1Consultation and scan review
Whether the procedure is for you is decided after the doctor examines the joint and reviews your X-rays, MRI or ultrasound. Any scans you already have can be sent before your visit.
Free scan review first, then SVF cell therapy or PRP for the knee, hip, shoulder or other joints if they suit you
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What it is
The treatment is regenerative and uses only what your body supplies: PRP (platelet-rich plasma from the blood) and SVF (the stromal vascular fraction from a small piece of adipose tissue). Injected into the joint that hurts, it aims to calm inflammation, ease pain and support the tissue within.
It is an option for people with joint pain who want to avoid or postpone surgery, or who have been told that joint replacement is the only choice. The earlier the stage of the condition, the better the chance of a lasting effect — the doctor assesses this from your scans.

Whether the treatment suits you is decided by a doctor after an examination and a review of your scans


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
1Whether the procedure is for you is decided after the doctor examines the joint and reviews your X-rays, MRI or ultrasound. Any scans you already have can be sent before your visit.
2Blood is taken from a vein in a small amount, and it is later used to prepare platelet-rich plasma with growth factors.
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.
4After centrifuging, the sample forms separate layers; the stromal vascular fraction is taken from them and combined with the platelet-rich plasma.
5The prepared material is injected straight into the affected joint under ultrasound guidance, which helps to place it precisely.
6No crutches and no hospital stay. The doctor stays in touch after the procedure and follows 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
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.

It tends to be used when the joint is more visibly changed and a longer-lasting effect is being sought.
Plasma rich in platelets and growth factors comes from a small amount of your blood; once injected into the joint, it helps reduce inflammation and sets up better conditions for tissue repair.

It can be given as its own course of injections or 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
Large and small joints — after looking at your scans, the doctor selects the joint, the method and how many injections you need
KneeWorn cartilage and meniscus issues, with pain on stairs and after walking
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderPain as the arm goes up, wear of the joint and adjacent tendons
ElbowSports strain or overuse pain and worn-down joint surfaces
Hand and wrist jointsStiff, painful small joints in the fingers and wrist
AnklePain and stiffness after sprains and old injuriesAdvantages
The goal is your own joint kept, not replaced, through treatment without surgery

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

Small punctures in place of incisions, local anaesthetic, no long recovery programme

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

We keep following the result and stay in touch after the procedure, not only on injection day
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
Platelet-rich plasma (PRP) is prepared from your blood, while SVF is a cell fraction taken from a small adipose tissue sample. Because they work differently, they are often combined to strengthen the regenerative effect in the joint.
The tissue comes from you in both methods, so the risk of rejection or allergy is very low. As after any injection, temporary pain, swelling or bruising are possible; infection is rare. At the consultation, the doctor explains the risks that apply to you.
That varies. Often the effect after PRP lasts several months up to about a year, and after SVF it can be longer. The duration depends on the stage of the condition and on your body, so a fixed result cannot be promised.
The procedure is ruled out for cancer, acute infections and blood clotting disorders, during pregnancy and during a flare-up of a serious chronic illness. This is checked by the doctor at the consultation.
At an early stage, combining PRP or SVF injections with exercise therapy and physiotherapy can reduce pain and help movement. When the joint is already badly damaged, replacement may be more realistic, and the doctor will say so honestly after seeing your scans.
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.
Replacement is major surgery with long rehabilitation, risks such as infection, and implants that may eventually need to be redone. With early or moderate changes it often makes sense to try to preserve 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.
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.
The method relies on your own tissue only, so there is no donor or synthetic material. Plasma is prepared from a small blood sample, and SVF from about 30 ml of adipose tissue taken through a puncture. This is how non-surgical joint treatment works for everyone in Minna.
It starts with a consultation: the doctor examines the joint and reviews your X-rays, MRI or ultrasound. Then a small blood sample and an adipose tissue sample are taken, processed in a centrifuge and injected into the joint under ultrasound guidance. For patients from Minna, everything is done in one day.
The price depends on how many joints are treated and which method is chosen. For patients from Minna, the doctor explains the plan and the cost at the consultation, which is free.
Minna is a city in the North Central of Nigeria and the capital of Niger State, one of the 36 federal states of the country. Its original major ethnic groups are the Gbagyi, Nupe and Hausa peoples. For many families here, walking, farm work, market trading and long hours on a motorcycle or in a car are part of everyday life, and all of these put a steady load on the knees and hips. When a joint starts to hurt, people in Minna often wait, hoping that rest or a simple balm will solve the problem.
This text is written for residents of Minna who are thinking about knee or hip treatment and want to understand the options calmly: conservative care, arthroscopy and joint replacement. It explains how to plan treatment around the local climate, work and family life, and what to ask a surgeon before any decision is made.
City Medical Centre works with patients from Minna through a free online consultation. Coordinators are available around the clock (24/7) on Telegram and Telegram, so you can send your questions, scans and reports from home and receive an opinion without rearranging your week.
The economy of Minna rests on agriculture and trade. Cotton, guinea corn (sorghum), maize and ginger are the main products, yam is widely cultivated, and the city also supports cattle trading, brewing, shea nut processing and gold mining. Leather work and metalworking are traditional crafts. Many of these occupations mean squatting, lifting, kneeling, standing for long hours or carrying loads, which can wear on cartilage over the years.
Extra body weight adds to the strain on knees and hips. The World Health Organization publishes a fact sheet on obesity and overweight, and it is a useful general reference: reducing excess weight is one of the most practical parts of conservative joint care, and it also makes any later operation easier to plan.
A patient who works in a shop, a workshop, a market stall or on a farm should describe the work in detail during the consultation. The surgeon needs to know how many hours you stand, whether you climb, kneel or lift, and what you must be able to do again. This shapes the choice between the options far more than age alone.
Not every painful joint is worn 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.
This matters because the treatment differs. Inflammatory arthritis needs the underlying cause to be identified and treated, and a replacement operation would not be the first step. Wear of cartilage, on the other hand, often responds to a programme of exercise, weight control, walking aids and medication before surgery is considered.
If you notice a hot, red, swollen joint, or pain that wakes you at night, tell the coordinator at the very first message. Photographs of the joint, the dates when symptoms began and any blood test results you already have will help the specialist form a clear picture during the online consultation.
Conservative treatment is the starting point for most patients. It usually combines guided exercise to strengthen the muscles around the knee or hip, control of body weight, changes in daily habits, supportive footwear, a cane when needed and medication chosen by the doctor. The aim is to reduce pain and keep you moving for as long as possible.
In Minna, practical adjustments help. Planning errands for the cooler parts of the day, avoiding long periods of standing at the market, using a seat during work where possible and taking stairs slowly all reduce the load. Family events, which often involve long sitting and standing, can be planned with breaks.
For hip problems 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. Whether this suits you is a decision for the specialist after reviewing your imaging.
Arthroscopy is a keyhole approach in which the surgeon looks inside the joint through small incisions and treats certain problems, such as some meniscus injuries or loose fragments. It is not a cure for advanced wear, and a good surgeon will say so openly.
Joint replacement is considered when pain and loss of function remain serious despite conservative care and when imaging shows advanced damage. The damaged surfaces are replaced with an implant. Because the stage of the disease decides the answer, the first task of the online consultation is to review your X-rays or MRI and your history, not to promise a particular operation.
Patients from Minna often ask whether they can avoid surgery altogether. The honest answer depends on the stage. At early stages there may be several options; at later stages delay can mean more pain, weaker muscles and a harder recovery. A specialist opinion helps you choose the moment calmly instead of in a crisis.
Minna has a typical Middle Belt tropical savanna climate with two seasons: an arid, dusty, harmattan-dominated dry season from November to April and a humid wet season dominated by monsoonal air masses from May to October. Temperatures are hot to sweltering year round, and in the height of the wet season the humidity can feel as uncomfortable as the dry heat.
In the dry season, dust is the main concern. Keep wounds and dressings clean, avoid dusty outdoor work during the first weeks, and ask the surgical team how to protect the dressing when you go out. Heat and dehydration can increase swelling in the leg, so drink enough fluids and rest with the leg raised, as advised.
In the wet season, humidity and sweating can irritate skin under bandages or compression garments, and wet, slippery ground raises the risk of a fall while you are using crutches or a cane. Choose footwear with a firm grip and keep the path at home dry. Whatever the month, follow the rules your surgeon gives you about swimming pools and sport, and do not return to them earlier than allowed.
There is no perfect month in Minna. The dry season brings dust and strong heat; the wet season brings humidity and slippery ground. The better choice is the period in which you can rest, have help at home and keep to your exercises. Discuss this with the surgeon rather than relying on general rules.
Think about work. Farmers, traders and craftsmen whose income depends on physical activity need to plan the time away from heavy tasks, agree on temporary help in the shop, workshop or field and be realistic about when to return. Office and teaching work usually allows an earlier return than labour that involves lifting or kneeling, but the exact timing is set by the surgeon.
Think about family and food. Meals in Minna are often built around yam, grains and home cooking, and shared family gatherings are important. Ask a relative to prepare simple, balanced meals in advance and arrange who will help with shopping and household tasks. Students should speak to their school or university about missed classes and exams in good time.
The consultation is free and takes place online. You write to the coordinators on Telegram or Telegram, available 24/7, and send a short description of the problem, your age, the work you do, earlier treatment and any scans, X-rays or reports you have. Photos taken with a phone are accepted for a first look, though the specialist may ask for better copies.
The specialist reviews the material and explains which options look reasonable: conservative care, SVF therapy at early stages, arthroscopy or replacement. You may ask follow-up questions in writing, and a relative can join the conversation. This is useful in Minna, where major decisions are often made together with the family.
Minna has many primary health clinics, with the General Hospital, Minna serving as the general health care. Your local doctor remains important for blood tests, imaging, physiotherapy follow-up and routine checks. Share the online recommendations with the doctor who sees you in person so that care stays coordinated.
In general terms, good candidates for an operation are people whose pain and stiffness limit daily life despite conservative care and whose imaging confirms significant damage. Factors that need careful assessment include active infection, uncontrolled diabetes, heart or lung disease, severe excess weight, smoking and poor skin condition around the joint. These do not always rule out treatment, but they must be dealt with first.
Useful questions to ask: Which stage is my joint at? What happens if I wait? Is conservative care or SVF therapy still reasonable? What type of anaesthesia is planned? How long will I stay in hospital? When can I walk, work, drive and return to sport? What are the possible complications and how are they handled? What exercises will I need to do, and who will supervise them?
Write the answers down and compare them with what your local doctor says. A confident decision comes from understanding, not from pressure.
Yes. The online consultation is free. Write to the coordinators on Telegram or Telegram, available around the clock (24/7), and send your scans and a short description of your symptoms.
No. Many patients start with conservative care: exercise, weight control, supportive aids and medication chosen by the doctor. Surgery is considered when function and pain remain a serious problem and imaging shows advanced damage.
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. A doctor must confirm the diagnosis.
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.
Dust from the harmattan season, which runs from November to April, calls for care with dressings and wounds. Limit dusty outdoor work early on, stay hydrated and follow the surgeon's instructions on protecting the dressing.
From May to October, humidity can irritate skin under bandages and compression garments, and wet ground increases the chance of slipping on crutches. Wear shoes with a good grip and keep floors at home dry.
It depends on the procedure, your job and how your recovery goes. Heavy physical work and sport usually need more time than office work. Ask the surgeon for a clear plan and follow it, including the rules for pools and sport.
Yes. A relative can join the online conversation, help you prepare questions and later support you at home during recovery.
Yes. Your doctor in Minna can arrange tests and imaging, supervise physiotherapy and watch your progress. Share the online recommendations with them so that everyone works from the same plan.