1Consultation and scan review
An examination of the joint and a review of your X-rays, MRI or ultrasound let the doctor decide if the procedure is suitable. Existing scans can be sent in advance of the visit.
Treatment of arthritic knees, hips and other joints using SVF and PRP. A doctor reviews your MRI or X-rays free to establish the stage
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What it is
Arthrosis (osteoarthritis) means slow, chronic wear of the cartilage lining the joint. Healthy cartilage softens impact; when it thins, the bones rub on each other and the joint hurts, stiffens and moves less. Although flare-ups with swelling happen, this is a degenerative disease rather than an inflammatory one.
Osteoarthritis usually develops in the most heavily loaded joints, such as the knee (gonarthrosis) and hip (coxarthrosis), and also in the ankle and small hand joints. It is treated most effectively at early and moderate stages, before the joint surfaces are badly damaged; if the stage is advanced, the doctor will honestly tell you when joint replacement is more realistic.

Whether this treatment is right for you is a doctor's decision, made after an examination and a scan review


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
1An examination of the joint and a review of your X-rays, MRI or ultrasound let the doctor decide if the procedure is suitable. Existing scans can be sent in advance of the visit.
2A small blood sample is taken from a vein, and platelet-rich plasma with growth factors is later made from it.
3About 30 ml of adipose tissue is taken through a puncture in the abdomen or inner thigh, with local anaesthetic. The puncture needs no stitches.
4Layers form as the sample is spun in a centrifuge. The stromal vascular fraction is isolated and blended with the platelet-rich plasma.
5Using ultrasound guidance, the doctor injects the prepared material directly into the affected joint so it is placed 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
Only material from your body — blood and adipose tissue — no donor or synthetic products
Processing a small portion of your adipose tissue yields the stromal vascular fraction (SVF), a cell mix involved in tissue repair. The doctor combines it with your own plasma and injects it into the affected joint.

Most often it is applied in early and moderate osteoarthritis, helping slow the wear of cartilage and reduce friction in 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 frequently used for mild osteoarthritis, and combined with SVF when a stronger effect is required.
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
KneeMeniscus problems, cartilage wear and pain when walking or on stairs
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderPain as the arm goes up, wear in the joint and surrounding tendons
ElbowWear of joint surfaces, pain after heavy use or sports strain
Hand and wrist jointsStiffness and pain in the small joints of the fingers and wrist
AnklePain and stiffness after sprains and old injuriesAdvantages
Treatment without surgery — our aim is to keep your own joint, not to replace it

Only material from your body — blood and adipose tissue — no donor or synthetic products

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

An independent assessment from a doctor, free of charge — send your X-rays, MRI or reports

We remain in touch after the procedure and track the outcome, not merely on the injection day
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
Pricing depends on which joint, which method and the stage of osteoarthritis; the doctor gives the cost 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
The cartilage that covers the bone ends in a joint slowly wears away. Once it thins, cushioning is lost, bone rubs on bone and pain, stiffness and crunching appear. This is a degenerative condition, not an inflammatory one.
In many cases it can be, provided treatment starts in time. The goal of SVF and PRP injections is to ease pain and support cartilage without an operation; replacing the joint is the last resort once it is 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.
The early and moderate stages. As a rule, the milder the stage, the faster and longer the effect, and regular hyaluronic acid injections may be needed less. A lasting effect cannot be expected at the most advanced stage, when the joint space has almost vanished.
Heavily loaded joints — the knees, hips and ankles — together with the spine and small hand joints. All of them can be treated with regenerative treatment.
As a rule it progresses, so pain becomes constant, movement more limited, the joint may deform and walking can be hard. Early diagnosis, weight control, exercise and working with your doctor make a real difference.
An X-ray is the main method and shows the stage. MRI gives a detailed view of the cartilage and soft tissues, ultrasound shows inflammation and fluid in the joint, and blood tests help rule out inflammatory conditions. If you already have results, the doctor can review them free of charge.
Osteoarthritis means worn cartilage — aching pain when moving, crunching, stiffness after rest. Arthritis means inflammation — pain at night and at rest, swelling, redness, warmth over the joint. As the approach to treatment differs, the 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 — and it is recommended. The right activity strengthens the muscles that take load off the joint, improves cartilage nutrition and keeps you mobile. Good choices are swimming, water aerobics, cycling, Nordic walking and yoga; avoid jumping, running on hard surfaces, heavy lifting and sudden movements.
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.
Without treatment, osteoarthritis usually progresses: pain becomes constant, movement becomes limited and the joint may deform. Early diagnosis, weight control, exercise and working with a doctor make a real difference for every patient in Ilesa.
Osteoarthritis treatment in Ilesa 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 at the consultation.
Leave a request, and a coordinator will contact you to arrange a free scan review. The price of osteoarthritis treatment in Ilesa is explained before treatment begins.
Ilesa is a historic city in Osun State, in southwest Nigeria. It is the capital of the old Ijesha state-kingdom, and the Owa Obokun Adimula of Ijesaland is its traditional ruler. Population estimates put the city at about 325000 inhabitants. For many people here, knee, hip, hand or spine pain is not just a medical complaint. It affects walking to work, standing through a long day, kneeling at family events and keeping up with the pace of a busy household.
City Medical Centre works with patients in Ilesa through a free online consultation. Coordinators are available 24/7 on Telegram and Telegram. You can send questions, scan results and a short description of your symptoms from home. Nobody has to rearrange their working week just to find out whether a particular approach suits them.
This text explains how osteoarthritis treatment is planned, what the SVF-based approach involves, how recovery fits into daily life in Ilesa, and which questions are worth asking a specialist before making any decision. It is general information and does not replace an individual assessment.
Ilesa is a city of long-established communities. The Ijesa people live in the city and in a wide ring of surrounding towns, and Ilesa itself includes a number of those surrounding settlements. Many families keep close links between town and neighbouring communities. Moving around, carrying loads, climbing steps and standing at a market stall or workshop are normal parts of the week. A painful knee or hip makes every one of those tasks harder.
Ilesa is also known for its natural resources, especially gold, and the wider area has seen growing exploration activity. Physical work and demanding schedules are common in a region like this. People who spend hours on their feet, lift heavy items or work in cramped positions often notice joint wear earlier or more strongly. Pain that starts as an occasional nuisance can become a daily limit on work.
There is also a student community. The College of Technology at Imelu is one of the schools in Ilesa. Younger adults generally have different causes of joint pain from older patients, for example after injury or sport, and that is exactly why the first step is a correct diagnosis rather than a standard treatment for everyone.
Patients in Ilesa often use the word arthritis for any joint pain, but doctors separate several 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.
Osteoarthritis is different in character. It is a chronic, wear-related condition of the joint, and it needs an ongoing plan rather than a single injection. If your symptoms look inflammatory, with a hot red swollen joint or stiffness that lasts a long time in the morning, tell the coordinator at the very first message. That kind of picture may need blood tests and a rheumatology opinion before anything else is decided.
General guidance such as NICE, Osteoarthritis in over 16s: diagnosis and management (NG226), stresses that management is built around the individual. It starts with an assessment, education, exercise and attention to body weight, and then adds further options as needed. A good online consultation follows the same logic: history first, procedures second.
The procedure begins with collecting a small amount of the patient's own fat. 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 so that the cell fraction can be used in treatment of the joint, as agreed with the treating specialist.
The stage of the disease matters a great deal. 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. So an honest conversation with a patient from Ilesa starts with imaging and a clear statement of the stage, not with a promise about the treatment.
In general terms, people who may be considered are those with early-stage changes, pain that limits daily life and no active infection. Those who are less suitable include patients with an acute infection, an active inflammatory flare that has not been investigated, or advanced joint damage where replacement is the realistic route. The online team will ask for your scans and reports to say which group you are likely to fall into.
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. This matters for planning. It is not an overnight change, and nobody in Ilesa should arrange a major event or a physically demanding commitment around the expectation of instant relief.
Because osteoarthritis is chronic, the injection is one part of a longer plan. That plan usually includes strengthening exercises, sensible activity, footwear that suits your daily routine and attention to body weight. The WHO fact sheet on obesity and overweight is a useful general reference on why weight management is part of healthy living, and extra weight is a common topic when joints are discussed.
Expect some tenderness at the small puncture site where the fat was taken. As no stitches are used, wound care is simple, but follow the instructions you are given exactly. Report any redness, warmth, discharge or increasing pain to the coordinators straight away, since they are reachable around the clock.
Start with your own calendar. A trader, farmer, teacher, driver or office worker in Ilesa has a different load on the joints, and the recovery plan should reflect that. Tell the coordinator what your day actually looks like: how long you stand, whether you climb stairs, whether you carry goods, and how you get around the city. This lets the specialist suggest a realistic return to work rather than a generic schedule.
Students, including those at the College of Technology in Imelu, may prefer a period with fewer practical sessions and less standing. If your work is physical, ask whether a temporary change of duties is possible and how it should be discussed with your employer. Many people find it easier to plan the procedure for a quieter stretch of the working year.
Family and community events are central in the Ijesa cultural landscape, and they often involve long periods of standing, dancing, greeting guests and helping with preparation. If an important event is coming, say so at the beginning. It is wiser to schedule treatment well before such a date, or after it, than to push the joint through a major day while it is still adjusting.
Choose the season with your own comfort in mind. Whatever the weather in Ilesa on the day, the same general rules apply. On hot days, rest in the shade, drink enough fluids and avoid long periods of standing in the sun. If a swollen joint feels warmer than usual, that is a reason to rest rather than to push on.
In wet weather, wet floors and muddy paths raise the risk of slipping, which is a real concern for anyone with an unstable knee or hip. Wear shoes with a firm grip and consider a walking aid during the first weeks if the specialist agrees. In dusty or dry periods, keep the puncture site clean and covered as advised.
Do not swim in pools, rivers or other open water, and do not sit in very hot baths, until the specialist confirms that the small puncture site has healed. Gentle walking is usually encouraged, but strenuous sport, football, long runs or heavy lifting should wait until you have clear guidance. Compression garments or supports should be used only if the treating team recommends them for your joint.
The first contact is free. Write to the coordinators on Telegram or Telegram at any time, since they work 24/7. Describe which joint hurts, for how long, whether pain is worse at night or in the morning, and what you have already tried. Add any X-ray, MRI or blood test reports you have, even if they are old.
A specialist then reviews your information and suggests the next step. This might be a request for better images or tests, a conclusion that a conservative plan is more suitable, or a conversation about SVF therapy if the stage fits. If the disease is advanced and surgery is the realistic option, you will be told so plainly.
You can ask for explanations in simple language, show the messages to your family and take your time. There is no pressure to decide during the first conversation. Many people in Ilesa prefer to discuss a decision with relatives, which is perfectly reasonable for a treatment that unfolds over many months.
Prepare a short list before the consultation. Ask which stage your osteoarthritis is at and what the images show. Ask whether your pain could be inflammatory rather than wear-related, and which tests would settle that. Ask what the realistic benefit is for someone at your stage, how long it may last, and what happens if the effect fades.
Ask what the procedure involves in practice: where the fat is taken from, how local anaesthetic is used, and what care the puncture site needs. Ask when you can go back to your own type of work, which activities to avoid at first and when it is reasonable to return to sport or heavy tasks.
Ask what the ongoing plan will be, because osteoarthritis is chronic. Exercises, weight, footwear and follow-up checks all form part of the answer. Finally, ask what signs mean you should contact the team at once, and how quickly the coordinators respond. A clear, calm answer to each of these questions is the best sign that the plan has been properly thought through.
Yes. The online consultation is free, and coordinators are available 24/7 on Telegram and Telegram. You send your symptoms and any existing scans or reports, and a specialist reviews them remotely.
No. Arthritis is an inflammatory disease of the joints, with 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 a different, wear-related condition, so a correct diagnosis comes first.
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, and it 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. Exercise, weight management, suitable footwear and regular follow-up remain part of the care.
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 specialist decides after reviewing your imaging.
People with an active infection, an uninvestigated inflammatory flare or advanced joint damage where replacement is the realistic route are generally less suitable. The remote team will tell you honestly if another path is better for you.
Describe your working day to the coordinator, including standing time, lifting and daily movement around the city. The specialist can then advise on a realistic return to work and on whether temporary lighter duties would help.
Avoid pools, rivers and other open water, as well as strenuous sport and heavy lifting, until the specialist confirms that the puncture site has healed and the joint is ready. Gentle walking is usually encouraged.
Yes, it is a common topic in osteoarthritis care. Extra weight places more load on the knees and hips, and weight management is part of general guidance such as NICE NG226. Discuss realistic goals with your doctor.