1Consultation and scan review
The doctor examines the joint, reviews your X-rays, MRI or ultrasound and decides whether the procedure suits you. If you already have scans, you can send them before the visit.
Knee, hip or another joint affected by arthrosis? SVF cell therapy and PRP, with a no-cost look at your X-rays or MRI to define the stage
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What it is
Osteoarthritis (arthrosis) is a long-term condition where the cartilage covering a joint slowly thins and wears down. Because cartilage cushions the joint, its loss lets the bones grind against one another, bringing pain, stiffness and reduced movement. The disease is degenerative, not inflammatory, though swollen flare-ups can occur.
The knee (gonarthrosis) and the hip (coxarthrosis) are the most common sites, being the most loaded joints, together with the ankle and the small joints in the hand. Early and moderate stages are where treatment works best, before the joint surfaces are seriously harmed; at an advanced stage you will get an honest answer if 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
1The doctor examines the joint, reviews your X-rays, MRI or ultrasound and decides whether the procedure suits you. If you already have scans, you can send them before the visit.
2A little blood is drawn from a vein; platelet-rich plasma with growth factors is prepared from it later.
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.
4A centrifuge separates the sample into layers. From them the stromal vascular fraction is isolated and added to the platelet-rich plasma.
5The prepared material is injected directly into the affected joint under ultrasound guidance, which helps place it precisely.
6There are no crutches and no hospital stay. After the procedure the doctor keeps in touch and follows 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
Only your own adipose tissue and blood — no synthetic or donor material
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.

The typical indication is early or moderate osteoarthritis: the aim is slower cartilage wear and less friction between the surfaces of the joint.
Taken from a small amount of your blood, plasma rich in platelets and growth factors is injected into the joint. There it helps calm inflammation and sets up 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
Small and large joints are treated; the doctor determines the joint, method and number of injections after looking at your scans
KneeMeniscus problems, cartilage wear and pain when walking or on stairs
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 jointsStiff and sore small joints in the wrist and the fingers
AnklePain and stiffness after sprains and old injuriesAdvantages
Instead of replacing your joint, we work to keep it — treatment without surgery

Only your own adipose tissue and blood — no synthetic or donor material

Done through punctures under local anaesthetic, without incisions or long rehabilitation

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

We follow the result and keep in touch after the procedure, not only 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 doctor quotes the cost after the consultation, as it depends on the joint, the method and the stage of osteoarthritis
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.
Yes, in many cases — if you do not delay treatment. SVF and PRP injections are meant to ease pain and support the cartilage without an operation, while joint replacement is kept as the last option for a destroyed joint.
Around 2–3 weeks after the procedure, many patients feel the first changes. A stable result builds over about six months and lasts from several months to several years, which varies individually. Since osteoarthritis is chronic, a single injection is not enough — it needs an ongoing plan.
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.
Those that carry the most load: knees, hips, ankles, and also the small hand joints and the spine. Regenerative treatment is applied to every one of them.
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.
The main method is an X-ray, which shows the stage. MRI gives a detailed picture of cartilage and soft tissues, ultrasound reveals inflammation and fluid in the joint, and blood tests help exclude inflammatory conditions. If you already have results, the doctor can review them free of charge.
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.
Yes. After you send X-rays, MRI or test results, a doctor reviews them free of charge, gauges the stage of osteoarthritis and proposes a non-surgical plan if it suits your case.
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 is not the same as arthritis. Arthrosis is wear of the cartilage; arthritis is inflammation with pain at rest, swelling and warmth. The approach differs, so the diagnosis comes first for everyone in Mwanza.
Follow-up visits let the doctor see how the joint responds. In Mwanza, check-ups after one, three and six months help adjust the plan and decide whether a repeat course is needed.
How much does arthrosis treatment cost in Mwanza? The doctor names the price after assessing the stage from your X-ray or MRI and choosing PRP, SVF or a combination. Send a request or message us in any messenger.
Mwanza, known to its residents as Rock City, is a port city on the southern shore of Lake Victoria in north-western Tanzania. It is the capital of Mwanza Region and is divided into two municipal districts, Ilemela and Nyamagana. The 2022 census recorded an urban population of 1,104,521 and 3,699,872 in the region, which makes Mwanza the second largest city in Tanzania after Dar es Salaam. A city of this size has many people who live with aching knees, hips and hands and who look for clear information before deciding on any treatment.
Osteoarthritis is the usual reason for these complaints, and it is chronic. That is why the centre talks about an ongoing plan rather than one single injection. A person in Mwanza who climbs the rocky slopes of the city every day, carries goods to a market, or stands for long hours at work will feel a worn joint sooner than someone with a sedentary routine. This text explains how treatment planning can fit the rhythm of the city and how a free online consultation works from Mwanza.
City Medical Centre works with patients from Mwanza remotely. The consultation is free and online, and coordinators answer on WhatsApp and Telegram around the clock, 24/7. You do not need to rearrange your week to ask the first questions.
Many people in Mwanza use the word arthritis for every kind of joint pain, but doctors separate two different pictures. 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 a chronic wearing process of the joint, and its management differs from the treatment of an inflammatory disease. If your knee is hot, red and swollen, or the pain wakes you at night, tell the coordinator in the first message. This detail helps the doctor decide whether the problem is osteoarthritis or an inflammatory condition that needs a different examination.
A short diary helps before the consultation. Write down which joint hurts, when the pain is worst, how long the morning stiffness lasts, and what you have already tried. Patients in Mwanza who keep such notes usually get much clearer answers in the first conversation.
The approach discussed here is SVF therapy, which uses the patient's 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. Because the puncture is small, many people picture a quick return to normal days, but you should still plan the first days calmly.
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 an honest limit: the method is not suitable for every stage, and the remote doctor will tell you if your situation falls outside it.
Ask the doctor which stage your joint is at, which images or reports are needed, and what the treatment can and cannot do in your case. Images and reports can be sent through the same messengers you already use with the coordinator.
Mwanza has a tropical savanna climate. Temperatures are fairly even through the year, roughly 23.5 °C on average, tempered by the altitude of the city, so it is not as hot as the nearness to the equator suggests. The wet season is long and runs from October through May, while the short dry season covers the remaining four months. Annual rainfall is roughly 1,050 millimetres.
For recovery this is mostly helpful. There are no extreme cold spells that stiffen joints, and the heat is moderate. During the wet months, wet floors and slippery paths on the hilly streets are the main concern for someone with a sore knee or hip, so choose shoes with a firm grip and keep a dry surface at the entrance of your home. Keep the small puncture area clean and dry, and avoid wearing tight clothing that rubs it in the humid air.
In the dry season, dust and strong sun become the topic. Wear light, loose clothing, protect the treated area from direct sun, and drink water regularly. Do not go into the lake or a swimming pool until the doctor confirms that the puncture area has healed. Lake water is not a place for a fresh wound.
With only four dry months and a long wet season, many people in Mwanza ask whether there is a better time. There is no single answer. In the wet season you may be less tempted to be outside, and the cooler, cloudy days can make a quiet first week easier. In the dry season, the roads are easier to move on, but sun and dust need more care.
The better question is which weeks in your calendar are the calmest. Check work deadlines, family events and school terms, and tell the coordinator, who can discuss the timing with the doctor. Do not postpone treatment for months only because of the weather if your pain is increasing.
Remember that the result develops slowly. 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. So plan for the whole half-year, not just the first days.
Mwanza is a port and commercial city. People work in trade, at the lake port, in offices, in shops and in the large Rock City Mall in Ilemela, which opened in 2016 and is among the biggest malls in the country. Jobs that need long standing, lifting or walking on stairs put the most load on the joints, and these are the jobs to discuss with the doctor.
Office workers, teachers and students, including those at St. Augustine University of Tanzania south of the city, face a different problem: sitting for hours makes hips and knees stiff. Short breaks to stand and walk help. If your daily commute includes a long ride by bus or car, ask how to sit comfortably and how often to stretch.
Speak to your employer early if you expect to need a lighter schedule for a few days. Ask the surgeon what you may do on the first day, what you must avoid, and when you can resume heavy work. Do not rely on a neighbour's story, because every joint and every person is different.
Football is part of Mwanza life. The CCM Kirumba Stadium has hosted matches of the national team, and Mbao FC, a local club, reached the Tanzanian Premier League after the 2015/2016 season. Many men and women play on weekends or with colleagues and friends. Twisting, sudden stops and jumping are hard on a knee with osteoarthritis.
Ask the doctor directly when you can walk long distances, when you can jog, and when you can return to a match. Do not return to the pitch on the first good day. A gradual schedule, with walking first, then light exercise, then sport, is safer. Strengthening the muscles around the joint is often part of a long-term plan, and a physiotherapist can advise on this.
Family life matters too. Sukuma families, who make up the large majority of the region, often gather for weddings, funerals and community events, with long hours of sitting, standing and dancing. Think about these dates before the procedure and keep the first days free from heavy hosting or carrying.
The lake is the source of fish that is central to the table in Mwanza, and meals often combine fish, ugali, rice, vegetables and fruit. This everyday food can fit a joint-friendly lifestyle, especially when fried dishes and sugary drinks are limited. Good nutrition supports healing and general health.
Body weight is a real factor for hips and knees. The World Health Organization treats overweight and obesity as a major health issue, and extra weight adds load to weight-bearing joints. You do not need a strict diet before a consultation, but ask the doctor whether weight management should be part of your plan.
Avoid heavy alcohol on the day of the procedure and in the first days afterwards, unless the doctor says otherwise. Ask if you should stop any medicine you take for pain before the procedure, and never stop prescribed medicine on your own.
In general terms, the best candidates are people with osteoarthritis at an early stage who still have a working joint and want to delay surgery. Those with advanced damage usually need surgery, as stated above. Signs of active inflammation, infection, or a recent injury need to be examined first.
Contraindications are decided by the doctor after reviewing your history. Be ready to tell the doctor about chronic diseases, blood-clotting problems, allergies to local anaesthetic, current infections, pregnancy or breastfeeding, and all medicines. Honest answers protect you.
If the doctor advises against the procedure, this is a useful result of the consultation, because it saves time and prevents unnecessary treatment. You can then discuss other options with a local specialist in Mwanza.
The first step is a message to the coordinator on WhatsApp or Telegram. Describe your joint, the pain, how long it has lasted and what has been done so far. Add scans, X-rays or reports if you have them. The coordinators are available around the clock, so you can write after work or in the evening.
The doctor reviews the material in a free online consultation and explains whether SVF therapy is reasonable for your stage, what the plan would look like, and what the follow-up involves. Because osteoarthritis is chronic, the plan is not a single injection but a long path with regular check-ups.
The consultation does not oblige you to anything. Take time, discuss it with your family, and ask your local doctor for an opinion. Clinical guidelines such as the NICE guideline on osteoarthritis in over 16s (NG226) are a good reference for diagnosis and management, and you can mention them in your conversation.
Yes. The online consultation is free, and you can start by writing to the coordinators on WhatsApp or Telegram, available 24/7.
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 chronic wear of the 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.
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.
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 wet season runs from October through May. It does not forbid treatment, but slippery ground is a risk for a sore joint, so wear shoes with good grip and keep the puncture area clean and dry.
Ask the doctor for a schedule. Return gradually, starting with walking, and do not go back to a match on the first day you feel well.
Wait until the doctor confirms that the puncture area has healed. Lake water is not suitable for a fresh wound.
Describe the joint, the pain pattern, morning stiffness, your medicines and chronic diseases, and attach any scans, X-rays or reports you have.