1Consultation and scan review
Examination of the joint plus a review of your X-rays, MRI or ultrasound tells the doctor whether the procedure is suitable. If you have scans already, you can send them before the appointment.
SVF cells and platelet-rich plasma for joints worn by arthrosis — knee, hip and others. Stage checked through a free review of your X-rays or MRI
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What it is
In this chronic disease — osteoarthritis, or arthrosis — joint cartilage is gradually worn thin. Losing the cartilage cushion lets bone rub against bone, which brings pain, stiffness and a smaller range of motion. It is classed as degenerative, not inflammatory, even though swelling may come with flare-ups.
Knees (gonarthrosis) and hips (coxarthrosis) are affected most, since they carry the greatest load, followed by the ankle and the small joints of the hand. The treatment works best early or at a moderate stage, before the joint surfaces are badly worn; in advanced cases the doctor will tell you frankly if a joint replacement is more realistic.

A doctor examines you, reviews your scans and then decides whether the treatment is suitable


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
1Examination of the joint plus a review of your X-rays, MRI or ultrasound tells the doctor whether the procedure is suitable. If you have scans already, you can send them before the appointment.
2From a vein, a small amount of blood is taken — it will later be used to prepare platelet-rich plasma with growth factors.
3Under 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.
4The sample is spun in a centrifuge and separates into layers. The stromal vascular fraction is isolated and mixed with the platelet-rich plasma.
5The prepared material is injected directly into the affected joint under ultrasound guidance, which helps place it precisely.
6You go without crutches and without a hospital stay; the doctor keeps in touch afterwards 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
Your own blood and adipose tissue only; donor and synthetic material are not used
A small sample of your adipose tissue is processed to isolate the stromal vascular fraction (SVF) — a mix of cells involved in tissue repair. Combined with your own plasma, it is injected into the affected joint.

At early and moderate stages of osteoarthritis it is used mainly to reduce friction between the joint surfaces and slow cartilage wear.
Your own blood, in a small amount, is processed to separate plasma rich in platelets and growth factors, which goes into the joint to calm inflammation and improve conditions for tissue repair.

Often chosen for mild osteoarthritis, and paired with SVF if a stronger effect is needed.
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 alike. The joint, the technique and the number of injections are chosen by the doctor based on your scans
KneeCartilage wear with meniscus trouble and pain on stairs or after walking
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderJoint and tendon wear around it, pain on lifting the arm
ElbowWorn joint surfaces and pain following overuse or sports strain
Hand and wrist jointsPain with stiffness in the small joints of fingers and wrist
AnklePain and stiffness after sprains and old injuriesAdvantages
Your own joint is kept, not replaced — we treat without surgery

Your own blood and adipose tissue only; donor and synthetic material are not used

Instead of incisions we use punctures, under local anaesthetic, with no long rehabilitation

Send us your MRI, X-rays or reports for an independent assessment by a doctor at no cost

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
Since the joint, the method and the stage of osteoarthritis determine the cost, it is named by the doctor after the consultation
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
It means gradual wear of the cartilage on the ends of the bones in a joint. With thinning cartilage the joint loses cushioning, bones rub against each other and pain, stiffness and crunching set in — a degenerative, not an inflammatory, condition.
Frequently yes, if treatment is not delayed. With SVF and PRP injections the aim is pain relief and cartilage support without an operation. Joint replacement remains the last option, used when the joint is already destroyed.
The first changes are often noticed 2–3 weeks after the procedure. Over about six months a stable result forms, lasting anywhere from several months to several years depending on the individual. Osteoarthritis is chronic and calls for an ongoing plan rather than one injection.
When osteoarthritis is at an early or moderate stage. A milder stage generally brings a faster, longer-lasting effect and may reduce the need for regular hyaluronic acid injections; at the most advanced stage, with almost no joint space left, a lasting effect cannot be expected.
The joints that carry the most load: the knees, hips and ankles, as well as the small joints of the hand and the spine. Regenerative treatment is used for all of these joints.
It usually moves forward: the pain stops going away, movement is more and more limited, the joint may deform and walking may get difficult. Early diagnosis, weight control, exercise and a doctor's involvement make a real difference.
An X-ray is the key test and shows the stage. A detailed view of the cartilage and soft tissues comes from MRI, ultrasound shows fluid and inflammation in the joint, and blood tests help rule out inflammatory diseases. Results you already have can be reviewed by the doctor free of charge.
With osteoarthritis the cartilage wears down: you get aching pain on movement, crunching and stiffness after rest. With arthritis there is inflammation: pain at rest and at night, swelling, redness and warmth over the joint. The treatment approach is different, so diagnosis comes first.
You can. Once you send your X-rays, MRI or test results, a doctor reviews them free of charge, assesses the osteoarthritis stage and suggests a non-surgical plan if it fits.
It is not only possible but advisable. Proper activity strengthens the muscles that unload the joint, improves cartilage nutrition and maintains your mobility. Swimming, water aerobics, cycling, Nordic walking and yoga are good choices; running on hard surfaces, jumps, heavy lifting and sudden movements are to be avoided.
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.
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.
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.
An X-ray shows the stage of osteoarthritis, MRI gives a detailed view of cartilage and soft tissues, and ultrasound shows inflammation and fluid. Patients from Arusha who already have results can send them before the visit.
Blood tests help rule out inflammatory conditions before treatment. If you are a patient from Arusha, the doctor tells you in advance which tests are needed so you can prepare.
Patients from Arusha can start with a free review of their scans: the doctor assesses the stage of osteoarthritis and tells you whether non-surgical treatment makes sense. The price is named at the consultation.
Arusha is the capital of the Arusha Region and has a population of 617,631 people. It lies below Mount Meru, on the eastern edge of the eastern branch of the Great Rift Valley, and it is a place where people are on their feet a great deal. Residents walk between neighbourhoods, climb uneven ground, stand in markets and workshops, and often spend long days in the tourism and hospitality trade. When a knee, hip or hand begins to ache, the effect on daily life shows up quickly.
Osteoarthritis is a chronic condition, and that word shapes everything that follows in this text. It is not a problem solved by a single appointment or a single injection. It needs a plan that is followed over months and years: an accurate diagnosis, a realistic goal, movement, weight control, and a clear decision about when a procedure makes sense and when surgery is the more honest answer.
People in Arusha who contact City Medical Centre usually do so after a long period of adjusting their habits: shorter walks, avoiding stairs, giving up a weekend match or a morning run. A free online consultation is a way to put the whole picture in front of a specialist without rearranging a working week. Coordinators are available around the clock on WhatsApp and Telegram, so a patient can send a first message at any hour.
Despite being close to the equator, Arusha sits at an elevation of 1,400 metres on the southern slopes of Mount Meru, which keeps temperatures relatively low and eases humidity. Cool dry air is common for much of the year, and temperatures typically range between 10 and 30 °C. Many people with stiff joints notice that cooler mornings make the first steps of the day harder, so morning stiffness deserves to be described precisely when speaking with a doctor.
The year has a clear rhythm. The long masika rains fall from March to May, the short vuli rains usually come in November and December, and the dry kiangazi season runs from June to October. Annual rainfall averages 1,180 millimetres. For anyone planning a procedure for osteoarthritis, the rainy months bring wet ground and slippery surfaces, which matter when a knee or hip is still sensitive. The dry season offers firmer footing for gentle walking during recovery.
The warmest period is between November and March, when the city sees days above 32 °C. Heat and swelling can combine unpleasantly, so during those months it is sensible to plan shade, plenty of fluids, loose clothing and rest breaks. The dust of the dry season is also worth thinking about for the small puncture area on the abdomen or inner thigh: keep it clean and covered as the doctor advises, and avoid dusty work for the first days.
Patients in Arusha often use the words arthritis and osteoarthritis as if they meant the same thing, so it helps to separate 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. Causes include autoimmune conditions such as rheumatoid arthritis, infections, gout and psoriasis.
Osteoarthritis is mainly a degenerative, wear-related condition, and its pattern is usually different: pain tends to grow with load and ease with rest. Overlap is possible, though, and a joint that is red, hot and swollen should not be assumed to be simple wear. That is why the first online consultation always starts with the story of the symptoms: when the pain appears, what the mornings are like, which joints are involved, and whether there was an earlier injury.
The medical approach follows recognised clinical guidance, including NICE guideline NG226 on osteoarthritis in people over 16: diagnosis and management. In practice this means that diagnosis is built on history, examination and, where needed, imaging and tests, and that treatment starts with education, exercise and weight management before anything more invasive is discussed.
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 honest boundary of the method, and a patient in Arusha should hear it clearly before making any decision. The aim is to support the joint and buy time, not to promise a different joint.
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 person who runs a business, teaches, guides visitors or looks after a household, the absence of stitches and the small puncture area make the first days easier to organise, though rest is still sensible.
The procedure is carried out under medical supervision, and the remote consultation is where suitability is judged. Photos of previous imaging, reports and a list of medication are all useful. If the stage of disease is too advanced, the specialist will say so plainly and discuss other options instead of recommending something that is unlikely to help.
Many patients notice the first changes 2–3 weeks after the procedure. A stable result forms over about six months and can last from several months to several years, depending on the individual. Osteoarthritis is chronic, so it needs an ongoing plan rather than a single injection. These three statements should be read together: early change, gradual consolidation, and a result that varies from person to person.
For someone in Arusha, planning around these dates is practical. A person who works in the tourism season, or who must be on a farm during planting in the rainy months, can choose a start that leaves the first weeks calmer. Because the stable result forms over about six months, judging success after a few days is premature, and judging it only at the first weeks is also incomplete.
A long-term plan usually includes a review of the joint, guided strengthening exercises, attention to body weight and a decision in advance about what would prompt a repeat assessment. The general health advice on excess weight published by the World Health Organization is relevant here, because extra body weight adds load to the knees and hips. Small, steady changes are more useful than dramatic ones.
Arusha is a working city. It is a regional and diplomatic centre, with a large number of people employed in offices, institutes, schools and the tourism trade. Desk workers can often return to ordinary duties sooner, while guides, drivers and people who stand all day need to ask the surgeon how to phase their return and which tasks to avoid at first. Bring a precise description of your working day to the consultation.
Sport has a real place in the city. Arusha is home to the Tanzanian rugby national team, to Arusha FC, and it hosted the Mount Meru Marathon for many years. Amateur runners, footballers and rugby players with joint pain often ask whether they can ever return to the same level. The honest answer is that it depends on the stage of the joint disease, the sport and the response to treatment. Contact sports and running on hard ground are the activities to discuss first, and the doctor can set a gradual plan.
The city also has a strong car and outdoor culture, with Land Rover and classic car clubs and many weekend excursions towards the national parks. Long hours seated in a vehicle, climbing in and out of it, and walking uneven ground are all things worth raising with the specialist. A short stop to stretch every so often is a simple habit that helps stiff joints.
Arusha is multicultural. Its population includes people of mixed backgrounds, and religions include Christianity, Islam, Sikhism and Hinduism. Family gatherings, weddings, religious festivals and shared meals are central to life. These occasions often involve standing, dancing, long seating on low or hard chairs and carrying dishes. When planning a procedure, it is reasonable to place it away from a major family event so that there is no pressure to stay on your feet.
The highlands north and northeast of the city are farming areas producing bananas, coffee, cabbage, potatoes, carrots and leafy greens. A diet rich in vegetables and fresh produce fits well with a joint-friendly lifestyle, and local markets make that easy. Food will not cure osteoarthritis, but a steady, balanced diet helps with weight control, which in turn reduces load on the joints.
Families in Arusha frequently take part in the care of an older relative with painful joints. If you are the one supporting a parent, it helps to join the online consultation, listen to the explanation and write down the questions together. Decisions about joints are easier when the people who help with daily tasks understand the plan.
In general terms, the most suitable candidates are people with a confirmed diagnosis of osteoarthritis at an early stage, whose symptoms affect daily life and who are willing to follow a longer plan. At early stages (1–2), SVF therapy may be considered. At later stages surgery is usually required, so a person with severe deformity or very limited movement should expect a conversation about other options.
Some conditions call for caution or for a different route altogether. A joint that is suddenly red, hot and swollen, or pain at rest and at night with prolonged morning stiffness, may point to inflammatory arthritis, infection, gout or psoriasis rather than simple wear, and needs its own diagnosis first. Active infection, serious uncontrolled illness or a recent unexplained fever are reasons to postpone any procedure until the doctor has reviewed them.
Always give the specialist a full list of medicines, allergies, previous operations and chronic illnesses. Mention any blood-thinning treatment and any history of reactions to local anaesthetic. The remote consultation is the place to be thorough, and being frank is always more useful than being brief.
The first step is a message to the coordinators on WhatsApp or Telegram, available 24/7. You describe the joint, the main symptoms and how long they have lasted, and you share any available reports or imaging. The consultation is free and takes place online, so you remain at home or at work in Arusha throughout the assessment.
The specialist then reviews the information and discusses whether the stage of the disease suits SVF therapy, what the procedure involves, what recovery looks like and what a realistic plan is. Because the connection works from any quiet room, many patients choose a time when a family member can join. Good lighting and a stable connection help if the doctor wants to see how you walk or move the joint.
After the consultation you receive a clear explanation of the next steps, and you can ask follow-up questions through the same messaging channels. Nobody is obliged to proceed. A person who wants to think, discuss it with family or compare with a local opinion is free to do so.
The consultation is online and free, so location is not a barrier to the assessment. Suitability depends on the stage of your joint disease, your general health and your goals. At early stages (1–2), SVF therapy may be considered; 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. The doctor will explain what to expect in the first days.
Many patients notice the first changes 2–3 weeks after the procedure. A stable result forms over about six months and can last from several months to several years, depending on the individual.
No. Osteoarthritis is chronic, so it needs an ongoing plan rather than a single injection. That plan normally includes exercise, weight management and periodic review of the joint.
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. Only a doctor can make the distinction, so describe your symptoms in detail.
Yes, in practical ways. The long rains from March to May make surfaces slippery, and the warmer period between November and March calls for shade, fluids and loose clothing. The dry season is dusty, so keep the puncture area clean and covered as advised.
This depends on your job and your sport. Office work is usually easier to resume than standing, driving or physical work. For running, football or rugby, ask the surgeon for a gradual plan and do not rush back to contact or high-impact activity.
Ask which stage your joint is at, whether SVF therapy suits that stage, what the alternatives are, what recovery looks like for your work, how results will be judged over about six months, and what the long-term plan includes. Also ask what would make the doctor recommend surgery instead.
Write to the coordinators on WhatsApp or Telegram at any time, since they are available around the clock. Share your symptoms and any reports, and they will arrange the free online consultation.