1Consultation and scan review
The doctor decides whether the procedure suits you after examining the joint and reviewing X-rays, MRI or ultrasound. Scans you already have can be sent ahead of your visit.
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
Message our coordinator
Free online consultation · Reply within 15 minutes
Message us on TelegramMessage us on WhatsAppBy messaging us, you agree to our Privacy Policy
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.
Joints carrying the greatest load are affected most frequently — the knee (gonarthrosis), the hip (coxarthrosis), the ankle and the small hand joints. Treatment is most successful at an early or moderate stage, before the joint surfaces are badly damaged; with advanced disease the doctor will honestly say if joint replacement is the more realistic route.

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
1The doctor decides whether the procedure suits you after examining the joint and reviewing X-rays, MRI or ultrasound. Scans you already have can be sent ahead of your visit.
2We take a small amount of blood from a vein, which is later used to prepare platelet-rich plasma with growth factors.
3The 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 required.
4In a centrifuge the sample separates into layers; the stromal vascular fraction is isolated and combined with the platelet-rich plasma.
5The prepared material goes straight into the affected joint; ultrasound guidance helps position it precisely.
6No crutches, no stay in hospital. The doctor keeps in contact after the procedure and watches how your 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
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.

Mainly at early and moderate stages of osteoarthritis — to reduce friction between the joint surfaces and slow down cartilage wear.
A small blood sample provides plasma rich in platelets and growth factors; this is injected into the joint to help ease inflammation and create better conditions for the tissue to repair.

It is a common option in mild osteoarthritis and is combined with SVF where 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
Treatment for both large and small joints — your scans guide the doctor's choice of joint, method and number of injections
KneePain after walking and climbing stairs, worn cartilage, meniscus problems
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderPain on raising the arm; wear of the joint and the tendons around it
ElbowPain from overuse or sports load, with worn joint surfaces
Hand and wrist jointsStiffness and pain in the small joints of the fingers and wrist
AnklePain and stiffness after sprains and old injuriesAdvantages
Keeping your own joint instead of replacing it: that is the goal of treatment without surgery

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

Only punctures, no incisions — under local anaesthetic and without a long rehabilitation

Free of charge, a doctor gives an independent assessment of the X-rays, MRI or reports you send

We keep in contact after the procedure and monitor the result, rather than stopping on 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 price depends on the joint, the method and the stage of osteoarthritis, so the doctor gives 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.
Many patients can, if treatment is not delayed. The aim of SVF and PRP injections is to ease pain and support the cartilage without an operation, and joint replacement is the last option — for a joint already destroyed.
Many patients see the first changes 2–3 weeks after the procedure. A stable result takes about six months to form and can last from several months to several years, depending on the person. Because osteoarthritis is chronic, it needs an ongoing plan, not a single injection.
It works at early and moderate stages: a milder stage usually means a faster and more durable effect and may reduce the need for regular hyaluronic acid injections. At the most advanced stage, with the joint space almost gone, you cannot expect a lasting effect.
Load-bearing joints are most at risk: knees, hips, ankles — and also the spine and small hand joints. Regenerative treatment is used across all of these joints.
Typically it progresses, with constant pain, more limited movement, possible joint deformity and difficulty walking. Early diagnosis, weight control, exercise and working together with a doctor make a real difference.
The main tool is an X-ray, showing the stage. For detail on cartilage and soft tissues there is MRI; ultrasound reveals inflammation and fluid in the joint; blood tests help rule out inflammatory conditions. The doctor can look at results you already have 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.
Of course. A doctor reviews your X-rays, MRI or test results free of charge, assesses the stage of osteoarthritis and suggests a non-surgical plan when it is appropriate — just send them.
Yes, it is worth doing. The right exercise strengthens the muscles unloading the joint, improves nutrition of the cartilage and maintains mobility. Swimming, water aerobics, cycling, Nordic walking and yoga suit well; running on hard surfaces, jumping, heavy lifting and sudden movements should 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.
Cartilage works as a shock absorber. When it thins, the bones start to rub against each other, and the joint becomes painful and less mobile. Osteoarthritis in Kinshasa is a degenerative condition rather than an inflammatory one, although flare-ups with swelling happen.
Blood tests help rule out inflammatory conditions before treatment. If you are a patient from Kinshasa, the doctor tells you in advance which tests are needed so you can prepare.
Patients from Kinshasa 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.
Kinshasa is the capital and largest city of the Democratic Republic of the Congo, and it is one of the fastest-growing megacities in the world. The metropolitan area is estimated at around 18,552,800 people as of January 2026. In a city of this size, people with painful knees, hips and hands come from every walk of life: office employees in Gombe, teachers and students, traders at the markets, drivers, builders and people who spend the day on their feet at home and at work.
Osteoarthritis is a chronic condition. That is why a patient in Kinshasa should think about a long-term plan rather than one single procedure. The plan includes an accurate diagnosis, a sensible load on the joint, weight control, regular movement and, when it is suitable, a regenerative option such as SVF therapy based on the patient's own adipose tissue.
City Medical Centre works with patients from Kinshasa through a free online consultation. Coordinators are available 24/7 on WhatsApp and Telegram, so you can send your questions, imaging results and previous medical notes at a convenient moment, including late in the evening after a long day in a city that rarely slows down.
Many people in Kinshasa use the word arthritis for any joint pain, but the two conditions are different. 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, by contrast, is usually linked to wear and load on the joint and tends to hurt more during or after activity. The distinction matters because inflammatory arthritis needs its own diagnosis and treatment by a rheumatologist, and a regenerative procedure is not a substitute for that.
During the online consultation the coordinator will ask when the pain appears, whether it wakes you at night, how long the morning stiffness lasts and whether the joint is swollen or warm. Write these observations down for a few days beforehand. Clear notes help the doctor decide whether the picture looks like osteoarthritis, an inflammatory process or a mixture, and what tests are still needed.
Kinshasa has a tropical wet and dry climate. The rainy season is long, from October through May, and the dry season is short, from June to September. The dry season is slightly cooler than the wet season, but temperatures stay fairly constant through the year. For recovery this means there is no cold season that forces you to plan around, but heat and humidity are present almost all the time.
After an adipose tissue harvest, the small puncture area on the abdomen or inner thigh should be kept clean and dry. In warm and humid weather, sweating can irritate the skin, so loose breathable clothing is more comfortable than tight synthetic fabric. Follow the surgeon's instructions about dressings and about when you may wash normally.
Heavy rain can make the roads of a large flat city difficult, and the wet months are a practical reason to plan follow-up contact by message rather than by moving around the city. Avoid standing for hours in the heat during the first days, keep drinking water regularly, and rest the treated joint when it feels tired. These are general recommendations; your doctor gives the personal ones.
Kinshasa stretches along the southern shore of the Pool Malebo on the Congo River, across flat, low-lying terrain. The city is large, and many residents spend a lot of time moving between communes, climbing steps, queuing, carrying loads and standing at work. All of this loads the knees and hips, so it is worth discussing your real daily routine with the doctor and not only the imaging results.
Think about how you travel inside the city each day, whether your work is sedentary or on your feet, how many stairs you meet at home, and whether you carry children or goods. Small changes, such as sitting when you can, sharing heavy loads and taking short breaks, protect the joint while it is being treated.
After the procedure the plan for returning to work depends on the job. Office and administrative work is usually easier to resume than work that needs long standing or lifting. Ask the doctor to describe, in plain terms, which activities to avoid and for how long, and agree on a gradual return rather than a sudden one.
Family gatherings, church events, weddings and long shared meals are an important part of life in Kinshasa. Planning the procedure around a big family event reduces stress: it is more comfortable to recover calmly than to stand for hours at a celebration in the first days after the harvest.
Body weight is one of the main factors in knee and hip osteoarthritis, because every extra kilogram increases the load on the joint. The World Health Organization treats overweight and obesity as a major health issue worldwide and recommends balanced eating and regular physical activity. For a patient in Kinshasa this can mean paying attention to portion size, fried and sugary foods, sweet drinks, and building more walking into the day.
Do not start a strict diet without medical advice, especially around the procedure. A gradual, realistic change that fits your family meals is easier to maintain, and osteoarthritis needs this long-term 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. The tissue is then processed, and the doctor decides on the next step according to the joint and the stage of the disease.
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.
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 the stage of your osteoarthritis, confirmed by examination and imaging, is the first thing the doctor will want to know.
The best conversation starts with your diagnosis. People with early-stage osteoarthritis who still have a functioning joint are the group in which regenerative therapy is most often discussed. If the joint is badly damaged, the doctor will say honestly that surgery is the usual route.
Inflammatory arthritis, active infection, a serious general illness or a tendency to bleed need separate evaluation, and they may be reasons to postpone or decline the procedure. Tell the doctor about every medication, including blood thinners and anti-inflammatory tablets, and about previous operations.
The general guidance used in many countries, for example the NICE guideline on osteoarthritis in over 16s (NG226), places emphasis on correct diagnosis, education, exercise and weight management as the base of care. Regenerative therapy is discussed as one part of a broader plan, not as a replacement for it.
Since temperatures hardly change, the choice of season depends more on rain and on your calendar. The dry months from June to September are usually easier for moving around the city and for follow-up walking. The rainy season from October to May is also possible if you arrange rest at home and avoid unnecessary outings in heavy rain.
Choose a period without major work deadlines, exams, or family obligations. Students at the city's universities may prefer a quieter time between exam sessions. Workers should discuss leave with the employer in advance.
Keep the first days free for rest, and plan gentle walking afterwards as the doctor allows. Ask about swimming and sport before the event, because the instructions on pools, rivers and sport depend on the healing of the puncture area.
The first contact is free and online. Write to the coordinators on WhatsApp or Telegram, available around the clock, and describe your complaint. Send available X-rays, MRI or ultrasound images, laboratory results and the names of medicines you take.
The doctor studies the material, asks clarifying questions and explains whether SVF therapy is appropriate for your stage. If it is not, you will hear why and what alternatives to discuss with a local specialist.
Keep your messages organised: one joint at a time, with dates of imaging, a list of treatments you have tried and their effect. A clear history shortens the discussion and makes the recommendation more precise.
Yes. The first consultation is free and online. Coordinators are available 24/7 on WhatsApp and Telegram, and you can send your images and notes from home.
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 chronic wear-related condition that usually hurts more with load.
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.
It 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.
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.
Heat and humidity are present most of the year, so keep the puncture area clean and dry, wear loose breathable clothing, and follow the doctor's instructions on dressings and washing.
Temperatures stay fairly constant. Many people prefer the drier months from June to September for moving around, but the rainy months are also possible with good planning.
Ask about the stage of your osteoarthritis, whether you are a suitable candidate, what activities to avoid, when to return to work and sport, and what long-term plan should follow.
Yes. Extra weight increases the load on knees and hips. Gradual changes in food and activity, agreed with a doctor, support any treatment plan.