1Consultation and scan review
The doctor examines the joint, reviews your X-rays, MRI or ultrasound and decides whether the procedure suits you. If you already have scans, you can send them before the visit.
PRP and SVF cell therapy for many joints, from knee and hip to shoulder. First step: a free review of your imaging
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What it is
Your blood provides platelet-rich plasma (PRP), and a small sample of adipose tissue provides the stromal vascular fraction (SVF). In regenerative joint treatment this material goes into the affected joint by injection, helping to reduce pain and inflammation and to support the tissues inside it.
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.

A doctor examines you and reviews your scans, then decides whether the treatment is suitable


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
1The doctor examines the joint, reviews your X-rays, MRI or ultrasound and decides whether the procedure suits you. If you already have scans, you can send them before the visit.
2We take a small blood sample from a vein. From it, platelet-rich plasma containing growth factors is prepared later on.
3Under local anaesthetic, a small amount of adipose tissue — roughly 30 ml — is removed through a puncture on the abdomen or inner thigh, with no stitches needed.
4The sample is spun in a centrifuge and separates into layers. The stromal vascular fraction is isolated and mixed with the platelet-rich plasma.
5Ultrasound guidance allows the prepared material to be injected precisely, directly into the affected joint.
6Afterwards there are no crutches and no hospital stay, and the doctor keeps in touch to follow how the joint is responding.
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
The material comes only from your own blood and adipose tissue, never from donors or synthetics
A little of your adipose tissue is processed to isolate SVF — the stromal vascular fraction, which contains cells involved in repairing tissue. It is then combined with your own plasma and injected into the joint.

More marked changes in the joint and the wish for a longer-lasting effect are the usual reasons to choose it.
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.

It is suitable as a separate injection course or in combination 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
Small joints and large ones alike — your scans guide the doctor's choice of joint, method and number of injections
KneeWorn cartilage and meniscus issues, with pain on stairs and after walking
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderPain when raising the arm, wear of the joint and surrounding tendons
ElbowJoint surface wear and pain after overload or sports strain
Hand and wrist jointsPain and stiffness affecting the small finger and wrist joints
AnklePain and stiffness after sprains and old injuriesAdvantages
We focus on preserving your own joint instead of replacing it, without surgery

The material comes only from your own blood and adipose tissue, never from donors or synthetics

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

Share your X-rays, MRI or reports, and a doctor will give an independent opinion 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
After the consultation the doctor gives the price, which depends on the joint, the stage and the method
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
One is plasma, one is cells: PRP is platelet-rich plasma from your blood, SVF a cell fraction from a small adipose tissue sample. As they act in different ways, doctors often combine them to boost the regenerative effect in the joint.
With both methods the tissue is your own, so the chance of rejection or an allergic reaction is very low. Any injection can bring temporary pain, swelling or bruising, and infection is rare. The doctor talks you through the risks in your case at the consultation.
It varies between patients. After PRP the effect commonly lasts from several months to about a year, and after SVF possibly longer. Because duration depends on the stage of the condition and your body, nobody 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.
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.
For early stages (1–2), SVF therapy may be considered: it supports blood supply to the femoral head and can delay the need for a joint replacement. Surgery is usually required later on.
Replacement is major surgery that brings long rehabilitation, risks including infection, and implants that may eventually need redoing. So with early or moderate changes it often makes sense to first try preserving your own joint.
Yes. Once we receive your X-rays, MRI, CT or medical reports, a doctor reviews them free of charge and tells you whether the procedure could be right for you and what else may be needed.
Normally within a day or two. You will not need crutches or long rehabilitation, and the doctor gives you load and exercise recommendations for the first weeks.
Problems of the shoulder joint and rotator cuff are treated with PRP, and more advanced shoulder arthritis may call for SVF. It depends on the cause of your pain, which the doctor has to establish 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.
The earlier the stage, the better the chance of a lasting effect. That is why patients from Ondo start with a review of their X-rays or MRI: the doctor assesses the joint and tells you honestly whether SVF or PRP is likely to help or whether another option is more realistic.
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 Ondo after the examination and scan review.
A consultation is the first step for every patient from Ondo. It is free, and after it you know the method, the number of injections and the cost.
Ondo Town is the second largest city in Ondo State, Nigeria, and the trade centre for the surrounding region. Yams, cassava, grain, tobacco and cotton are grown around it, and the town is described as the largest producer of cocoa products in the region. For many families this means daily work that is physical: carrying loads, standing at a market stall, bending on a farm, climbing into vehicles, walking between shops and workshops. Knees and hips take the strain of that routine for decades, so it is no surprise that questions about joint pain come up often among people from Ondo.
This text is written for residents of Ondo who are weighing up treatment for a painful knee or hip. It explains what conservative care, arthroscopy and joint replacement mean, how the choice depends on the stage of the problem, and how daily life in Ondo should be taken into account when planning. It is general information and does not replace an examination by a surgeon.
City Medical Centre works with patients from Ondo through a free online consultation. Coordinators are available around the clock (24/7) on Telegram and Telegram, so you can send your questions and documents from home and from your own city, at a time that suits your working day.
Joint treatment is usually built in steps. The first step is conservative care: assessment of the cause, a programme of exercise and movement, attention to body weight, adjustment of daily load and, where the doctor sees fit, medication. Many patients in Ondo come to the consultation having already tried this level, and it is useful to describe to the doctor what exactly you tried and for how long.
The second step is arthroscopy, a minimally invasive procedure in which the surgeon looks into the joint through small openings and deals with certain problems inside it. It suits some knee problems and is not a universal answer for every painful joint. Whether it fits you depends on the images and the examination.
The third step is joint replacement, in which a damaged knee or hip is replaced with an implant. It is considered when the joint is badly worn and other measures no longer give enough relief. The surgeon decides on the method after reviewing your images, history and general health.
For the hip, the stage of the disease matters a great deal. 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. This is why a person in Ondo who notices a nagging groin or hip pain should not wait for years in the hope that it will pass: the earlier the picture is assessed, the more options remain.
In SVF therapy, 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. The doctor will explain whether this approach is relevant in your case or whether your stage calls for another route.
Send your existing X-rays or MRI reports to the coordinators during the online consultation. Clear images allow the doctor to say much more about the stage than a description of symptoms alone.
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 swollen, warm and stiff in the morning, tell the doctor in the first message. Inflammatory causes require a different approach from simple wear, and replacing or operating on a joint without understanding the cause would be a mistake.
Keep a short note for a week or two: when the pain is worst, whether it wakes you at night, how long the morning stiffness lasts, and which joints are affected. Such notes help a remote consultation considerably.
Ondo has a warm climate with a clear alternation of rainy and drier periods, and this affects planning in practical ways. Heat and humidity can increase swelling in the operated leg, so patients should follow the surgeon's advice on compression garments, elevation of the limb and light, loose clothing. Sun exposure on a healing scar should be limited, and a wound must be kept clean and dry.
During the rainy season, wet floors, muddy paths and slippery steps are a real hazard for someone walking with a stick or crutches. Dust in the drier months matters for wound care and for the hygiene of dressings. Swimming pools, rivers and other open water should be avoided until the surgeon confirms that the wound has healed and gives permission.
When choosing the season, think less about the weather itself and more about whether you will have calm weeks at home, stable help from relatives and no major obligations. The surgeon will advise on timing from the medical point of view.
Ondo is also a centre of education. Ondo State University of Medical Sciences, Wesley University, Adeyemi Federal University of Education, Ondo City Polytechnic and over 200 public and private schools are found in the town. Teachers, lecturers, students and administrative staff spend long hours sitting, climbing stairs and walking between buildings, and they should discuss with the surgeon when a return to such routines is realistic.
For traders, farmers and people working with cocoa, cassava or cotton, the question is different: when can I lift, bend, stand for hours and travel on rough roads again? Be honest with the doctor about what your work involves. A desk job and a job on your feet need different recovery plans, and the surgeon can say when light duties are reasonable and when heavy work should wait.
Family events are central in Ondo life, with the town's traditions, the Osemawe's court and community gatherings. Long standing, dancing and sitting on low seats are hard on a recovering knee or hip. Plan the operation so that major celebrations do not fall in the first weeks, and tell relatives in advance that you will need a chair and a place to rest.
Food in Ondo is built around yam, cassava and grain, with cocoa a major local product. These are filling, energy-rich foods, and portion size and frequency matter when body weight puts extra load on the knees and hips. The WHO notes that excess weight is a recognised health concern, and for joints it simply means more pressure with every step.
Before any operation, ask the surgeon whether weight reduction would help and how to achieve it gradually while keeping adequate nutrition for healing. Do not start a sharp diet on your own before surgery. After the operation, balanced meals with enough protein and vegetables support recovery, and the family cook should know the plan in advance.
If you have diabetes, high blood pressure or other conditions, send the details to the coordinators. They influence the choice of anaesthesia and the preparation, and the doctor needs the whole picture.
In general terms, a candidate for arthroscopy or replacement is a person whose joint pain limits walking, sleep or work and has not improved enough with conservative care. The decision always rests on examination, images and overall health, not on age alone.
Reasons to postpone or reconsider can include active infection, uncontrolled chronic illness, untreated inflammatory disease or unrealistic expectations. The surgeon will name the specific issues in your case. Tell the doctor about all medicines you take, past operations and allergies.
A good candidate is also prepared for rehabilitation. Exercise after the operation is part of the treatment, and it requires patience and regular practice at home in Ondo with support from the family.
You write to the coordinators on Telegram or Telegram at any hour, since they work 24/7. You describe the problem, send images and reports, and name your main questions. The consultation is free and takes place online, so you do not need to leave Ondo to take the first step.
The doctor reviews the materials and gives an opinion on the likely approach: continued conservative care, arthroscopy, SVF therapy for an early hip stage, or joint replacement. If something is missing, you will be told which examination to complete locally.
Keep the messages and answers in one chat, so you can show them to your family and to your local doctor. Decisions about surgery should never be rushed, and it is reasonable to take time and ask again.
Prepare a list before the consultation. Useful questions: What is the exact diagnosis and stage? Is conservative care still reasonable? Which method do you recommend and why? What anaesthesia will be used? How long will I stay in hospital and how long will recovery take? When can I return to work, to driving and to sport? What compression and wound care do I need in a warm, humid climate?
Ask what complications are possible and what signs at home mean that you must contact the team at once. Ask what rehabilitation exercises to do and how often, and whether a local physiotherapist in Ondo can supervise them.
Finally, ask what result is realistic for your age and lifestyle. An honest answer protects you from disappointment and helps you plan work and family life.
Yes. The consultation is free and online. Write to the coordinators on Telegram or Telegram, available 24/7, and send images and reports.
No. Treatment begins with conservative care, and arthroscopy or replacement is considered when the joint problem and its stage justify it.
It is a minimally invasive procedure in which the surgeon works inside the joint through small openings. It suits certain knee problems, not all.
When the joint is badly damaged and other measures no longer give enough relief. The surgeon decides after reviewing images and your general health.
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.
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 rheumatoid arthritis, infections, gout and psoriasis. Only a doctor can confirm the diagnosis.
Heat can increase swelling and rainy-season surfaces are slippery. Follow the advice on compression, elevation, wound care and avoiding pools and open water until the surgeon permits.
It depends on the operation and on the job. Describe your work to the surgeon, whether desk, teaching, trading or farming, and ask for a specific plan.
Yes, extra weight increases the load on knees and hips. Ask the surgeon for a safe, gradual plan instead of a sharp diet.