1Consultation and scan review
Before anything else, the doctor examines the joint and goes through your X-rays, MRI or ultrasound to see if the procedure is suitable. Scans can be sent to us ahead of time.
For the knee, hip, shoulder and other joints: PRP and cell therapy (SVF). Your scans are reviewed free before you commit
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What it is
In regenerative joint therapy, two materials from your own body are used — platelet-rich plasma (PRP), taken from blood, and the stromal vascular fraction (SVF), taken from a small adipose tissue sample. Once injected into the affected joint, they work to cut pain and inflammation and support the tissues there.
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.

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
1Before anything else, the doctor examines the joint and goes through your X-rays, MRI or ultrasound to see if the procedure is suitable. Scans can be sent to us ahead of time.
2Blood is taken from a vein in a small amount, and it is later used to prepare platelet-rich plasma with growth factors.
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.
4In a centrifuge the sample separates into layers. The stromal vascular fraction is then isolated and combined with the platelet-rich plasma.
5The doctor injects the prepared material directly into the affected joint, using ultrasound to place it precisely.
6No crutches, no hospital stay — and after the procedure the doctor keeps in touch to follow the joint's response.
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 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.

It is usually chosen when the changes in the joint are more pronounced and a longer-lasting effect is the goal.
Your blood, in a small amount, is used to separate plasma rich in platelets and growth factors. This plasma is injected into the joint to help calm inflammation and support tissue repair.

Used by itself as an injection course, 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
Treatment covers large and small joints, with the joint, the method and the number of injections chosen after the doctor reviews your scans
KneeWear of the cartilage, meniscus problems, pain on the stairs and after walks
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderPain when you raise your arm, worn joint and surrounding tendons
ElbowPain after overload or sports strain, worn surfaces of the joint
Hand and wrist jointsStiffness and pain in the small joints of the fingers and wrist
AnklePain and stiffness after sprains and old injuriesAdvantages
Keeping your natural joint instead of replacing it is our goal — no surgery involved

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

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

Forward your X-rays, MRI or reports to get a free, independent assessment from a doctor

We follow the result after the procedure and stay in contact, not only on 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 cost depends on the joint, the stage of the condition and the method, so the doctor names it 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
Your blood gives PRP, a platelet-rich plasma, and a small sample of adipose tissue gives SVF, a fraction of cells. Their actions differ, which is why they 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 is different for everyone: after PRP the effect frequently lasts from several months to roughly a year, and SVF can give a longer effect. The stage of the condition and your body decide the duration, so no fixed result can be promised.
We do not perform the procedure in cases of cancer, acute infection, blood clotting disorders, pregnancy or a flare-up of a serious chronic illness. The doctor checks all of this at the consultation.
When the condition is at an early stage, injections of PRP or SVF alongside exercise therapy and physiotherapy can ease pain and improve mobility. With a badly damaged joint, replacement may be the realistic option, and the doctor will be honest about this after seeing your scans.
At stages 1–2, SVF therapy can be considered to help the blood supply to the femoral head and delay joint replacement; at later stages surgery is usually necessary.
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.
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.
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.
Joint pain does not always mean surgery. In Kinshasa, many people with early or moderate changes in the knee, hip or shoulder first try to preserve their own joint. SVF and PRP injections aim to reduce pain and inflammation and to slow further wear of the cartilage.
PRP can be given as a course of injections or together with SVF. The number of injections and the method are chosen individually for each patient from Kinshasa after the examination and scan review.
Patients from Kinshasa 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.
Kinshasa is the capital and largest city of the Democratic Republic of the Congo, and its metropolitan area is estimated at around 18,552,800 people as of January 2026. It is a city of long distances, busy markets, crowded minibuses, church services, music evenings and family gatherings. Almost every one of these routines puts load on the knees and hips. People stand at market stalls, climb into vehicles, walk between districts and carry goods, so joint pain quickly becomes a practical problem and not only a medical one.
Many residents of Kinshasa put up with aching knees or a stiff hip for years because the pain seems like a normal price of a demanding urban life. Others try several remedies in a row without a clear diagnosis. A planned conversation with a specialist helps to separate wear of the cartilage, an inflammatory condition, an injury to the meniscus or ligaments and a problem with the blood supply of the femoral head. Each of these needs a different approach, and a different timeline.
City Medical Centre works with patients in Kinshasa through a free online consultation. Coordinators are available 24/7 on WhatsApp and Telegram, so you can send your questions, scans and reports from home and receive a structured plan without rearranging your working week.
Kinshasa has a tropical wet and dry climate. The long rainy season runs from October through May, and a relatively short dry season lasts from June to September. The dry season is slightly cooler than the wet one, but temperatures stay fairly constant through the year. For a person planning joint treatment, this means there is no cold winter to avoid, and the real questions are humidity, heat and rain.
Heat and humidity can increase swelling in the leg after an operation or a procedure. Compression garments, if your surgeon prescribes them, should be breathable and kept clean and dry, because sweat under a tight sleeve irritates the skin near a healing wound. Light, loose clothing over the treated joint is more comfortable than anything stiff. Keep the wound dry and covered as instructed, particularly during heavy downpours, when you may be moving through wet streets.
The rainy months also bring slippery ground and puddles. After knee or hip surgery, a fall is the last thing you want, so choose footwear with a firm grip and use the walking aid the team recommends. Raising the leg while resting, and following the exercise plan, matters more than the season itself.
Because temperatures change little through the year, the choice of season is mostly about logistics. The dry season from June to September offers drier ground and easier movement outside, which can help in the first weeks when walking is limited. The rainy season from October through May is not a barrier to treatment, but you should plan how you will get to follow-up checks and physiotherapy when roads are wet.
Think also about your calendar. Family celebrations, church events, school terms and busy periods at work all shape when a person can truly rest. A joint replacement or arthroscopy needs a period of reduced activity, and it is better to schedule it when someone can help at home with cooking, shopping and errands. Discuss this with a coordinator during the online consultation, and the plan can be built around your real life in Kinshasa.
Not every painful knee or hip needs an operation. Conservative care includes a review of your activity, weight management, physiotherapy, strengthening exercises, suitable walking aids and anti-inflammatory strategies chosen by the doctor. The World Health Organization describes obesity and overweight as a major health concern, and extra body weight adds load to the knees and hips, so weight control is often a meaningful part of joint care.
Food culture in Kinshasa is rich and varied, built around staples, fish, vegetables, sauces and shared family meals. There is no need to give up local food. A doctor or dietitian can help you adjust portions and the balance of the plate while keeping the dishes your family enjoys.
For early-stage problems at the hip, the medical team may discuss regenerative 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. 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.
Many people in Kinshasa describe all joint pain with the same word, but the causes differ. 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 diagnosis and medical treatment of its cause, and rushing to the operating table may not be the right step. If your pain is worse at night, if the joint is hot or red, or if the stiffness in the morning is long, say so clearly during the consultation. Photos of the joint, a list of medicines you already take and any blood test results will help the doctor reach a sound opinion.
Arthroscopy is a keyhole approach used for selected problems inside the knee or hip, such as certain meniscus tears or loose fragments. It is not a universal cure for worn cartilage, and a surgeon will tell you honestly whether it suits your case. Joint replacement is considered when pain and loss of movement seriously limit daily life and simpler measures no longer help.
In general terms, good candidates are people whose imaging shows significant joint damage, whose symptoms match the scans, and who are able to take part in rehabilitation. Factors that call for extra caution include active infection, poorly controlled diabetes, serious heart or lung disease, uncontrolled blood pressure and very low motivation for exercise. These are general principles only. The final decision belongs to the surgeon after reviewing your full records.
For many residents of Kinshasa, the practical question is whether they will have support at home during recovery. Stairs, shared courtyards and uneven ground near the house all influence the plan, and it is sensible to mention them early.
Kinshasa is the leading economic, political and cultural centre of the country, with banking, telecommunications, manufacturing and entertainment. Office workers can often return to desk tasks sooner than people whose work means standing all day, lifting or walking long distances, such as traders, drivers and builders. Tell the team exactly what your job involves so that the return date is realistic and your joint is not overloaded too early.
Students at the city's universities and schools should plan treatment around exam periods and arrange for lecture notes or remote support during the early phase. Those who love sport, whether football, dance or walking with friends, should ask when each activity can be resumed and in which order. Pool and sport timing must follow the surgeon's instruction for your specific procedure and should not be guessed from what a friend experienced.
Music and dance are a big part of the city's culture. If dancing at family events matters to you, say so, because it helps the physiotherapist set a goal that feels meaningful. Be patient, since a joint heals on its own schedule, and returning to full movement is built up in stages.
The process starts with a message to the coordinators on WhatsApp or Telegram. You describe the main complaint, which joint hurts, for how long, and what has been tried. Then you send what you have: X-rays, MRI or CT images, ultrasound reports, blood tests and a list of current medicines. Clear photos of the images and documents are usually enough to begin.
A specialist reviews the material and holds a free online consultation. You can ask about the likely diagnosis, the options from conservative care to arthroscopy and joint replacement, the stages of preparation and what rehabilitation looks like. Coordinators are available around the clock, so you can write at an hour that suits your schedule, even after a long day in the city.
After the consultation you receive a written outline of the recommended steps. There is no obligation to proceed, and you can take time to talk with your family before deciding.
Prepare a short list before the call. Which diagnosis is most likely, and which tests confirm it? Is conservative care still reasonable, or has the joint reached a stage where surgery is usually required? What are the alternatives to replacement in my case? What kind of anaesthesia is proposed, and how long will I stay under supervision?
Ask what the rehabilitation plan looks like week by week, which exercises I should do at home, when I may walk without support, drive, return to work and resume sport. Ask which warning signs, such as increasing redness, fever, growing swelling or sudden pain, mean that I must contact the team immediately. Ask also how follow-up will be arranged remotely once I am back in my daily routine in Kinshasa.
Write the answers down or ask a relative to listen with you. Good preparation reduces anxiety and makes it easier to follow instructions later.
Yes. The consultation is free and online. You contact the coordinators on WhatsApp or Telegram, send your scans and reports, and a specialist reviews them with you.
Yes. Coordinators work 24/7 on WhatsApp and Telegram, so you can write at any time that suits you.
No. Many cases begin with conservative care such as exercise, weight management and medical treatment. Surgery is considered when the joint damage and symptoms justify it, and the specialist will explain the reasoning.
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.
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 a doctor can confirm the diagnosis.
The climate is tropical with a long rainy season from October through May and a shorter dry season from June to September. Heat and humidity can increase swelling, so breathable clothing, a dry wound and careful footwear on wet ground are useful general measures.
It depends on the procedure and on your job. Desk work usually allows an earlier return than work that involves standing, lifting or long walks. The surgeon will give you a timeline for your case.
Yes. Extra weight increases the load on the knees and hips, and the World Health Organization treats obesity and overweight as an important health issue. Weight management is often part of conservative care.
Collect your images, reports, blood tests and the list of medicines you take, and write down your symptoms, their duration and the questions you want to ask.