Joint Treatment for Patients from Pretoria
SVF cell therapy and PRP for knees, hips, shoulders and other joints — with a free scan review before you decide anything
No surgery — an injection instead of an operation
Own tissue — your blood and adipose tissue
Ultrasound guidance for every injection
Free consultation
and review of your scans
What is regenerative
joint treatment?
Regenerative joint treatment uses material from your own body — platelet-rich plasma (PRP) from blood and the stromal vascular fraction (SVF) from a small sample of adipose tissue. It is injected into the affected joint to reduce pain and inflammation and to support the tissues inside it.
People with joint pain choose it to avoid surgery or push it back, including those told a joint replacement is the only way. A lasting effect is more likely the earlier the condition is caught; the doctor evaluates this using your scans.
No surgery — an injection instead of an operation
Ultrasound guidance for every injection
Free consultation and review of your scans
Joints we treat
Large or small, each joint is assessed on your scans first — then the doctor chooses the method and how many injections are needed
Elbow
Joint surface wear and pain after overload or sports strain
Hand and wrist joints
Stiffness and aching in the finger and wrist joints
Knee
Pain on stairs and after walking, meniscus problems, cartilage wear
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Pain as the arm goes up, wear of the joint and adjacent tendons
Methods we use
Cell therapy (SVF) from your own adipose tissue
From a small sample of your adipose tissue, the stromal vascular fraction (SVF) is isolated — cells that are involved in tissue repair. This fraction, combined with your plasma, is 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.
PRP — platelet-rich plasma from your own blood
From a small blood sample, plasma rich in platelets and growth factors is separated and injected into the joint. It helps ease inflammation and creates a better environment for tissues to repair.
It can be used on its own as a course of injections, or together with SVF.
How the procedure goes: step by step
Consultation and scan review
At the consultation the joint is examined and your X-rays, MRI or ultrasound are reviewed to decide if the procedure suits you. You can send existing scans before you come.
Blood sample for PRP
We take a small blood sample from a vein. From it, platelet-rich plasma containing growth factors is prepared later on.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
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.
Processing in a centrifuge
Spinning the sample in a centrifuge separates it into layers, after which the stromal vascular fraction is isolated and added to the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Directly into the affected joint: the prepared material is injected under ultrasound guidance for precise placement.
Follow-up
Neither a hospital stay nor crutches are required. The doctor stays in contact after the procedure and monitors how the joint responds.
Consultation and scan review
At the consultation the joint is examined and your X-rays, MRI or ultrasound are reviewed to decide if the procedure suits you. You can send existing scans before you come.
Blood sample for PRP
We take a small blood sample from a vein. From it, platelet-rich plasma containing growth factors is prepared later on.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
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.
Processing in a centrifuge
Spinning the sample in a centrifuge separates it into layers, after which the stromal vascular fraction is isolated and added to the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Directly into the affected joint: the prepared material is injected under ultrasound guidance for precise placement.
Follow-up
Neither a hospital stay nor crutches are required. The doctor stays in contact after the procedure and monitors how the joint responds.
Follow-up visits
Through follow-up visits the doctor monitors the joint and adjusts the plan. As a rule, pain eases over the first month, mobility improves over around three months, and the full effect appears over about six months.
Conditions we treat
Whether this treatment is right for you is decided by a doctor after an examination and a scan review
What we work with
Arthritis
Arthrosis
Avascular necrosis
Osteoarthritis
Gonarthrosis (knee osteoarthritis)
Coxarthrosis (hip osteoarthritis)
Meniscus pathology and injury
Rehabilitation after injuries and surgery
Inflammatory joint conditions
Contraindications
Cancer
Pregnancy
Blood clotting disorders
Acute infections, including infection in or near the joint
Flare-up of a serious chronic illness
Cancer
Pregnancy and breastfeeding
Serious heart, kidney or liver disease
Temporary contraindications: fever, a cold or the flu, inflammation of the skin over the joint to be treated
Book a consultation
Call or message us —
our coordinator will contact you shortly
and book your consultation
Book a consultation
Call or message us —
our coordinator will contact you shortly
and book your consultation
After the procedure
The puncture sites are covered with small dressings, and most patients go home the same day, returning to normal daily life within a day or two. A little extra aching in the joint during the first week is an expected reaction. Pain generally eases in the first month, mobility and activity improve over about three months, and the full effect develops over around six months. How long the effect lasts differs from person to person — it depends on the stage of the condition, body weight, activity and other factors, and no one can promise a fixed result. For the first weeks, the doctor gives you individual advice on exercise and load.
Why patients choose City Medical Centre
We try to preserve the joint you have rather than replace it, using treatment without surgery
Your own tissue
We rely solely on your own blood and adipose tissue, without donor or synthetic material
No crutches
Punctures, not incisions; local anaesthetic; no prolonged rehabilitation
Second opinion
Share your X-rays, MRI or reports, and a doctor will give an independent opinion free of charge
Support after the procedure
We keep following the result and stay in touch after the procedure, not only on injection day
Joint treatment prices
The cost depends on the joint, the stage of the condition and the method, so the doctor names it after the consultation
Service
Price
Book a consultation
Call or message us —
our coordinator will contact you shortly
and book your consultation
Book a consultation
Call or message us —
our coordinator will contact you shortly
and book your consultation
Joint treatment: frequently asked questions
What is the difference between PRP and SVF?
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.
Is the treatment safe?
Both methods use your own tissue, so the risk of rejection or an allergic reaction is very low. As with any injection, temporary pain, swelling or bruising are possible, and infection is rare. The doctor explains the risks for your case at the consultation.
How long does the effect last?
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.
Who should not have the procedure?
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.
Is it possible to treat hip osteoarthritis (coxarthrosis) without surgery?
At early stages, PRP or SVF injections combined with exercise therapy and physiotherapy can reduce pain and improve movement. If the joint is already badly damaged, replacement may be the more realistic option — the doctor will tell you honestly after seeing your scans.
Can avascular necrosis of the hip be treated?
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.
Why try to avoid joint replacement?
Major surgery, long rehabilitation, risks like infection and implants that may need to be redone eventually — that is what a replacement involves. With early or moderate changes, preserving your own joint first is often sensible.
Can I get a second opinion on my scans?
Yes. Send us your X-rays, MRI, CT or medical reports; a doctor will review them free of charge and tell you whether the procedure could suit you and what else might be needed.
How soon can I return to normal life?
Most people return within a day or two. There is no long rehabilitation and no need for crutches; the doctor gives advice on load and exercise for the first weeks.
Does the treatment help with shoulder pain?
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.
City Medical Centre licences
Other services at our clinic
Joint treatment in Pretoria: methods, steps and price
The earlier the stage, the better the chance of a lasting effect. That is why patients from Pretoria 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.
Ultrasound guidance helps place the material exactly where it is needed. For patients from Pretoria, this is one of the steps that make an injection into the knee, hip or shoulder more precise.
Leave a request, and a coordinator will contact you to arrange a free consultation and scan review. The price of joint treatment in Pretoria is set individually and explained before any procedure.
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