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.
PRP and SVF cell therapy for the knee, hip, shoulder and more. We review your scans free of charge before any decision
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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.
This treatment suits people with painful joints who would like to avoid or delay surgery, or who have been told that only a joint replacement will help. The earlier the stage, the better the prospect of a lasting result — the doctor judges this from your scans.

The decision on whether the treatment suits you is made by a doctor, after an examination and a look at 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
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.
2Blood is drawn from a vein — only a small amount. Later, platelet-rich plasma with growth factors is made from it.
3Under 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.
4In a centrifuge the sample separates into layers. The stromal vascular fraction is then isolated and combined with the platelet-rich plasma.
5Directly into the affected joint: the prepared material is injected under ultrasound guidance for precise placement.
6Neither a hospital stay nor crutches are required. The doctor stays in contact after the procedure and monitors 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
The material comes only from your own blood and adipose tissue, never from donors or synthetics
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.

The usual reason to choose it: more pronounced changes in the joint and the goal of a longer-lasting effect.
Platelet- and growth-factor-rich plasma is obtained from a little of your blood and injected into the joint, where it helps calm inflammation and improves the conditions for tissue repair.

It may be given alone as a 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
Small joints and large ones alike — your scans guide the doctor's choice of joint, method and number of injections
KneeCartilage wear, meniscus issues, pain after walking and on stairs
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderPain when you raise your arm, worn joint and surrounding tendons
ElbowPain following overuse or sports strain, wear of joint surfaces
Hand and wrist jointsFinger and wrist joints that feel stiff and painful
AnklePain and stiffness after sprains and old injuriesAdvantages
Treatment without surgery, aimed at keeping your own joint instead of replacing it

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 touch after the procedure and follow the result, not just 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
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
PRP means platelet-rich plasma prepared from your own blood; SVF means a cell fraction isolated from a small portion of your adipose tissue. Working in different ways, they are often combined for a stronger regenerative effect.
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.
Each case differs. A PRP effect often lasts from several months to around a year, and an SVF effect can last longer. It depends on your body and the stage of the condition, so no one can promise you a fixed result.
It is not carried out if you have cancer, an acute infection or a blood clotting disorder, if you are pregnant, or during a flare-up of a serious chronic illness. The doctor checks this at the consultation.
In early stages, a combination of PRP or SVF injections, exercise therapy and physiotherapy can reduce pain and improve movement. Where the joint is already badly damaged, replacement may be more realistic; the doctor will be honest with you once your scans are reviewed.
SVF therapy may be an option at early stages (1–2) to support blood supply to the femoral head and postpone joint replacement. At later stages, surgery is usually needed.
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. A doctor will review your X-rays, MRI, CT or medical reports free of charge once you send them, and explain whether the procedure could suit you and what else might 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 applied to shoulder joint and rotator cuff problems, and SVF may be considered if arthritis of the shoulder is more advanced. Whether it suits you depends on the cause of the pain — the first thing the doctor establishes.
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.
Regenerative joint treatment uses material from your own body: platelet-rich plasma from blood and the stromal vascular fraction (SVF) from a small sample of adipose tissue. For patients from Polokwane, it is an option to ease pain and inflammation and support the tissues inside the joint without an operation.
The puncture sites are small and covered with dressings, and no general anaesthetic is used. This is why joint treatment in Polokwane 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 Polokwane, the doctor explains the plan and the cost at the consultation, which is free.
Polokwane is the capital of Limpopo Province and the largest urban centre in South Africa north of Gauteng. People here walk, kneel, climb into bakkies, carry shopping and stand at work. All of this loads the knees and hips every day. When a knee starts to ache on stairs or a hip stiffens after sitting, the question is usually not whether to see a specialist but how to plan treatment around a busy life in the city.
This text explains joint treatment as it applies to Polokwane: conservative care, arthroscopy and joint replacement for the knee and hip. It covers how the seasons and the local way of life affect planning and recovery, what patients usually ask, which questions to put to the surgeon, and how a remote consultation works. The general information here does not replace an examination. A diagnosis and a plan are made only by a doctor after reviewing your scans and test results.
City Medical Centre works with patients from Polokwane through a free online consultation. Coordinators are available around the clock (24/7) on Telegram and Telegram. You can send your questions, X-ray and MRI images and a short description of your symptoms from home, without leaving the city.
Polokwane sits on a plateau 1230 m above sea level. Despite lying on the Tropic of Capricorn, the climate is semiarid and tempered by that height. January averages around 21–22 °C, and July falls to about 11 °C. Rain comes mostly in summer, with December or sometimes January the wettest month, and winter is a pronounced dry spell. Average annual rainfall is 495 mm. Recent seasons have also been noticeably warmer than the long-term average.
For recovery this matters in practical ways. In the warm months, heat can increase swelling in a leg that has just been treated. Compression garments, if your surgeon prescribes them, feel heavier in warm weather, so plan lighter clothing, shade and regular rest with the leg raised. Avoid standing for long periods in direct sun, and drink enough water. Wound care is easier when the skin is clean and dry, so avoid dusty outdoor work until the surgeon allows it.
The dry winter is gentler for walking and for rehabilitation outdoors, but cool mornings can make stiff joints feel worse. Patients with arthritis often notice this. A warm-up before the first walk of the day, and warm clothing over the knee or hip, are sensible habits. Whatever the season, follow your surgeon's instructions on wound protection, swimming and sport.
There is no single correct month. The choice depends on your diagnosis, how urgent the problem is and your obligations. With arthroscopy or joint replacement, many people in Polokwane prefer the cooler, dry winter. Lower temperatures make a compression garment easier to wear and reduce heat-related swelling, and the weather is stable enough for short walks that rehabilitation requires.
Summer has its own advantages for some patients, for example when work slows down or children are on school holidays and relatives can help at home. In that case plan for shade, ventilation, cool rooms and easy transport to physiotherapy sessions. The rainy season may make surfaces slippery outdoors, which matters when you use crutches or a walking frame.
If the condition is severe, for example intense pain at rest or at night, do not postpone the consultation for the sake of a convenient season. Delay can allow the joint to deteriorate. A coordinator can help you send your documents and discuss timing with the specialist as soon as you are ready.
Polokwane is an administrative and commercial centre with offices, shops, schools and services, and also a place where many people work on their feet or drive long distances around the province. Desk workers can often plan an earlier return, depending on the procedure and on how the leg feels. Those whose work involves lifting, standing, climbing or driving need a more careful conversation with the surgeon about when these activities become possible.
Students at the satellite campuses of the Tshwane University of Technology, Capricorn TVET College and the University of South Africa, and at the University of Limpopo's Turfloop campus about 30 km east of the city, face a different question: how to manage lectures, walking between buildings and exams. A young patient with a sports injury might plan arthroscopy during a break in the academic calendar and ask the surgeon what support is needed for a few days of limited walking.
Practical preparation helps in every case. Arrange help with shopping and household tasks, set up a bedroom and bathroom that need few stairs, clear loose rugs and cables, and agree with your employer on a phased return. Do not name any dates for return to work or driving yourself; ask the surgeon to set them according to the type of operation and your progress.
Polokwane was a host city of the 2010 FIFA World Cup, and sport remains part of local life, from football and rugby to running and recreational walking. The city also offers nature outings, such as the Polokwane Game Reserve, the Polokwane Bird and Reptile Park and the Moletzie Bird Sanctuary. For a person with a painful knee or hip, a walk along a bush path or a day among the animals can become hard work.
After treatment, return to sport is a staged process. Rehabilitation usually begins with simple movement and strengthening, then walking on level ground, and only later more demanding activity. Uneven bushveld paths, loose stones and long distances are among the last things to take up again. Ask the surgeon when it is safe to resume running, ball sports, cycling and long walks, and which activities should be replaced by low-impact ones.
Swimming and pools are popular in the warm months. Do not enter a pool, dam or river until the surgeon confirms that the wound has healed and that water is allowed. Water that is not clean can cause infection of a fresh wound. Your surgeon will give the exact conditions for your type of procedure.
Food in Polokwane is social. Braai gatherings, family celebrations, church events and weekend meals are central to community life, and traditional dishes made with maize meal and meat are part of many tables. Planning treatment does not mean giving up this life, but it does mean thinking ahead. Long evenings of standing at the fire, sitting on low chairs and carrying heavy dishes can be hard during recovery, so ask relatives to take over these tasks for a time.
Body weight is directly linked to joint load. Extra weight increases stress on the knees and hips and is one of the reasons for early wear. The World Health Organization describes obesity and overweight as a major health issue, and a doctor may discuss weight management as part of conservative care or as preparation for surgery. This is not a judgement; it is a practical step that can make treatment easier to tolerate.
Good nutrition during recovery supports healing. Include enough protein, vegetables, fruit and fluids, and keep alcohol to a minimum while taking prescribed medication. If you have diabetes, high blood pressure or another chronic condition, tell the surgeon and the anaesthetist, because it affects planning.
The questions are fairly consistent. Is my pain a sign of wear, an injury or inflammation? Do I need an operation at all, or can conservative care help? How long will I be limited at home and at work? Will I be able to return to my usual activities? Which type of anaesthesia is planned? These are sensible questions, and a good specialist answers them plainly.
Prepare a short list for the consultation. Ask which diagnosis the scans support and at which stage the joint is. Ask which non-surgical options were considered and why they are or are not suitable. Ask what the operation involves, what implants or techniques are used, what the rehabilitation plan is and who monitors it after you return to normal life in Polokwane. Ask what warning signs, such as increasing redness, fever, swelling or pain, should make you call at once.
Also ask what happens if the result is slower than expected, how follow-up is organised remotely and which scans or tests will be needed later. Write down the answers. Having the plan in writing helps your family support you.
Conservative care is usually the first step: a movement programme, physiotherapy, weight management, pain and anti-inflammatory medication prescribed by a doctor, supportive footwear and activity adjustment. For many patients with early changes this is enough to keep the joint working comfortably for a long time.
Arthroscopy is a keyhole procedure used for selected problems such as meniscus injuries or loose fragments in the knee. It is not a universal remedy for worn joints, and the surgeon will explain whether your findings fit. Joint replacement is considered when the joint is badly damaged, pain limits daily life and conservative measures no longer help. Contraindications in general terms include active infection, uncontrolled chronic illness, and a general condition that makes anaesthesia unsafe. Only a doctor can judge this individually.
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. In this approach, 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 applies to you depends on the stage shown by your imaging.
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 differs from wear-related pain, which usually worsens with load and eases with rest.
If you notice these signs, do not wait for the next season or the end of a work project. Inflammatory disease needs a correct diagnosis, often with blood tests and imaging, and the treatment may be quite different from that for wear. Keep a simple diary of when the pain occurs, how long morning stiffness lasts and which joints are involved, and share it with the doctor.
Cool winter mornings in Polokwane may make stiffness more noticeable, and that is a useful moment to record how long it lasts. This record helps the specialist distinguish inflammatory problems from mechanical ones.
Polokwane has a population that the source gives as about 130,000 in 2011 for the city, and a large share of residents speak Sepedi, with Afrikaans, English and Venda also widely used. You can write to the coordinators in the language you are most comfortable with and ask for explanations to be repeated until everything is clear. Contact is free and open around the clock (24/7) on Telegram and Telegram.
The usual order is simple. You send a short description of the problem, your age, chronic conditions and medications, and photos of your reports, X-rays or MRI. The coordinator organises a review by a specialist, who may ask for more information. You then receive an assessment of the likely options, including whether conservative care, arthroscopy, SVF therapy or replacement is worth discussing, and the questions you should clarify. The decision remains yours.
Online consultation does not replace a physical examination, and it is not a way to start treatment without proper assessment. It helps you understand your situation, prepare questions and decide calmly, from your own home in Polokwane and with your family nearby.
Yes. The online consultation is free. Write to the coordinators on Telegram or Telegram at any time, since they are available around the clock (24/7), and send your scans and a short description of your symptoms.
Prepare X-ray and MRI images, any previous medical reports, a list of medicines and chronic conditions, and notes on when the pain occurs. A short diary of morning stiffness and night pain is useful.
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.
No. Many people start with conservative care, such as exercise, physiotherapy, weight management and medication. Surgery is considered when these steps no longer help and the joint is clearly damaged.
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. A small portion of adipose tissue (about 30 ml) is taken under local anaesthetic through a puncture on the abdomen or inner thigh, and no stitches are needed. At later stages surgery is usually required.
It depends on your condition and obligations. The dry, cooler winter is more comfortable for compression garments and gentle walking, while summer heat can increase swelling. Do not delay a consultation for the sake of the season if symptoms are severe.
Discuss your job or timetable with the surgeon. Desk work and physical work have different demands, and students need to think about walking between buildings. Ask the surgeon for specific dates and activities, and arrange help at home before treatment.
Only when the surgeon confirms it. Avoid pools, dams and rivers until the wound has healed and water contact is permitted. Return to sport is staged, from simple movement to walking on level ground and then to more demanding activity.
Yes. Extra weight adds load to the knees and hips. The World Health Organization treats obesity and overweight as a significant health issue, and your doctor may include weight management in your plan.