City Medical Centre · multi-specialty surgery clinicOpen 24/7

Regenerative Joint Treatment in Ruiru

Free scan review first, then SVF cell therapy or PRP for the knee, hip, shoulder or other joints if they suit you

Knee joint: regenerative treatment without surgery
Joint treatment without surgery. Free consultation and review of your scans

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What it is

What is regenerative
joint treatment?

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.

  • No surgery — an injection instead of an operation
  • Own tissue — your blood and adipose tissue
  • Ultrasound guidance for every injection
Knee joint: an injection under ultrasound guidance

Who the treatment suits

It is a doctor who decides if the treatment fits you — after an examination and a review of your scans

Suitable

A doctor reviews knee X-rays with a patient
  • Pain, crunching or stiffness in a joint
  • Painkillers only help for a short time
  • Recovery after injuries and surgery
  • You need a second opinion on your scans
  • You want to avoid or postpone joint replacement
  • Early or moderate arthrosis or arthritis
  • High load on the joints — sport or physical work

Not suitable

A doctor examines a patient's knee
  • Cancer
  • Pregnancy
  • Blood clotting disorders
  • Acute infections, including infection in or near the joint
  • Flare-up of a serious chronic illness
  • Temporary contraindications: having a fever, a cold or flu, or inflamed skin over the joint to be treated

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 me

How it works

How the procedure goes: step by step

Consultation and scan review1

Consultation and scan review

Your joint is examined and the doctor studies your X-rays, MRI or ultrasound to judge whether the procedure is suitable. Existing scans can be sent before the appointment.

Blood sample for PRP2

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.

Adipose tissue sample3

Adipose tissue sample

The doctor numbs the area with local anaesthetic and takes about 30 ml of adipose tissue through a puncture on the abdomen or inner thigh. Stitches are not needed.

Processing in a centrifuge4

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.

Injection into the joint5

Injection into the joint

The doctor injects the prepared material directly into the affected joint, using ultrasound to place it precisely.

Follow-up6

Follow-up

No crutches and no hospital stay. The doctor stays in touch after the procedure and follows how the joint responds.

Book a consultation

Call or message us — our coordinator will contact you shortly and book your consultation

A doctor talks with a patient about joint treatment
Book a consultation
A doctor talks with a patient about joint treatment

Results

After the procedure

  • Doctor talking warmly with a patient after the procedure

    1 week

    The joint may ache a little more — this is an expected reaction.

  • Doctor consulting an older patient one month after treatment

    1 month

    The pain usually eases.

  • Doctor explaining progress to a patient using a knee joint model

    ~3 months

    Mobility and activity improve.

  • Doctor and patient walking together at a follow-up visit

    ~6 months

    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

Methods we use

We use nothing but your own blood and adipose tissue, with no donor or synthetic material

Cell therapy (SVF) from your own adipose tissue

SVF (stromal vascular fraction) is a mixture of cells involved in tissue repair, isolated from a small sample of your adipose tissue. Combined with plasma from your own body, it is injected directly into the affected joint.

A doctor explains SVF cell therapy for the knee to a patient on a tablet

When the joint has more noticeable changes and you want the effect to last longer, this is the usual choice.

Material
Your adipose tissue and plasma
How it is given
Into the joint, under ultrasound
Duration
The whole procedure is done in one day.

PRP — platelet-rich plasma from your own blood

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.

A doctor explains PRP therapy for joints to a patient on a monitor

A course of injections can be done with it alone, or it can be paired with SVF.

Material
Your blood from a vein
How it is given
Into the joint, under ultrasound
Duration
The whole procedure is done in one day.

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

Book a consultation

Joints

Joints we treat

We treat large and small joints — which joint, which method and how many injections is decided by the doctor after a scan review

  • KneeKneeWear of the cartilage, meniscus problems, pain on the stairs and after walks
  • HipHipEarly hip osteoarthritis, groin pain, limited rotation
  • ShoulderShoulderPain lifting the arm, worn tendons around the joint and the joint itself
  • ElbowElbowPain following overuse or sports strain, wear of joint surfaces
  • Hand and wrist jointsHand and wrist jointsStiffness and pain in the small joints of the hand and wrist
  • AnkleAnklePain and stiffness after sprains and old injuries

Advantages

Why patients choose City Medical Centre

Treatment without surgery: we work to save your own joint rather than replace it

Your own tissue

Your own tissue

We use nothing but your own blood and adipose tissue, with no donor or synthetic material

No crutches

No crutches

Punctures rather than incisions, local anaesthetic and no lengthy rehabilitation

Second opinion

Second opinion

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

Support after the procedure

Support after the procedure

We stay in contact once the procedure is over and follow how the result develops

About the clinic

A clinic where you can feel at ease

Modern equipment, comfortable rooms and care for every patient

A doctor and a patient at the clinic

Contact us the way that suits you

We will answer your questions and find a convenient time for a consultation

Request a free call

Price

Joint treatment prices

The cost is named by the doctor after the consultation, since it depends on the joint, the stage of the condition and the method

FAQ

Joint treatment: frequently asked questions

About the conditions

More about these conditions

Choosing joint treatment without surgery in Ruiru

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 Ruiru can have the elbow, hand and wrist, knee, hip, ankle or shoulder treated.

The puncture sites are small and covered with dressings, and no general anaesthetic is used. This is why joint treatment in Ruiru does not require crutches or a long rehabilitation period.

Do not put off joint pain for years. Book a free consultation in Ruiru: the doctor reviews your scans, assesses the stage and suggests a non-surgical plan if it is appropriate. The price is set at the consultation.

Ruiru and the question of joint health

Ruiru is a municipality and sub-county in Kiambu County, within the greater Nairobi Metropolitan region. The 2019 national census counted 490,120 people here, which made Ruiru the fourth-largest urban centre in Kenya by population. Ten years earlier, in 2009, the figure was 238,858. A town that has roughly doubled in a decade is full of people who work, build, study and commute, and all of that puts daily load on the knees and hips.

When a knee or hip begins to hurt, many people in Ruiru first put it down to a long working day, a hard stretch of standing or a bad night's sleep. Some wait for months before asking anyone. This text is meant to help you sort out what is ordinary tiredness and what deserves a proper assessment, and to explain what the main treatment routes are: conservative care, arthroscopy and joint replacement.

The centre does not have a clinic in Ruiru, and none is needed for the first step. You start with a free online consultation from home or from work. Coordinators answer on Telegram and Telegram around the clock, so you can send your questions when your shift ends or early in the morning before the day begins.

A growing industrial town and what it asks of your joints

Ruiru is described as an industrial town. Devki Steel Mills, Super Foam Limited, Spinners & Spinners Garment Factory, Ruiru Mabati Factory and Ruiru Feeds Limited operate here, and the Tatu City Industrial Park hosts many more factories. Factory and warehouse work often means long hours on foot, repeated bending, lifting and standing on hard floors. Sewing and machine operation can mean many hours in one fixed posture. All of these can aggravate an already irritated knee or hip.

If your work is physical, tell the surgeon exactly what you do in a normal shift: how long you stand, how often you climb, what weight you handle. This matters more than a general statement such as “I work in a factory”. It decides how long you may need to stay away from work, whether lighter duties can be arranged, and which treatment fits your life.

Office and digital workers have their own pattern. Ruiru also has emerging information and communication technology businesses, including the SmartEdge PASHA Center. Sitting for long periods can stiffen the hips and make the knees ache when you stand up. Mention this in your consultation too, because stiffness after sitting is a useful clue for the doctor.

Conservative care first: what it usually involves

Not every painful joint needs an operation. Conservative care is the first line for many patients: a clear diagnosis, guided exercise, weight management where relevant, adjustment of daily activities, and medication chosen by the doctor. The aim is to reduce pain and keep the joint moving, and to find out whether the problem is wear, inflammation or something else.

Body weight deserves an honest conversation. The World Health Organization treats overweight and obesity as a major health issue, and extra load on the knees and hips is one of the practical consequences. Your doctor may discuss weight as part of the plan, which is a normal medical step and not a criticism.

The medical facts here include one procedure worth knowing about. 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. 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. At later stages surgery is usually required. Ask the surgeon whether your findings place you at an early stage at all, and what the plan would be if they do not.

Is it arthritis? Signs to describe in your consultation

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 is different from pain that appears only after heavy use and settles with rest.

Patients in Ruiru often describe pain on the stairs of a rented flat, when getting off a matatu, or after standing through a long shift. Those details are useful, but also say whether the joint hurts when you lie still at night, whether it is stiff when you wake, and whether it ever looks red or feels hot. These are the signs that point toward inflammation and may change which tests are needed.

Before the consultation, write down when the pain began, which joint is affected, what makes it better or worse, and any other conditions such as psoriasis or gout in the family or in your own history. Photographs of a swollen joint and any existing scan or blood test results can be sent to the coordinator in advance.

Arthroscopy and joint replacement in general terms

Arthroscopy is a keyhole procedure in which the surgeon looks inside the joint and treats certain problems through small openings. It is considered for specific findings, for example a damaged structure inside the knee that causes locking or catching. It is not a general cure for every painful knee, and your surgeon should say clearly whether your picture suits it.

Joint replacement is considered when damage is advanced and pain limits ordinary life despite other treatment. As noted above, at later stages surgery is usually required. The decision depends on your scans, your function, your age, your general health and your goals, such as walking to work, caring for children or returning to farming or trade.

Good candidates are people with a clearly diagnosed problem, realistic expectations and the ability to follow a rehabilitation plan. Active infection, uncontrolled chronic illness or conditions that make anaesthesia unsafe can be reasons to wait or to choose another route. The doctor decides this individually after reviewing your records, so do not rule yourself in or out in advance.

Planning around student life, family and the town's rhythm

Ruiru is a university town as well as an industrial one. Zetech University and Kiriri Women's University of Science and Technology have their main campuses here, Kenyatta University is nearby, and the University of Nairobi and other institutions have campuses in or near Ruiru. Danjose Academy is among the leading primary schools. Lecturers, staff and students with sports injuries or long-standing joint pain should think about the academic calendar when choosing a time for treatment.

Families matter too. After an operation you will need help with shopping, cooking, school runs and moving around the house. Agree in advance who will take which task. If you are the person who usually carries the household, this planning is as important as the surgery itself.

Food culture is part of recovery. Meals shared with relatives and weekend gatherings often centre on large portions and long sitting. During recovery, sit with the leg supported, avoid standing for the whole of a family event, and ask others to serve you. Ask the surgeon about nutrition for healing and about weight, rather than relying on general advice.

Season, sun, dust and dressing for recovery

Choose the time of the operation by your own calendar first: a quiet period at work, school holidays, or a time when relatives can help. Then ask the surgeon whether any seasonal consideration applies to your case. We do not give weather forecasts here; the point is to keep recovery away from your busiest and most physical weeks.

General advice applies in any season. Keep the wound clean and dry as instructed. Protect healing skin and any scar from strong sun with clothing. Follow the surgeon's guidance on compression garments and swelling, since leg swelling is common after knee and hip procedures and elevation helps. Heat can make swelling feel worse, so loose clothing and shade are sensible.

Ruiru's name is thought to relate to the black cotton soil found in much of the area. Whatever the ground is like where you live, uneven or muddy surfaces and dust are a practical concern for anyone on crutches or a walking frame. Clear paths at home, add secure footwear and avoid wet floors. Do not go into a swimming pool or the sea until the surgeon confirms that the wound allows it, and ask before you return to any sport.

How the remote consultation works from Ruiru

The process is simple. Contact the coordinators on Telegram or Telegram, available 24/7. Describe the joint, the symptoms and your work, and send any scans, reports and photographs you already have. A specialist then reviews your material and holds a free online consultation with you.

In that conversation you can ask about diagnosis, the options from conservative care to arthroscopy or replacement, anaesthesia, the length of hospital stay, the recovery plan, return to work and sport, and the expected timing of the result. If the picture is not clear from documents alone, the doctor will tell you which further tests are needed.

Prepare a short list of questions in advance. Good ones include: which stage is my joint at, what happens if I wait, which option is the least invasive that still makes sense, what will my first weeks look like, which activities are off limits and for how long, and who answers my questions after the procedure. You are free to take time to decide; the consultation does not oblige you to anything.

Do I need to be in Ruiru to start?

Yes, and that is all you need. The first step is a free online consultation from your own home or workplace. Coordinators on Telegram and Telegram answer around the clock.

Does the centre have a clinic in Ruiru?

No. The centre works through remote consultation. You describe your problem, send your records, and the specialist reviews them online.

What documents should I send?

Any scans of the knee or hip, blood test results, previous medical reports, a list of medicines, and a short written history of the pain. Clear photographs of a swollen joint are also helpful.

How do I know if my pain could be arthritis?

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. Only a doctor can confirm the diagnosis.

Can surgery be delayed?

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 will tell you which applies to you.

What does the SVF procedure involve?

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.

Will I be able to go back to factory or physical work?

It depends on the joint, the treatment and the demands of your job. Describe your tasks to the surgeon in detail and ask for a plan for return to work, including whether lighter duties are possible at first.

When can I swim or play sport again?

Ask the surgeon for the exact guidance for your procedure. Do not enter a pool or the sea, or restart sport, until the wound and the joint allow it according to the doctor.

Does body weight matter for my knees and hips?

Yes, extra weight adds load to the joints, and the World Health Organization regards overweight and obesity as an important health concern. Your doctor may include weight management in the plan as part of conservative care.

Who can help my family understand the plan?

Relatives are welcome to join the online consultation. Having them hear the advice about home help, walking aids and movement makes recovery easier for everyone.