing knee at risk. If you plan to use a pool or other water, wait until the wound is fully healed and the doctor agrees.
Food supports healing and weight control. Traditional Yoruba meals often include starchy staples, soups and stews, and festive food can be rich. This does not need to be given up, but portions, frying and sugary drinks are worth discussing with a doctor or dietitian, especially if body weight is part of your joint problem. Enough protein, vegetables and fluids help the body repair tissue. If you have diabetes or high blood pressure, tell the team, because these conditions influence both the safety of surgery and the speed of healing.
The process starts with a message to the coordinators on Telegram or Telegram. They are available 24/7, so you can write at any time. You describe your complaint, how long it has lasted, what makes it better or worse, and which treatments you have tried. Then you send any existing documents: X-ray or MRI images, reports, blood tests and a list of your medicines. Clear photographs of the documents are usually enough to begin.
The specialist reviews your material and speaks with you during a free online consultation. You can ask about the diagnosis, whether conservative care is still reasonable, whether arthroscopy, SVF therapy or joint replacement is appropriate, what the stages of recovery look like and what follow-up is needed. If more tests are needed, you will be told which ones and why, so that you can do them locally in Osun State.
A consultation does not oblige you to do anything. Take time to compare, discuss with your family, and return with new questions. Having a relative present during the call helps, as joint decisions often involve the whole household. Keep the written summary of the conversation so that you can refer to it later.
Prepare a list. Ask what exactly is wrong with your joint and at which stage it is. Ask which non-surgical options remain and what you would gain or lose by waiting. If an operation is proposed, ask what type of anaesthesia is used, how long you will stay under supervision, what rehabilitation will be required and what the realistic limits are afterwards, for example for kneeling, squatting or heavy lifting.
Ask about complications openly: infection, stiffness, blood clots, loosening of an implant and how they are recognised and treated. Ask what signs after the operation should make you contact the coordinators immediately, such as increasing redness, fever, a sudden rise in pain or a swollen calf. Ask who will review your progress and how the follow-up conversations will be organised when you are at home in Ilesa.
Finally, ask how the plan fits your own life: your work, your family responsibilities, your religious and social calendar and your home. A good plan is one you can actually follow. Surgeons appreciate patients who come prepared, and clear answers now reduce worry later.
Yes. The first consultation is online and free. You write to the coordinators on Telegram or Telegram, send your images and reports, and speak with a specialist remotely. Local tests, if needed, can be done where you live.
The coordinators are available around the clock, 24/7, on Telegram and Telegram. You can send your documents at any hour and receive a reply as soon as the team can respond.
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. Only an examination and tests can confirm the cause.
No. Many people begin with conservative care: exercise, weight control, supportive aids and medication chosen by a doctor. Surgery is considered when these measures no longer give enough relief and daily life is seriously limited.
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.
Collect any X-ray or MRI images, written reports, blood test results, a list of current medicines and notes on chronic illnesses such as diabetes or high blood pressure. Also write down when the pain began, what worsens it and how far you can walk.
Choose a calmer period if possible, arrange help at home, and ask the surgeon how long you should avoid standing, lifting, kneeling and long sitting. Return to work depends on your job and operation, so follow the surgeon's advice rather than a fixed date.
Yes. Extra weight increases the load on knees and hips, and the World Health Organization treats overweight and obesity as an important health concern. Gradual weight control often helps pain and supports recovery, and the doctor can advise on this.
Contact the coordinators at once on Telegram or Telegram and describe the symptoms. Increasing redness, warmth, fever, sudden worsening pain or a swollen calf need prompt medical attention, and the team will tell you what to do next.