1Consultation and scan review
The doctor examines your joint, looks at your X-rays, MRI or ultrasound and decides whether the procedure is right for you. Scans you already have can be sent ahead of the visit.
Knee, hip, shoulder or another joint — SVF cell therapy and PRP, starting with a free assessment of your scans
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What it is
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.
It is an alternative for those with sore joints who prefer not to have surgery yet, or at all, and for those told they need a joint replacement. Earlier stages give a better chance of a durable effect; your scans show the doctor where you stand.

It is a doctor who decides if the treatment fits you — after an examination and a review of 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
1The doctor examines your joint, looks at your X-rays, MRI or ultrasound and decides whether the procedure is right for you. Scans you already have can be sent ahead of the visit.
2A small blood draw from a vein provides the material from which platelet-rich plasma with growth factors is later prepared.
3A small portion of adipose tissue (about 30 ml) is taken under local anaesthetic through a puncture on the abdomen or inner thigh. There is no need for stitches.
4The sample goes into a centrifuge, where it separates into layers. The stromal vascular fraction is isolated and mixed with your platelet-rich plasma.
5The material, once prepared, is injected directly into the affected joint; ultrasound guidance helps place it precisely.
6No stay in hospital and no crutches are needed. The doctor stays in touch after the procedure to see 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
We use nothing but your own blood and adipose tissue, with no donor or synthetic material
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.

It is usually the choice when changes in the joint are more marked and the aim is a longer-lasting effect.
The doctor separates plasma rich in platelets and growth factors from a small amount of your blood and injects it into the joint. This helps to calm inflammation and supports tissue repair.

A course of injections can be done with it alone, or it can be paired 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
Large and small joints — after looking at your scans, the doctor selects the joint, the method and how many injections you need
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
ElbowPain following overuse or sports strain, wear of joint surfaces
Hand and wrist jointsSmall joints of the wrist and fingers that are stiff and sore
AnklePain and stiffness after sprains and old injuriesAdvantages
Rather than replacing the joint, we work to keep your own — treatment without surgery

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

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

Forward your X-rays, MRI or reports to get a free, independent assessment from a doctor

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
The difference: PRP is plasma rich in platelets, obtained from your blood, and SVF is a cell fraction isolated from a little of your adipose tissue. Their mechanisms differ, so 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.
Results vary. The effect of PRP often holds for several months to about a year; SVF can keep working longer. How long it lasts depends on the stage of the condition and your own body — no one can promise a fixed result.
The procedure is not done in people with cancer, acute infections, blood clotting disorders, during pregnancy 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.
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.
Joint replacement is a major operation: rehabilitation takes long, infection is among the risks, and an implant may one day have to be redone. With early or moderate changes it is often sensible to try keeping your own joint first.
Yes. Send your X-rays, MRI, CT or medical reports, and a doctor will review them free of charge and tell you whether the procedure could suit you and what else may be needed.
Usually a day or two is enough. There is no long rehabilitation and no crutches, and in the first weeks you follow the doctor's recommendations on load and exercise.
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.
Non-surgical joint treatment is not for everyone. It is not done with cancer, acute infections, blood clotting disorders, during pregnancy or during a flare-up of a serious chronic illness. The doctor checks this for every patient in Yola at the consultation.
The puncture sites are small and covered with dressings, and no general anaesthetic is used. This is why joint treatment in Yola does not require crutches or a long rehabilitation period.
The cost of joint treatment depends on the joint, the stage of the condition and the method, so the price is set at the consultation. The initial consultation and review of your scans are free for patients from Yola. Leave your name and phone number, and a coordinator will contact you.
Yola takes its name from the Fulfulde word for a great, vast plain, and it is the capital and administrative centre of Adamawa State, standing on the Benue River. The city has a population of over 392,854 as of 2006. For a person with a painful knee or hip, the layout of such a city matters. Daily life is spread over a wide area, and people move between the old town, where the Lamido of Adamawa resides, and the newer commercial district of Jimeta, about 5 km to the north-west. Every one of those journeys is made with the joint that hurts.
Patients from Yola who contact City Medical Centre usually describe the same pattern. A knee that used to ache only after a long walk now hurts on stairs, at the market or when getting out of a car. A hip that was stiff in the morning now limits sitting on a low seat or putting on shoes. This text explains how joint treatment is planned for such a person: conservative care, arthroscopy and joint replacement, and how the planning fits the climate, the working week and family life in Yola.
The consultation is online and free. Coordinators are available around the clock (24/7) on Telegram and Telegram, so a patient in Yola can send questions, photographs of earlier scans and a description of symptoms at any hour, including in the evening after work.
Joint treatment covers three broad routes. The first is conservative care: rest and activity adjustment, weight management, strengthening exercises, physiotherapy and medicines chosen by the doctor. The second is arthroscopy, a keyhole procedure used for selected problems inside the knee and some problems of the hip. The third is joint replacement, usually considered when the joint surface is badly worn and daily life is seriously limited.
Which route suits a person depends on the cause of the pain, the findings on imaging and the general state of health. Pain from a torn meniscus, from wear of cartilage and from inflammation are different problems and need different answers. A remote consultation helps to sort them out before a decision is made, and the surgeon will want to see earlier X-rays, MRI reports and blood tests if they exist.
People in Yola often live active family lives: they carry children, visit relatives, stand for long periods at work and walk on uneven ground. These details matter. A good consultation starts with what the person cannot do any more, not only with the name of the diagnosis.
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. These signs differ from the pain of simple mechanical overload, which usually eases with rest and appears after effort.
Causes include autoimmune conditions such as rheumatoid arthritis, infections, gout and psoriasis. This is why the first step is a correct diagnosis, not a quick decision for an operation. A hot, red, swollen joint with fever needs urgent medical attention locally and should not wait for an online conversation.
If a patient in Yola recognises these signs, it helps to write down when the stiffness appears, how long it lasts, whether several joints are affected and whether there is a history of psoriasis or gout in the family. The coordinator will pass this information to the specialist before the consultation.
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 distinction is the main reason not to postpone a consultation when hip pain first becomes persistent.
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 patient in Yola, this means that the collection step is minor, although the surgeon will explain who is a suitable candidate and what to expect.
Not everyone with hip pain is a candidate. The stage of the disease is judged on imaging, and the doctor will say honestly if the joint is already too damaged for this approach. The aim of the online talk is to give a realistic picture, not to promise a particular outcome.
Yola has a tropical savanna climate bordering on hot semi-arid, with a wet season from May to October and a dry season for the rest of the year. March is the hottest month, with an average high of 42.8 °C, and April has the highest average low at 27.0 °C. The highest temperatures come just before the rains. Planning recovery in those weeks needs care: heat increases swelling in a leg that has been operated on, and a person who must rest with the leg raised is more comfortable in a cooler room.
The wet season brings up to 196.1 mm of rain in August, the wettest month, and the humidity rises from July to September. Wet ground and slippery paths are a real hazard for someone walking with a stick or crutches after knee or hip surgery. Footwear with a firm grip and a clear route from the house to the road make a practical difference.
The dry season, especially February to April, is dusty and the air is very dry, with humidity dropping to 13.5% in February. Dryness of the skin and dust are points to discuss with the surgeon when it comes to wound care and dressings. Keep wounds clean and covered as instructed, and follow the surgeon's directions on compression garments, which in hot weather should be of breathable fabric and kept clean.
Yola receives 2,845.5 hours of sunshine annually, spread through the year. Scars and fresh skin should be protected from strong sun, and a shaded rest area helps. Walking outside is best in the early morning or late afternoon, when the heat is lower.
There is no single best month. Each season in Yola has its advantages. In the cooler months from August to September, the average high is the lowest of the year at 31.3 °C, but rain and humidity make surfaces slippery. December has the lowest average low at 16.9 °C, with no precipitation from December to February, so the ground is dry and walking exercises are easier outdoors, although dust is a factor.
For planned arthroscopy or joint replacement, the practical factors are: who will help at home, when work and school terms allow a break, and whether religious or family events fall in the recovery period. Wedding and holiday seasons bring long hours of standing, sitting on low seats and visitors, which are tiring for a healing joint.
Patients with an acute injury or with severe night pain should not wait for a convenient season. The coordinator can help to judge urgency during the first conversation.
Yola is an administrative centre, with offices in Jimeta, and also a trading city on the Benue. Desk work, teaching and administration are usually resumed earlier than work that needs lifting, long standing or walking. Traders, farmers and drivers should discuss the physical demands of their job with the surgeon in advance, because the permitted load and the time of return depend on the procedure and on the individual course of recovery.
Sport and active leisure are also best planned together with the doctor. Football, walking in the hills around Yola or trips to nature areas within the region should be resumed in steps, only when the surgeon agrees. Pool and sport rules are given by the surgeon after the procedure, and wounds must be fully healed before swimming.
Food culture matters too. Meals in Yola are often shared at home with the family, and sitting on the floor or on low seats is common. After a hip replacement in particular, low seats and deep squatting may be restricted, so the surgeon should be asked which positions to avoid and how to adapt the household. A raised chair and a toilet seat of suitable height are simple adjustments.
Body weight is one of the factors that increases the load on the knees and hips. The World Health Organization describes overweight and obesity as a major health problem and links them to chronic disease. For a person with joint pain, even a modest and steady reduction in weight under medical guidance can reduce the load, and it also helps before any operation.
In Yola, a diet built around grains, beans, vegetables and local dishes can be balanced with attention to portion size and to sugary drinks. Fasting periods and festive meals are worth mentioning to the doctor, especially for patients who take regular medicines. Do not start strict diets on your own before surgery; ask the team what is suitable.
The patient writes to the coordinators on Telegram or Telegram at any time of day or night. The coordinator asks for basic information: age, the joint concerned, how long the problem has lasted, previous treatment, chronic illnesses, allergies and medicines taken. Scans, reports and clear photographs of the joint and of the way the person walks are useful.
Then a free online consultation with a specialist is arranged. The doctor reviews the material, asks further questions, explains the likely diagnosis, the options from conservative care to replacement, and the main points of preparation and recovery. The patient can take part from home, with a relative present if wanted.
Online advice does not replace an examination. The doctor will say clearly which tests must be done locally and what is still uncertain.
Yes. The online consultation is free, and coordinators are available around the clock (24/7) on Telegram and Telegram. Send your complaints and any scans, and a specialist will review them.
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. Pain that appears only after effort and eases with rest is more often mechanical. Only a doctor can make the diagnosis.
Causes include autoimmune conditions such as rheumatoid arthritis, infections, gout and psoriasis. Treatment depends on the cause, so the first step is an accurate diagnosis.
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 stage is judged by imaging and by the specialist.
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.
Heat can increase swelling and make wearing compression garments uncomfortable. March and April are the hottest months, with an average high of 42.8 °C in March. Plan a cool place to rest, use breathable fabrics and follow the surgeon's instructions on garments and wound care.
Rain and wet ground, mainly from May to October and heaviest in August, make walking with a stick or crutches riskier. Good footwear and a clear, dry path from the house help.
It depends on the procedure, your job and your own recovery. Office work usually comes earlier than heavy or standing work. The surgeon will give the rules for sport and swimming; do not resume them before the doctor agrees.
Ask which option suits your stage of disease, what alternatives exist, what the anaesthesia and recovery will be, which movements to avoid, what the signs of complications are and who to contact at any hour. Also ask how your job and home arrangements in Yola should be adapted.
Active infection, unstable chronic illness or uncontrolled conditions may make an operation unsuitable until they are treated. The specialist assesses this individually after reviewing your records.