1Consultation and scan review
An examination of the joint and a review of your X-ray, MRI or ultrasound results let the doctor decide whether the procedure suits you. Please send any scans you have before the visit.
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.

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


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
1An examination of the joint and a review of your X-ray, MRI or ultrasound results let the doctor decide whether the procedure suits you. Please send any scans you have before the visit.
2A little blood is drawn from a vein; platelet-rich plasma with growth factors is prepared from it later.
3Around 30 ml of adipose tissue is taken through a single puncture on the abdomen or inner thigh under local anaesthetic, and the site 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.
5The prepared material is injected straight into the affected joint under ultrasound guidance, which helps to place it precisely.
6The procedure needs no crutches or hospital stay. Afterwards the doctor remains in touch and follows 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
Only your own blood and adipose tissue are used — no donor or synthetic material
A small sample of adipose tissue is taken and processed to obtain the stromal vascular fraction (SVF), a mix of cells that take part in tissue repair. Mixed with your own plasma, it is then injected into the affected joint.

It is usually the choice when changes in the joint are more marked and the aim is a longer-lasting effect.
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.

As a course of injections it can be used alone, or it can be added to 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
KneePain climbing stairs or after walking, cartilage wear, meniscus trouble
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderArm-raising pain, with wear of the joint and the tendons around it
ElbowSports strain or overuse pain and worn-down joint surfaces
Hand and wrist jointsPain and stiffness in the small joints of the wrist and fingers
AnklePain and stiffness after sprains and old injuriesAdvantages
Treatment without surgery: we work to save your own joint rather than replace it

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

Punctures instead of incisions, local anaesthetic, no long rehabilitation

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

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
The doctor names the cost after the consultation, as it depends on the joint, the method and the stage of the condition
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 made from your blood; SVF is a fraction of cells isolated from a small sample of your adipose tissue. They act in different ways and are often used together 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.
Results vary. The effect of PRP often holds for several months to about a year; SVF can keep working longer. How long it lasts depends on the stage of the condition and your own body — no one can promise a fixed result.
Contraindications include cancer, acute infections, blood clotting disorders, pregnancy and a flare-up of a serious chronic illness; in these cases the procedure is not performed. The doctor checks this 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.
Early on (stages 1–2), the doctor may consider SVF therapy to support the femoral head's blood supply and delay joint replacement. In later stages surgery is generally 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.
Of course. Send the X-rays, MRI, CT or medical reports you have; a doctor reviews them free and tells you if the procedure could suit you and what further steps may be needed.
Typically within a day or two. You need no crutches and no long rehabilitation, and the doctor advises you on exercise and load for the first weeks.
PRP is an option for rotator cuff and shoulder joint problems, and SVF can be considered for more advanced arthritis of the shoulder. The doctor first pins down the cause of the pain, and suitability depends on it.
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.
Knee problems are the most familiar reason to seek help: cartilage wear, meniscus damage, pain on stairs and after walking. Patients from Ogbomoso with hip, shoulder, ankle, elbow or wrist pain follow the same path — scan review, examination and a clear plan.
The puncture sites are small and covered with dressings, and no general anaesthetic is used. This is why joint treatment in Ogbomoso does not require crutches or a long rehabilitation period.
The price depends on how many joints are treated and which method is chosen. For patients from Ogbomoso, the doctor explains the plan and the cost at the consultation, which is free.
Ogbomoso is a city in Oyo State, south-western Nigeria, founded in the mid 17th century. Its urban population was approximately 744,835 in 2024, which makes it the second largest city in Oyo State and one of the most populated in the country. A city of this size has a great many people who stand, walk, carry and kneel for a living, and knees and hips take the load of all of it.
Much of the economy around Ogbomoso is built on agriculture, trading, small-scale manufacturing and construction. Farmers working cashew and mango plantations or cassava fields, market traders on their feet through the day, builders lifting loads and drivers sitting for long stretches all put different kinds of strain on the joints. When pain begins, many people in Ogbomoso keep working and treat it as ordinary tiredness. That is understandable, but it often means the joint is assessed late.
Joint treatment covers a ladder of options: conservative care, arthroscopy (a keyhole look inside the joint) and joint replacement. The right step depends on the diagnosis, the stage of the damage, your general health and what you need your joint to do. A person in Ogbomoso who kneels at family prayers, climbs steps at a market or walks long distances between farm plots has different priorities from an office worker, and a good plan starts from that daily reality.
City Medical Centre works with patients from Ogbomoso through a free online consultation. You describe your symptoms, send your scans and reports if you have them, and our coordinators help you prepare for a conversation with a surgeon. Coordinators are available around the clock (24/7) on Telegram and Telegram, so you can write when your working day allows.
Not every aching knee is the same problem. 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. If your joint is hot, swollen and painful even when you are lying still, that pattern deserves a proper medical review rather than another round of pain tablets from a local chemist.
The causes are varied. They include autoimmune conditions such as rheumatoid arthritis, infections, gout and psoriasis. This matters for treatment, because an inflamed joint caused by gout or an autoimmune condition needs the underlying cause managed first, and replacing a joint is not the first answer for those patients. In a busy city like Ogbomoso, where many people go straight to a pharmacy or a traditional remedy, a clear diagnosis is the step most often skipped.
When you write to our coordinators, note when the pain is worst: on first standing in the morning, after a long day on your feet, at night or at rest. Note also how long the morning stiffness lasts, whether the joint swells, and whether more than one joint is involved. This short record helps the surgeon separate mechanical wear from inflammatory disease and decide which tests are needed.
Rain in Ogbomoso is most common from May to October, and the wet season is also the cloudier one. These months matter when you plan a joint procedure, because recovery involves walking practice, wound care and a lot of time at home. A wet, slippery yard or a muddy path to the road is a real hazard for someone using a stick or crutches.
In the wetter months, keep floors and entrances dry, wear shoes with a firm grip, and ask a family member to help with steps outside. Damp conditions are also a reminder to keep any dressing clean and dry. Follow the surgeon's wound instructions exactly, and report any redness, warmth or discharge at once through the coordinators.
The drier part of the year is easier for walking outdoors, but heat brings its own concerns. Swelling around a recovering joint can feel worse after a hot day on your feet, so plan rest periods with the leg raised, drink enough fluids and choose loose, breathable clothing that fits over any compression garment or support the surgeon recommends. Avoid sitting in a shaded spot with your leg hanging down for hours.
None of this is a reason to delay treatment indefinitely. It is a reason to match the date of a planned operation to the conditions at home, and to agree this with the surgeon during the online consultation.
For many patients, the first stage of joint treatment does not involve an operation. Conservative care means a diagnosis, review of medicines, guided exercise to strengthen the muscles around the knee or hip, advice on activity and, where relevant, weight management. The WHO fact sheet on obesity and overweight is a useful general reminder that body weight is a health topic in its own right, and extra weight adds load to knees and hips.
In Ogbomoso, food culture is rich in cassava-based staples, stews and festive dishes. There is no need to give up the foods that are part of family life. A surgeon or coordinator can talk about practical portion changes and balance, which is more realistic than a strict plan that does not fit a household where one pot feeds many people.
Exercise advice should fit your life as well. A trader who stands in a market all day needs different guidance from a farmer or a student. Ask what movements to avoid, what to do on days when the joint flares, and when a supportive aid is sensible. Ask also what signs mean conservative care is no longer enough.
If your scans suggest early damage in the hip, ask the surgeon whether biological options are suitable for your stage. 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 is appropriate for you is a decision for the surgeon after reviewing your images.
Arthroscopy uses small cuts and a camera to look inside the joint and treat certain problems, such as some meniscus or cartilage injuries. It suits specific diagnoses and is not a universal cure for every painful knee. Ask the surgeon directly which finding on your scan makes arthroscopy sensible in your case and what result is realistic.
Joint replacement is considered when pain and loss of function remain serious despite other treatment and imaging shows advanced damage. At later stages of disease, surgery is usually required. The decision involves your age, activity, general health, bone quality, the condition of the other joints and what you hope to do afterwards, such as walking to the market, climbing stairs or sitting on the floor.
For patients in Ogbomoso, practical questions are part of the decision. Is the home arranged with steps or a raised threshold? Who will help in the first days at home? Does your work involve standing, lifting or farm labour, and how will you cover that period? A surgeon can give better advice when they know these details, so share them during the remote consultation.
Candidates are generally people with persistent pain, limited movement and clear findings on imaging. Caution is needed with active infection, uncontrolled chronic illness, or inflammatory conditions that have not yet been treated at the cause. Your surgeon will decide on the basis of your tests, not on a general rule.
Ogbomoso has several institutions of higher learning, including a university that awards degrees in science, engineering, technology and medicine, so many families in the city plan around academic calendars. A student or lecturer may prefer a quieter period of the term, while a farmer will think about planting and harvest, and a trader about the busiest market days.
Family events matter too. Weddings, naming ceremonies, church gatherings and funerals involve long hours of standing, dancing and sitting on low seats. If you are planning a joint operation, tell the surgeon about upcoming events and ask honestly how much activity is sensible afterwards. It is usually better to miss one celebration than to push the joint too early.
Returning to work should be discussed in concrete terms: a desk job, a market stall, driving and heavy manual work each carry different demands. Ask the surgeon when you can sit for long periods, when driving is reasonable, when you may stand through a full working day and when lifting can resume. Use the answer to speak with your employer or to arrange help in your business.
If you work for yourself, as many people in Ogbomoso do, plan for the period of reduced activity before the procedure. Arrange for relatives or staff to cover the heavy tasks, and avoid committing to large orders or deliveries during the recovery phase.
The first conversation is free and online. You contact the coordinators on Telegram or Telegram at any time, because they are available 24/7. You describe your complaint, how long it has lasted, which joint is affected, what you have tried and any other illnesses or medicines.
Next, collect what you already have: X-ray images, MRI or CT reports, blood test results and previous discharge notes. Clear photographs of the documents are enough to begin. If you have no imaging yet, say so, and the coordinators will explain which tests would help the surgeon form a view.
The surgeon then reviews the material and discusses the likely diagnosis and the suitable level of care, from conservative treatment to arthroscopy or replacement. You can ask about the stage of your disease, expected recovery, the type of anaesthesia, the rehabilitation plan and what you will need at home.
All of this takes place from your own city, using your phone. There is no need to rearrange your working life just to get a first opinion, and you can involve a son, daughter or spouse in the conversation so that they understand the plan too.
Prepare a short list before the consultation. Ask what exactly is wrong with the joint and at what stage it is. Ask which options exist for you, what each involves, and what the surgeon would choose in your place and why. Ask what happens if you wait, and what signs would make the matter urgent.
Ask about anaesthesia, the hospital stay, the rehabilitation plan and what to arrange at home before the procedure. Ask which movements to avoid, how to manage swelling in the heat, how to protect the joint during the wet season and when sport or farm work can resume. A walk to the market or a game of football with friends has a different timeline from work in the fields.
Tell the surgeon about every medicine you take, including herbal preparations, and about other conditions such as diabetes, high blood pressure or past infections. Mention any allergies. Honest, complete information makes the plan safer and more accurate.
Finally, ask who to contact if something worries you after the procedure. Our coordinators remain reachable around the clock on Telegram and Telegram, which is useful when a question arises on a weekend or late in the evening.
Yes. The consultation is online and free. You write to the coordinators on Telegram or Telegram, send your complaint and any scans or reports, and the surgeon reviews them with you remotely.
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. If you notice these, mention them clearly in your first message.
Causes include autoimmune conditions such as rheumatoid arthritis, infections, gout and psoriasis. Finding the cause matters, because it affects whether surgery is the right step.
No. Many patients begin with conservative care, which can include exercise, medicine review, activity advice and weight management. Surgery is considered when other measures no longer control pain and function.
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 surgeon decides after reviewing your images.
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.
Rain is most common from May to October, and those months are also cloudier. Wet ground can make walking with crutches or a stick harder, so many patients consider this when agreeing the timing of a planned procedure with the surgeon.
Discuss the demands of your job in detail with the surgeon: standing, lifting, driving or field work. Arrange help with heavy tasks in advance and ask when each activity can be resumed.
Send photographs of X-ray, MRI or CT reports, test results and discharge notes, together with a short description of the pain, its timing and any medicines you take. If you have no imaging yet, say so and the coordinators will advise.
Coordinators are available around the clock (24/7) on Telegram and Telegram, so you can write at a time that suits your working day or family routine.