1Consultation and scan review
First comes an examination: the doctor checks the joint and your X-ray, MRI or ultrasound images and decides whether the procedure fits. If you have scans already, send them in advance.
SVF cell therapy and PRP for knees, hips, shoulders and other joints — with a free scan review before you decide anything
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What it is
Instead of implants or foreign substances, regenerative joint treatment uses you as the source: platelet-rich plasma (PRP) from your blood and the stromal vascular fraction (SVF) from a small adipose tissue sample. It is injected into the troubled joint to lower pain and inflammation and support the tissues inside.
The option is aimed at patients with joint pain who wish to avoid or postpone surgery, or who have only been offered a replacement. The chance of a lasting effect is best at an early stage, which the doctor checks on 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
1First comes an examination: the doctor checks the joint and your X-ray, MRI or ultrasound images and decides whether the procedure fits. If you have scans already, send them in advance.
2A small amount of blood is taken from a vein. Platelet-rich plasma with growth factors is later prepared from it.
3Through a puncture on the abdomen or inner thigh, about 30 ml of adipose tissue is taken under local anaesthetic, and no stitches are required.
4A centrifuge splits the sample into layers. From these, the stromal vascular fraction is isolated and blended with the platelet-rich plasma.
5Ultrasound guidance allows the prepared material to be injected precisely, directly into the affected joint.
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
Just your blood and your adipose tissue; donor and synthetic materials are not used
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.

Doctors tend to choose it when the joint shows more pronounced changes and a more durable effect is wanted.
A little of your blood is enough to separate platelet-rich plasma full of growth factors. Injected into the joint, it calms inflammation and improves conditions for tissue 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 can be treated; the doctor settles the joint, the method and the injection count after checking your scans
KneeMeniscus problems, cartilage wear and pain on stairs or after a walk
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderArm-raising pain, with wear of the joint and the tendons around it
ElbowPain caused by overuse or sports strain; worn 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

Just your blood and your adipose tissue; donor and synthetic materials are not used

Punctures, not incisions; local anaesthetic; no prolonged rehabilitation

A doctor will independently assess your X-rays, MRI or reports free of charge once you send them

Beyond the day of the injection, we keep in touch after the procedure and follow your result
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 cost is named by the doctor after the consultation, since it depends on the joint, the stage of the condition 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
SVF is a cell fraction isolated from a small sample of your adipose tissue, whereas PRP is platelet-rich plasma prepared from your blood. They work differently and are frequently combined for a stronger regenerative effect in the joint.
Using your own tissue in both methods means a very low risk of rejection or an allergic reaction. Temporary pain, swelling or bruising can happen with any injection, and infection is rare. The doctor explains the risks for your case during the consultation.
It depends. PRP usually gives an effect lasting from several months to about a year; with SVF it can last longer. Because the stage of the condition and your body affect the duration, no one can promise 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.
Early on, PRP or SVF injections plus exercise therapy and physiotherapy can lessen pain and improve how the joint moves. For a joint that is already badly damaged, replacement may be the more realistic option; after reviewing your scans the doctor will tell you honestly.
At an early stage (1–2), SVF therapy may help support the blood supply to the femoral head and delay the need for joint replacement. Surgery is usually required at later stages.
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. After you send your X-rays, MRI, CT or medical reports, a doctor reviews them at no cost and tells you whether the procedure could be suitable and what else may be required.
Usually in a day or two. There are no crutches and no long rehabilitation; for the first weeks the doctor gives recommendations on load and exercise.
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.
We treat arthritis, arthrosis, osteoarthritis of the knee and hip, avascular necrosis, meniscus problems and inflammatory joint conditions, and help with rehabilitation after injuries and surgery. Patients from Richards Bay can have the elbow, hand and wrist, knee, hip, ankle or shoulder treated.
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 Richards Bay, everything is done in one day.
The price depends on how many joints are treated and which method is chosen. For patients from Richards Bay, the doctor explains the plan and the cost at the consultation, which is free.
Richards Bay is a city in KwaZulu-Natal, built around a 30-square-kilometre lagoon of the Mhlatuze River. People who live here often work in port, smelter, mining and logistics jobs, and many also spend long hours on their feet or in vehicles. Knee and hip pain is therefore a practical problem as much as a medical one: it affects the shift, the commute along the John Ross Parkway and the evening at home.
Joint treatment is not one operation. It is a ladder of options: conservative care first, then arthroscopy for selected problems, and joint replacement when the joint is badly worn. A good plan starts by working out which step suits the patient, rather than by choosing a procedure in advance.
City Medical Centre offers a free online consultation to patients in Richards Bay. Coordinators are available around the clock (24/7) on Telegram and Telegram, so a person coming off a night shift at the harbour can send scans and questions at any hour and does not need to take a day off to start the conversation.
Conservative care covers activity changes, physiotherapy, strengthening exercises, weight management, pain control and assessment of footwear and work posture. For a resident of a flat coastal plain, with suburbs only a few metres above sea level, daily walking is easy and is one of the best ways to keep a knee or hip moving, as long as the pace is comfortable.
Body weight puts load on the knees and hips. The WHO fact sheet on obesity and overweight is a useful general reference for why weight matters to long-term health, and it applies here as it does everywhere. A realistic plan, agreed with the doctor, is better than a strict one that is dropped after two weeks.
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 the central point to discuss in the online consultation: the stage of the disease decides which options are still open.
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. For a working person in Richards Bay this is a gentle first step compared with major surgery, and the question of how soon normal routines resume should be put to the surgeon directly.
SVF therapy is discussed for hip problems at early stages (1–2), when the aim is to support blood supply to the femoral head and delay the need for joint replacement. It is not a substitute for surgery when the joint is already badly damaged, and a good doctor will say so openly.
Ask the doctor which stage your imaging shows, what the realistic aim is, and what the next step would be if the joint keeps worsening. Having these answers in advance helps you plan work and family commitments.
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 grows with activity and eases with rest. Patients in Richards Bay who wake at night with a hot, swollen joint, or who need most of the morning to loosen up before a shift, should mention it clearly in the consultation, because inflammatory arthritis is treated differently from simple wear.
Describe when the pain comes, which joint is involved, whether there is swelling or redness, and whether other family members have joint disease. Photographs of a swollen joint and a short symptom diary make the remote review much more useful.
Richards Bay sits in a transitional zone between a humid subtropical climate inland and a tropical savanna climate along the shore. Summers are warm and wet, winters mild and frost-free. Daytime maxima peak at 29 °C from January to March, while June to August brings daytime highs of 23 °C. Average annual rainfall is 1228 millimetres.
For recovery, the humid summer means more sweating under dressings and compression stockings, more swelling in the leg by the end of the day, and a greater need to keep wounds clean and dry. Many patients find the mild, dry winter months easier for the first weeks, with comfortable temperatures for gentle walking and exercises. This is general advice, and the surgeon will give the exact plan.
Wet-season rain and damp ground call for care with footwear and crutches or a walking aid, since a slip is the last thing a healing joint needs. Sea swimming, lagoon activities and pools should wait until the surgeon confirms the wound is fully healed. The coastal sun is strong, so keep any scar covered or in the shade.
Arthroscopy is considered for selected knee problems, for example certain mechanical complaints, and not for every painful joint. Joint replacement is considered when pain and loss of function remain despite other treatment and imaging shows advanced damage. Ask the surgeon why one option fits you better than the other.
Useful questions: Which stage is my joint? What will happen if I wait? What type of anaesthesia is planned? How long will I stay in hospital? When can I walk with support, drive, and return to work? Which rehabilitation exercises can I do at home in Richards Bay, and who will review my progress remotely?
Candidates are generally patients whose symptoms limit daily life and who have tried suitable conservative care. Contraindications include active infection, poorly controlled chronic illness and some heart or blood-clotting problems. The doctor will assess these individually, so share your full medical history, medicines and allergies.
The city's economy is built on the port, coal export, aluminium smelters, mining of heavy minerals and tourism. Heavy physical work, standing on site, climbing ladders or driving long distances need an honest conversation with the surgeon about when and how to return. Office and administrative roles generally allow an earlier return than manual work.
Richards Bay is a popular kitesurfing destination because of consistent north-east winds, and many residents enjoy outdoor sport. After joint treatment, high-impact and twisting sports should wait until the surgeon agrees. Walking, gentle cycling and prescribed exercises usually come first, and kitesurfing or running come later.
Family gatherings and braais are a part of life here, with long periods of sitting, standing and carrying plates and coolers. Plan the operation away from big events, arrange help at home and set up a chair with a firm seat and a clear path through the house before the procedure.
Write to the coordinators on Telegram or Telegram at any time, 24/7. Send your scans, reports, a list of medicines and a short description of symptoms. The specialist reviews the material and the online consultation is free.
In the call you will discuss the diagnosis, whether conservative care, SVF therapy, arthroscopy or replacement fits, and what follow-up looks like. You can ask for the plan in writing and show it to your local doctor or physiotherapist.
Take your time with the decision. Some patients in Richards Bay want to involve family, others want to check the plan against their work schedule or medical aid. Bring those questions to the consultation.
Yes. The online consultation is free, and coordinators are available around the clock (24/7) on Telegram and Telegram. Send your scans and reports and describe your symptoms.
Usually conservative care: exercise, physiotherapy, weight management and pain control. Arthroscopy or replacement is considered when this is not enough or when imaging shows advanced damage.
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.
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 can. Humid summers bring more sweating and leg swelling, so wound and stocking care matter. The milder, drier winter months are often more comfortable for early walking. Follow your surgeon's instructions.
It depends on the procedure and the job. Office work usually allows an earlier return than heavy port or industrial work. Ask the surgeon for a timeline matched to your role.
Only when the surgeon agrees. Walking and prescribed exercises come first, and high-impact or twisting sports are added later.
Yes. Extra weight increases the load on knees and hips, and the WHO fact sheet on obesity and overweight explains why weight matters to health. Discuss a realistic plan with your doctor.