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.
Arthrosis of the knee, hip or another joint treated with SVF cells and PRP. Your X-rays or MRI are reviewed free of charge to confirm the stage
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What it is
Osteoarthritis is a chronic condition, also referred to as arthrosis, in which the joint's cartilage thins and erodes step by step. As the cushioning layer fails, bones start rubbing together — the source of pain, stiffness and a reduced range of movement. It is a wear-related, degenerative disease; swollen flare-ups can still appear.
Most often it hits the most heavily loaded joints — knee (gonarthrosis) and hip (coxarthrosis) — along with the ankle and the small hand joints. Early and moderate stages respond best, before serious damage to the joint surfaces; at an advanced stage the doctor will be honest with you if replacing the joint is the more realistic path.

The doctor decides on suitability once you have been examined and your scans have been reviewed


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.
2Blood is taken from a vein in a small amount. Later, platelet-rich plasma containing growth factors is prepared from it.
3A puncture on the abdomen or inner thigh, under local anaesthetic, is used to take a small portion of adipose tissue (about 30 ml). No stitches afterwards.
4The sample is centrifuged so that it splits into layers. The stromal vascular fraction is then isolated and mixed with platelet-rich plasma.
5Using ultrasound guidance, the doctor injects the prepared material directly into the affected joint so it is placed precisely.
6No crutches are needed and there is no hospital stay. The doctor keeps 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
The treatment relies solely on your own blood and adipose tissue — no donor or synthetic material
The method uses the stromal vascular fraction (SVF), a mix of cells that support tissue repair, isolated by processing a small sample of your adipose tissue. It is injected into the affected joint along with your own plasma.

The typical indication is early or moderate osteoarthritis: the aim is slower cartilage wear and less friction between the surfaces of the joint.
Platelet- and growth-factor-rich plasma is separated from a small amount of your blood and then injected into the joint, helping to calm inflammation and create better conditions for tissue repair.

It is often applied in mild osteoarthritis, and alongside SVF when a stronger effect is called for.
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 — the doctor chooses the joint, the method and the number of injections after reviewing your scans
KneeMeniscus issues, wearing cartilage, stairs and walking bring pain
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderRaising the arm is painful; wear of the joint and nearby tendons
ElbowOveruse or sports strain causing pain; worn joint surfaces
Hand and wrist jointsSmall finger and wrist joints that are stiff and painful
AnklePain and stiffness after sprains and old injuriesAdvantages
We aim to preserve your own joint rather than replace it, with treatment that avoids surgery

The treatment relies solely on your own blood and adipose tissue — no donor or synthetic material

No incisions, only punctures — local anaesthetic and no lengthy rehabilitation

Send X-rays, MRI or reports and receive a doctor's independent assessment for free

We stay in contact once the procedure is done and follow the result beyond 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
The cost depends on the joint, the stage of osteoarthritis and the method, so the doctor names it 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
Put simply, the cartilage covering the bone ends in a joint wears down over time. Thin cartilage no longer cushions the joint, so the bones rub, causing pain, stiffness and crunching. It is a degenerative condition rather than an inflammatory one.
Yes, in many cases, provided treatment is not left too late. SVF and PRP injections aim to ease pain and support cartilage without an operation. Joint replacement is the last option, for a joint that has already been 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 with the highest load, namely knees, hips and ankles, as well as the small joints of the hand and the spine. Regenerative treatment covers all of these joints.
Usually it gets worse — pain turns constant, movement is increasingly limited, the joint can deform and walking may become difficult. Early diagnosis, controlling weight, exercise and cooperation with a doctor make a real difference.
An X-ray is the primary method, and it shows the stage. MRI details the cartilage and soft tissues, ultrasound shows joint fluid and inflammation, and blood tests help to rule out inflammatory conditions. If you already have test results, the doctor will review them free of charge.
The difference: osteoarthritis is wear of the cartilage (aching pain on movement, crunching, stiffness after rest), while arthritis is inflammation (pain at rest and at night, swelling, redness, warmth over the joint). Treatment differs, which is why diagnosis comes first.
Certainly. Send your MRI, X-rays or test results for a free review: a doctor will assess the stage of osteoarthritis and suggest a non-surgical plan if it is appropriate.
Yes, you should exercise. Correct activity strengthens the muscles that relieve the joint, improves cartilage nutrition and keeps you mobile. Swimming, cycling, water aerobics, yoga and Nordic walking are good; jumping, heavy lifting, sudden movements and running on hard surfaces are not.
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.
Osteoarthritis, also called arthrosis, is a chronic condition in which the cartilage of a joint gradually thins and wears away. For patients from Eldoret, it usually shows as aching pain on movement, stiffness after rest and crunching in the joint.
Many patients in Eldoret 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.
Patients from Eldoret 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.
Eldoret is a city in the Rift Valley region of Kenya and the capital of Uasin Gishu County. It lies south of the Cherang'any Hills in western Kenya. In 2019 the census counted 475,716 people, which made it the fifth most populated urban area in the country after Nairobi, Mombasa, Nakuru and Ruiru. In August 2024 this long-standing municipality was given city status. For residents, osteoarthritis is not an abstract topic. Knees, hips, hands and the spine carry the load of a working life, and many people in the city notice the first stiffness long before they decide to ask a specialist about it.
City Medical Centre works with patients from Eldoret through a free online consultation. Coordinators are available around the clock (24/7) on Telegram and Telegram, so you can send your question after a shift, in the evening or at the weekend. You do not need to arrange your day around a clinic queue. You describe your joints, attach existing images and reports, and receive a structured explanation of whether the cell-based approach described below fits your situation.
This text is a planning guide written for people who live in Eldoret. It links the procedure to the climate, rhythm and habits of the city, and it lists the questions worth putting to a surgeon before any decision is made.
The method discussed here is SVF therapy, based on your own adipose tissue. 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 material is then processed and used as part of a plan to support the joint. It is a minimally invasive step, not a joint replacement.
Osteoarthritis is chronic, so it needs an ongoing plan rather than a single injection. That sentence matters for a city like Eldoret, where people tend to be active and to expect quick results. The procedure is one element next to movement, weight control, strengthening exercises and regular review. A person who treats it as a one-time fix is likely to be disappointed, while a person who builds a routine around it has a more realistic picture of what to expect.
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 honest specialist can promise a particular outcome, and you should be wary of anyone who does.
Eldoret lies at over 2,000 m above sea level, with local elevation from about 2,100 metres to more than 2,700 metres in nearby areas. The climate is subtropical highland, moderate to cool. Nights are cold, and in the cold season from May to August the temperature is regularly in the single digits Celsius. The warm season is the driest and the cool season is the wettest.
For a person with joint disease this has practical consequences. Cold, damp mornings often make stiffness feel worse, so plan your first hours after getting up: warm clothing, gentle movement before standing for long, and a warm room. During recovery after the puncture, keep the small wound clean and dry and avoid wet, muddy ground where a slip could injure a sensitive knee or hip.
In the dry warm months the main concerns are dust on unpaved roads and strong highland sun. Light, loose clothing over the treated area, a hat for outdoor errands and enough drinking water are sensible general habits. Your surgeon will give personal instructions on dressings and any support garments, and those instructions take priority over general advice.
There is no single correct month in Eldoret, but the weather pattern helps you think it through. The cool season, May to August, is the wettest. Rain makes walking surfaces slippery, and cold can increase joint discomfort in the early recovery days. The warm, dry season offers easier movement outdoors, though dust and sun need attention.
Think about your own calendar as much as about the weather. Farm work in a region known for grain, dairy and horticulture follows planting and harvest cycles, and a person who works the land will want to plan around the busiest weeks. Teachers and students tie their plans to the academic year, since Eldoret hosts the largest university student population outside the capital. Office and factory workers may prefer a quieter period at the workplace.
The first changes may appear 2–3 weeks after the procedure, and the stable result forms over about six months. Choose a start date that lets you keep your exercise routine and follow-up during this long period, not just the first few days. Your coordinator can help you build a calendar after the online consultation.
Eldoret is a trading centre with a large market, a manufacturing sector and surrounding farmland. Many residents stand for long hours, lift loads or work in the fields and workshops. Others sit for long periods in offices, lecture halls and vehicles. Both patterns strain the joints in different ways: prolonged standing and lifting load the knees, hips and spine, while sitting still leads to stiffness.
A puncture under local anaesthetic without stitches is a small intervention, and many people can think about returning to light duties soon, but the exact timing is decided by the surgeon after assessing your joint, your job and how you feel. Ask directly: when can I stand a full shift, carry loads, drive, or sit through a long day? A person with a physically demanding job should expect a more careful plan than a person at a desk.
Students and lecturers in the city can often plan more flexibly. Ask whether a lighter schedule in the first days is advisable and how to manage walking between buildings on a large campus. Share your timetable during the consultation so the advice matches your real week.
Eldoret and nearby Iten are known as the hometown and training ground of many Kenyan distance runners. The altitude draws middle and long-distance athletes, and the city has a stadium, a marathon and rugby and football teams. Even if you are not a professional, you probably have friends or relatives who run, play rugby or follow the local events. It is natural that patients here ask first about sport.
With osteoarthritis the question needs to be put honestly. Running on hard surfaces can load an arthritic knee or hip, and a return to training after any joint procedure should be gradual and agreed with the surgeon. Ask which activities are suitable at your stage, such as walking, cycling on flat ground or swimming, and which should be reduced. Ask when the joint can take more load and what signs of overload to watch for.
For many people the realistic goal is to stay active in a way the joint tolerates: daily walking, strengthening of the muscles around the joint, and moderate recreation. Weight management also helps, since excess body weight is a recognised factor in the burden on joints, and the WHO has published general information on overweight and obesity. Your specialist can explain how this applies to you personally.
Not everyone with joint pain is a candidate. 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. These conditions need their own diagnosis and treatment, so a clear diagnosis comes before any decision about cell therapy.
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 why imaging and clinical history matter, and why you should send your existing X-rays or reports during the online consultation.
General reasons for caution include an active infection, an untreated inflammatory disease and other conditions that your doctor will review with you. The surgeon makes the final decision. Clinical guidance such as NICE, Osteoarthritis in over 16s: diagnosis and management (NG226), emphasises assessment and an individual management plan, and that matches the way a responsible consultation should work.
You contact the coordinators on Telegram or Telegram at any hour, since they work 24/7. You describe your symptoms: which joint, since when, what makes the pain better or worse, and whether the pain wakes you at night. You attach images and test results if you have them.
The case is then reviewed and you receive an explanation of the options, in a free online consultation. You can ask as many questions as you need, and you can take time to think. Nothing requires you to decide on the same day.
Prepare your questions beforehand. Ask about your stage and whether the method suits it, what the 30 ml portion of adipose tissue involves, what to expect in the first 2–3 weeks, how the six-month period of stabilisation looks, how long the effect may last, what follow-up and additional measures are advised, what alternatives exist and what happens if the result is smaller than hoped.
No. Osteoarthritis is chronic, so it needs an ongoing plan rather than a single injection. SVF therapy is considered as a way to support the joint, particularly at early stages, and it works together with exercise, weight control and follow-up.
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.
Many patients notice the first changes 2–3 weeks after the procedure. A stable result forms over about six months. The response differs from person to person.
It can last from several months to several years, depending on the individual. For that reason a long-term plan with your doctor matters more than a single event.
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. A review of your images will show where you stand.
The town lies over 2,000 m above sea level, nights are cold and the period from May to August is the wettest and coolest. Many people with joint disease find stiffness more noticeable in cold, damp mornings, so warm clothing and gentle movement after waking are sensible. Your surgeon will give personal advice.
Return to sport is gradual and depends on the joint and the stage. Ask your surgeon which activities are suitable now, which to reduce, and when more load is reasonable. Do not restart intense training on your own.
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. These need a proper diagnosis before any other plan.
Write to the coordinators on Telegram or Telegram. They are available around the clock (24/7). The online consultation is free, and you can send images, reports and your questions in one message.