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PRP Injections for Joints in Juba

For the knee, hip, shoulder and other joints: PRP and cell therapy (SVF). Your scans are reviewed free before you commit

Knee joint: regenerative treatment without surgery
Joint treatment without surgery. Free consultation and review of your scans

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What it is

What is regenerative
joint treatment?

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.

  • No surgery — an injection instead of an operation
  • Own tissue — your blood and adipose tissue
  • Ultrasound guidance for every injection
Knee joint: an injection under ultrasound guidance

Who the treatment suits

Only after an examination and a review of your scans does the doctor decide whether the treatment suits you

Suitable

A doctor reviews knee X-rays with a patient
  • Pain, crunching or stiffness in a joint
  • Painkillers only help for a short time
  • Recovery after injuries and surgery
  • You need a second opinion on your scans
  • You want to avoid or postpone joint replacement
  • Early or moderate arthrosis or arthritis
  • High load on the joints — sport or physical work

Not suitable

A doctor examines a patient's knee
  • Cancer
  • Pregnancy
  • Blood clotting disorders
  • Acute infections, including infection in or near the joint
  • Flare-up of a serious chronic illness
  • Temporary contraindications: fever, flu or a cold, skin inflammation over the joint being treated

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 me

What we treat

Conditions we treat

How it works

How the procedure goes: step by step

Consultation and scan review1

Consultation and scan review

Your joint is examined and the doctor studies your X-rays, MRI or ultrasound to judge whether the procedure is suitable. Existing scans can be sent before the appointment.

Blood sample for PRP2

Blood sample for PRP

We take a small blood sample from a vein. From it, platelet-rich plasma containing growth factors is prepared later on.

Adipose tissue sample3

Adipose tissue sample

Under local anaesthetic the doctor takes roughly 30 ml of adipose tissue through a small puncture in the abdomen or inner thigh; stitches are not needed.

Processing in a centrifuge4

Processing in a centrifuge

The sample is spun in a centrifuge and separates into layers. The stromal vascular fraction is isolated and mixed with the platelet-rich plasma.

Injection into the joint5

Injection into the joint

With ultrasound guiding the needle, the prepared material is injected directly and precisely into the affected joint.

Follow-up6

Follow-up

Afterwards there are no crutches and no hospital stay, and the doctor keeps in touch to follow how the joint is responding.

Book a consultation

Call or message us — our coordinator will contact you shortly and book your consultation

A doctor talks with a patient about joint treatment
Book a consultation
A doctor talks with a patient about joint treatment

Results

After the procedure

  • Doctor talking warmly with a patient after the procedure

    1 week

    The joint may ache a little more — this is an expected reaction.

  • Doctor consulting an older patient one month after treatment

    1 month

    The pain usually eases.

  • Doctor explaining progress to a patient using a knee joint model

    ~3 months

    Mobility and activity improve.

  • Doctor and patient walking together at a follow-up visit

    ~6 months

    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

Methods we use

We use nothing but your own blood and adipose tissue, with no donor or synthetic material

Cell therapy (SVF) from your own adipose tissue

The method starts with a small adipose tissue sample, which is processed to separate the stromal vascular fraction (SVF), a mix of cells active in tissue repair. With your own plasma added, it is injected into the affected joint.

A doctor explains SVF cell therapy for the knee to a patient on a tablet

This option is usually picked for more advanced changes in the joint, when the goal is an effect that lasts longer.

Material
Your adipose tissue and plasma
How it is given
Into the joint, under ultrasound
Duration
The whole procedure is done in one day.

PRP — platelet-rich plasma from your own blood

A small amount of your blood is processed to separate plasma rich in platelets and growth factors, which is then injected into the joint. It helps settle inflammation and gives the tissues better conditions for repair.

A doctor explains PRP therapy for joints to a patient on a monitor

It works either as a stand-alone course of injections or alongside SVF.

Material
Your blood from a vein
How it is given
Into the joint, under ultrasound
Duration
The whole procedure is done in one day.

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

Book a consultation

Joints

Joints we treat

We treat large and small joints — which joint, which method and how many injections is decided by the doctor after a scan review

  • KneeKneeMeniscus trouble, worn cartilage, pain when using stairs or after walking
  • HipHipEarly hip osteoarthritis, groin pain, limited rotation
  • ShoulderShoulderWear of the joint and its tendons, pain when raising the arm
  • ElbowElbowJoint surface wear and pain after overload or sports strain
  • Hand and wrist jointsHand and wrist jointsStiffness and pain in the small joints of the hand and wrist
  • AnkleAnklePain and stiffness after sprains and old injuries

Advantages

Why patients choose City Medical Centre

The goal is your own joint kept, not replaced, through treatment without surgery

Your own tissue

Your own tissue

We use nothing but your own blood and adipose tissue, with no donor or synthetic material

No crutches

No crutches

Punctures rather than incisions, local anaesthetic and no lengthy rehabilitation

Second opinion

Second opinion

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

Support after the procedure

Support after the procedure

We follow the result after the procedure and stay in contact, not only on the day of the injection

About the clinic

A clinic where you can feel at ease

Modern equipment, comfortable rooms and care for every patient

A doctor and a patient at the clinic

Contact us the way that suits you

We will answer your questions and find a convenient time for a consultation

Request a free call

Price

Joint treatment prices

How much it costs depends on the joint, the method and the stage of the condition — the doctor tells you after the consultation

FAQ

Joint treatment: frequently asked questions

About the conditions

More about these conditions

Other services of our clinic

What Juba residents ask about joint treatment

Knee problems are the most familiar reason to seek help: cartilage wear, meniscus damage, pain on stairs and after walking. Patients from Juba with hip, shoulder, ankle, elbow or wrist pain follow the same path — scan review, examination and a clear plan.

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 Juba.

Patients from Juba 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.

Juba and joint health: why the question comes up here

Juba is the capital and largest city of South Sudan, standing on the White Nile and serving as the capital of Central Equatoria State. It had a population of 525,953 in 2017, and the city keeps growing as people move in from the countryside for work. Most of its residents spend the day on their feet. They walk to markets, climb into minibuses, carry water and shopping, stand at building sites and work in shops. All of this puts steady load on the knees and hips, so questions about joint pain are common among people in Juba, from tradespeople to office workers.

A typical story begins quietly. A knee aches at the end of the day, a hip gives a sharp twinge when getting out of a vehicle, or stairs become something to avoid. Many people wait and use whatever relieves the pain for a few hours. The disadvantage is that the joint may keep wearing down while attention is elsewhere. A planned conversation with a surgeon is more useful than waiting until walking becomes difficult.

City Medical Centre works with patients in Juba through a free online consultation. You do not need to arrange anything in advance. Write to the coordinators on WhatsApp or Telegram, who are available around the clock (24/7). They collect your complaints, any images and reports you already have, and prepare the case for the specialist.

Conservative care, arthroscopy or replacement: how the options differ

Joint treatment is a ladder of steps, not a single operation. Conservative care comes first: adjusting load, strengthening the muscles around the joint, managing body weight, and medical treatment when inflammation is present. Arthroscopy is a keyhole procedure used when a specific problem inside the knee, such as a damaged structure, needs to be seen and corrected. Joint replacement is the step for advanced wear, when the surface of the joint can no longer work normally and pain limits daily life.

For a person in Juba, the choice depends on more than the scan. It also depends on how you move through the day, what your work demands, whether you use stairs at home, and who helps you in the first weeks. The surgeon will want to hear about these details, because they decide how realistic each option is for you.

Excess body weight loads the knees and hips and is a recognised health concern. The World Health Organization describes overweight and obesity as a major issue and a risk factor for other conditions. In practice, a surgeon will often discuss weight as part of joint planning, calmly and without judgement, because it affects both the pain before treatment and the comfort afterwards.

Arthritis or wear: signs to describe during the consultation

Not every painful joint is the same. 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. Pain that appears only under load and settles with rest suggests a different picture from pain that wakes you at night.

When you write to the coordinators from Juba, describe what you notice in plain words: when the pain starts, whether the joint is warm or swollen, how long the morning stiffness lasts, and whether more than one joint is affected. Photos of a swollen knee and a short note on which movements are hardest give the specialist a better starting point than a general complaint.

This matters because an inflammatory joint disease needs a different approach from simple mechanical wear. Surgery on a joint that is inflamed for an untreated reason may not solve the problem. A careful first conversation helps to separate these cases before any plan is made.

Cell-based support for the hip at early stages

For some patients with hip problems, the centre discusses SVF therapy. 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 established by the specialist after reviewing your imaging and history, so it is not something to decide yourself.

The procedure itself is simple to describe. 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. In a hot climate such as Juba's, this is useful to know: the puncture area is small, and the main practical task afterwards is to keep it clean and dry, especially on sweaty days.

If your imaging shows a late stage, the coordinator will tell you honestly that this option is unlikely to be enough, and the discussion moves to surgery. Asking early about the stage saves time and avoids false expectations.

Climate in Juba and recovery after joint treatment

Juba has a tropical wet and dry climate and, lying near the equator, is hot all year. Little rain falls from November to March, which is also when the hottest maximum temperatures occur, reaching 37.8 °C in February. From April to October, more than 100 millimetres of rain falls per month, and the annual total is nearly 1,000 millimetres.

Heat affects recovery in several ways. Swelling around a treated joint can feel worse in hot weather, and compression garments, if your surgeon prescribes them, become uncomfortable in the afternoon. Choose breathable cotton layers, keep the leg raised when resting, drink enough fluids and avoid long walks in midday sun. Dust in the dry months is a reason to protect the wound and keep dressings clean.

The rainy months bring a different concern. Wet ground, mud and uneven paths raise the danger of slipping when you use a stick or crutches. Since many roads in Juba are unpaved, the rainy season matters when you plan the first weeks after a procedure. Keep the way from the door to the vehicle clear and dry, and ask someone to accompany you on outings.

Swimming pools, rivers and standing water are not suitable while a wound is healing. Follow the pool and sport rules your surgeon gives you, and do not go back to the water on your own judgement.

Choosing the season for treatment

There is no perfect month in Juba, only a better fit for your situation. The dry months from November to March are easier for moving around, but they are also the hottest, with the peak in February. The rainy months from April to October are somewhat cooler but make roads harder to use, and this matters when you rely on a stick or crutches.

A practical approach is to choose the period when your household is calmest. Avoid weeks with a wedding, a funeral, a school start, a harvest obligation or heavy work deadlines, because these draw you back to activity too soon. A joint that is still healing does not forgive an overloaded week.

Ask the surgeon whether the planned procedure allows a flexible date. For urgent problems, such as a joint that locks or pain that keeps you from sleeping, waiting for a convenient season is usually not sensible. The consultation helps you tell the difference between a case that can wait and one that cannot.

Work, study, family life and food after joint treatment

Life in Juba mixes office work, trade, construction, study and family responsibilities. People who sit at a desk or study at a university, such as the University of Juba founded in 1975, can usually return to their tasks sooner than those who stand, lift or climb all day. Tell the surgeon exactly what your job involves, and ask for a concrete plan for returning to it, not a general answer.

Traders and market workers often cannot leave their stall for long, and many businesses in the city depend on one person being present. If this describes you, arrange help in advance: a relative to cover the stall, a colleague to take your shift, someone to carry goods. Preparing this before treatment removes the pressure to return too early.

Family life also shapes recovery. Hosting guests, cooking over a low fire, sitting on the floor and carrying children are all positions that strain a recovering hip or knee. Use a raised chair, keep frequently used items at waist height and ask relatives to share these tasks for a while. Meals should be balanced, with enough protein, vegetables and fluids. Heavy, very salty food can add to swelling in hot weather.

Sport is a question for every active patient, whether you play football with friends or simply walk a lot. Return to sport only according to the rules your surgeon gives you for your specific procedure.

How the remote consultation works from Juba

The first step is a message to the coordinators on WhatsApp or Telegram, available around the clock (24/7). The consultation is free and online. You describe your complaints, which joint is affected, how long it has troubled you, and what treatment you have already tried.

Next, send whatever you have: X-ray images, MRI or ultrasound reports, laboratory results and a list of medicines. If you have none of these, say so. The coordinator will explain which examinations are needed, and these can be arranged where you live. The case is then passed to the specialist, who gives an opinion on the likely path: conservative care, arthroscopy, SVF therapy at an early stage, or replacement.

Good internet in Juba can be uneven, so a short voice message or a few clear photos often work better than a long video call. The coordinators can adapt to what is available to you, and you can continue the conversation whenever the connection allows. After treatment, you can keep reporting on swelling, pain and wound condition in the same chat.

Candidates, contraindications and questions for the surgeon

In general terms, the best candidates are people whose pain persists despite sensible conservative care and who understand what the chosen procedure can and cannot do. Contraindications are decided individually. Active infection, uncontrolled chronic illness, untreated inflammatory joint disease or a body that is not ready for anaesthesia can all change the plan. The surgeon decides, not the patient and not the internet.

Prepare questions in advance and write them down. Ask which procedure suits your stage and why. Ask what the alternative is and what happens if you wait. Ask how the recovery will look in the heat of Juba and in the rainy season, what you may and may not do at home, and when you can return to your work and sport. Ask what warning signs should make you contact the coordinators at once, such as increasing redness, warmth or fever.

Ask also what follow-up is expected and what exercises you will need to do on your own. A clear plan, agreed before the procedure, is the best protection against disappointment later.

I live in Juba. Can I get a consultation about my knee or hip without leaving the city?

Yes. The first consultation is free and online. Write to the coordinators on WhatsApp or Telegram, available 24/7, and send your complaints and any reports or images you already have.

How do I know if my pain is arthritis?

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. Only a specialist can confirm the diagnosis, so describe your symptoms in detail.

Is SVF therapy suitable for every hip problem?

No. 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 assessed from your imaging.

How is the material for SVF therapy taken?

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.

Does the heat in Juba affect recovery?

It can. Temperatures are hot year-round and reach 37.8 °C in February. Heat can increase swelling and make compression garments uncomfortable, so use breathable clothing, rest with the leg raised, drink enough fluids and avoid long walks at midday.

Is the rainy season a bad time for treatment?

Not necessarily, but from April to October more than 100 millimetres of rain falls per month, and wet, unpaved ground raises the danger of slipping when using a stick or crutches. Plan safe, dry paths at home and ask for help when going out.

Can I swim in a pool or river after treatment?

Not while the wound is healing. Follow the pool and sport rules your surgeon gives you for your specific procedure, and do not return to the water earlier.

Does body weight matter for joint treatment?

Yes. Overweight and obesity are recognised health concerns, and extra weight loads the knees and hips. The surgeon may discuss this calmly as part of the plan, since it affects both pain and recovery.

What should I send to the coordinators first?

Send a short description of your pain, which joint is affected, how long it has been going on and what you have tried. Add X-ray, MRI or ultrasound images and reports if you have them, plus a list of your medicines.