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.
Cell therapy (SVF) plus PRP for arthrosis of the knee, hip and beyond. Send your X-rays or MRI — the stage review costs nothing
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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.
It most often affects the joints that carry the most load — the knee (gonarthrosis) and the hip (coxarthrosis), as well as the ankle and the small joints of the hand. Treatment works best at early and moderate stages, before the joint surfaces are badly damaged; at an advanced stage the doctor will tell you honestly if joint replacement is the more realistic option.

It is up to the doctor, after examining you and reviewing your scans, to decide whether the treatment fits


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.
2Blood is taken from a vein in a small amount. Later, platelet-rich plasma containing growth factors is prepared from it.
3Local anaesthetic is used while a small portion of adipose tissue, about 30 ml, is taken through a puncture on the abdomen or inner thigh. The site needs no stitches.
4The sample is spun in a centrifuge and separates into layers. The stromal vascular fraction is isolated and mixed with the platelet-rich plasma.
5Using ultrasound guidance, the doctor injects the prepared material directly into the affected joint so it is placed precisely.
6There is no hospital stay and you will not need crutches. The doctor remains in contact after the procedure 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
We use your own adipose tissue and blood only, with no donor or synthetic material
Your adipose tissue, in a small sample, is processed to isolate the stromal vascular fraction (SVF): a combination of cells that take part in tissue repair. With your own plasma added, it is injected into the joint in question.

Its main use is at early and moderate stages of osteoarthritis, to slow the wear of cartilage and lessen friction between the joint surfaces.
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.

For mild osteoarthritis it is often used alone, and with SVF when the effect needs to be stronger.
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
From large joints to small ones — which joint, which method and how many injections is decided after the doctor studies your scans
KneeCartilage wearing down, meniscus problems, pain on stairs and after a walk
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderPain when raising the arm, wear of the joint and surrounding tendons
ElbowOveruse or sports strain causing pain; worn joint surfaces
Hand and wrist jointsPainful, stiff small joints of the wrist and fingers
AnklePain and stiffness after sprains and old injuriesAdvantages
Instead of replacing your joint, we work to keep it — treatment without surgery

We use your own adipose tissue and blood only, with no donor or synthetic material

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

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

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
The doctor names the cost after the consultation — it depends on the joint, the method and how advanced the osteoarthritis is
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
In a joint, the ends of the bones are covered with cartilage, and in this condition it gradually wears. When it thins, the joint's cushioning goes, the bones rub together and pain, stiffness and crunching follow. The condition is degenerative, not inflammatory.
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.
The first changes are often felt 2–3 weeks after the procedure, and a stable result forms over about six months, lasting several months to several years depending on the person. Osteoarthritis is chronic, which is why it needs an ongoing plan instead of one 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.
Knees, hips and ankles, as the joints carrying the most load, plus the small joints of the hand and the spine. Regenerative treatment is used for each of these joints.
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 remains the main method and shows the stage, while MRI gives a detailed picture of cartilage and soft tissues. Ultrasound shows inflammation and fluid in the joint, and blood tests help rule out inflammatory diseases. Existing results can be reviewed by the doctor 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. Your X-rays, MRI or test results are reviewed by a doctor free of charge, the stage of osteoarthritis is assessed, and a non-surgical plan is suggested if 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.
Treatment of osteoarthritis in Ondo uses your own tissue: plasma from a small blood sample and the stromal vascular fraction from a small sample of adipose tissue. There is no donor or synthetic material.
Blood tests help rule out inflammatory conditions before treatment. If you are a patient from Ondo, the doctor tells you in advance which tests are needed so you can prepare.
A consultation is the first step for every patient from Ondo. It is free, and after it you know the stage, the method and the cost of treatment.
Ondo Town is the second largest city in Ondo State, Nigeria, with about 375,000 inhabitants. It is a working city. People here spend long hours on their feet in markets, on farms, in classrooms and in workshops, and the knees, hips, hands and spine carry that load every day. When joint pain begins, many residents of Ondo first try to ignore it. They attribute it to age, a hard week or a poor night's sleep, and keep going.
Osteoarthritis is different from a passing strain. It is a chronic condition, so it needs an ongoing plan rather than a single injection or a single decision. The sooner a person in Ondo understands what is happening in the joint, the more options remain open. This text explains how osteoarthritis treatment with a cell-based approach is planned for a patient who lives in Ondo, what to ask, and how to fit recovery into the real rhythm of the city.
Everything starts with a free online consultation. You contact the City Medical Centre coordinators on Telegram or Telegram from your own home in Ondo. They are available around the clock (24/7), so you can write when the working day is over and the house is quiet.
Ondo Town is the trade centre of the surrounding region. Yams, cassava, grain, tobacco and cotton are grown around it, and the town is the largest producer of cocoa products in the region. Anyone who has worked with these crops, or carried and loaded them, knows what repeated bending, kneeling, lifting and standing do to the knees, hips and lower back. Traders who stand at a stall all day and farmers who work the soil are among those most likely to describe joint pain that worsens by evening.
The cotton grown locally is often woven into Aso Oke, a culturally significant cloth used for clothing among the local population. Weaving is fine, repetitive work. It asks a lot of the hands, wrists, shoulders and the seated back. Pain and stiffness in the finger joints or the lower back can make this craft hard, and craftspeople often ask whether the joint can be supported without stopping work for long.
These are exactly the questions to bring to the first conversation: what your day looks like, which movements hurt, which tasks you cannot give up, and how many days of lighter activity you can realistically arrange. A treatment plan that ignores your work will not hold, so the plan is built around it.
Not every painful joint has the same cause, and this distinction matters before any treatment is chosen. Arthritis is an inflammatory disease of the joints. Its typical signs are pain at rest and at night, morning stiffness lasting more than 30 minutes, swelling, and redness and warmth over the joint. Its causes include autoimmune conditions such as rheumatoid arthritis, infections, gout and psoriasis.
Osteoarthritis usually behaves differently. Pain tends to grow with load and ease with rest, and the joint feels worn rather than hot. In practice the two can overlap, which is why a patient in Ondo should not rely on a guess. If a joint is red, warm and swollen, or if stiffness in the morning lasts longer than 30 minutes, tell the coordinator at the very start, because an inflammatory cause needs its own assessment before anything else.
For the remote consultation, prepare a short written history: which joints hurt, since when, what makes the pain better or worse, whether nights are disturbed, and any earlier diagnoses such as gout or psoriasis. Photographs of swollen joints and any existing scans or laboratory results help the specialist form a clear first impression.
The process is simple and takes place entirely from where you live. You write to the coordinators on Telegram or Telegram, and the first consultation is free. You describe your symptoms, send your documents and photographs, and a specialist reviews them. Because coordinators are available 24/7, a farmer who rises early or a teacher who marks books late can write at a convenient moment and receive an answer without rearranging the day.
Many Ondo patients are comfortable with messaging and voice notes, and that is enough to begin. Good material to send includes imaging reports, a list of current medicines, notes on previous treatment, and a short description of your daily activity. If your results are in a language or format that is hard to photograph, send what you have and the team will tell you what else is useful.
The result of the consultation is a plan, not a pressure to decide. You learn whether your joint is at an early stage where a cell-based approach may be considered, or at a later stage where surgery is usually required. You can discuss the plan with your family, as is the custom in many households in Ondo, before you agree to anything.
The approach discussed for early osteoarthritis uses your own 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. For a person who worries about a long wound in a hot working environment, this is a practical point, since there is no suture line to keep clean and dry.
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. The wording matters: it is about supporting the joint and gaining time, not about turning back the clock. At later stages surgery is usually required, and a frank specialist will say so rather than offer something unsuitable.
Patients in Ondo often ask whether one session is enough. Since osteoarthritis is chronic, it needs an ongoing plan rather than a single injection. That plan can include movement, weight management, strengthening, footwear and follow-up. The cell-based step is one part of it, not the whole story.
After collecting the tissue, the puncture area is small, and the main practical advice concerns keeping it clean, comfortable and protected. In hot or humid weather, choose light, loose clothing that does not rub the abdomen or inner thigh, and avoid situations where sweat and dust sit against the skin for hours. If the day is dusty, for instance on a farm road or near a busy market, cover the area and change the dressing as the team instructs.
Swelling and tenderness around the treated joint are discussed during the consultation, and the specialist will tell you which activities to reduce and for how long. As general advice, avoid sudden heavy loading in the first days, rest the joint on hot afternoons, and do not test it with a long walk or a day of lifting just because it feels better. Natural water such as a river or a public pool should wait until the specialist confirms that the puncture area is ready.
Meals matter too. Ondo has a strong food culture built on yams, cassava and grain, and these are filling, starchy staples. Nothing needs to be given up, but portions and the overall balance affect body weight, and weight puts load on the knees and hips. The WHO treats overweight as a significant health topic, and it is worth discussing a realistic eating plan with the team.
Ondo is a city of learning. It has Ondo State University of Medical Sciences, established in 2015, along with Wesley University, Adeyemi Federal University of Education and Ondo City Polytechnic, founded in 2017. The town has over 200 public and private schools, and Ondo Boys' High School, founded in 1919, is one of the oldest schools in Africa. Teachers, lecturers and students make up a large part of the community, and many of them sit for long periods, then stand and walk between lecture halls and classrooms.
For an academic, the best moment for treatment is usually between busy periods: after exams are marked, or when the timetable is lighter. Students with joint problems, which are less common but possible after injury or in inflammatory disease, can plan around a break. Ask the coordinator to help you set a calendar that leaves a few quiet days after the procedure, followed by a gradual return to normal activity.
Family events are central to life in Ondo, and ceremonies often involve long standing, dancing, carrying and sitting on low seats. If an important event is coming, say so at the start. It may be wiser to schedule treatment after it, or to plan the recovery so that you can take part in comfort. The specialist can then suggest how much activity is sensible at each stage.
Patience is part of this treatment. 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 is a wide range, and no honest specialist can promise where you will fall within it.
Keep a simple diary from the first day. Note morning stiffness, pain after walking, pain at night, how many steps you can take, and how you manage stairs, kneeling or lifting. A record like this lets you and the specialist see real progress rather than rely on memory. It is also useful for deciding on the next step in the ongoing plan.
Return to work and sport should be gradual. A trader can often return to light standing tasks sooner than to heavy lifting, and a farmer should phase in bending and carrying. Walking is generally a good start, and heavier sport comes later, as the specialist advises. Strengthening the muscles around the joint is a central part of long-term management, in line with the NICE guideline Osteoarthritis in over 16s: diagnosis and management (NG226), which stresses exercise, weight management and education alongside other options.
In general terms, the cell-based approach is considered for people with early osteoarthritis, stages 1–2, who still have a joint worth supporting. It is less suitable for advanced damage, where surgery is usually required. Active infection, an untreated inflammatory disease, a serious illness that affects healing, or unrealistic expectations are all reasons for caution. The specialist will review your history, so be honest about every condition and medicine.
Prepare questions before the consultation. Which stage is my joint at, and what is the evidence for it? Is my pain from osteoarthritis or from an inflammatory cause? What does the plan include besides the procedure? How long before I can return to my job? What activity should I avoid, and for how long? What happens if the result is short-lived? What would be the next step, including surgery, if it is needed?
Write the answers down and share them with someone you trust. A calm, informed decision made at home in Ondo, with the coordinators reachable around the clock on Telegram or Telegram, is better than a rushed one.
Yes. The online consultation is free and you take it from your own home in Ondo. You write to the coordinators on Telegram or Telegram, send your complaints and any scans or results, and a specialist reviews them. Coordinators are available 24/7.
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.
Not on its own. Osteoarthritis is chronic, so it needs an ongoing plan rather than a single injection. The plan usually combines the procedure with exercise, weight management and regular follow-up.
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.
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.
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. If you notice these signs, tell the coordinator at once so the cause can be assessed first.
Most people plan a few quiet days after the procedure and then return to work gradually. Lighter tasks usually come first, and heavy lifting or long kneeling later. The specialist will give advice that fits your job.
Yes. Body weight puts load on the knees and hips, and the WHO treats overweight as an important health topic. You do not have to give up the staples of Ondo cooking, but portions and balance are worth discussing with the team.
Send any imaging reports, laboratory results, a list of medicines, notes on earlier treatment, photographs of swollen joints, and a short description of your daily activity and the movements that hurt.