Hip Osteoarthritis Treatment in Pretoria
Cell therapy (SVF) plus PRP for arthrosis of the knee, hip and beyond. Send your X-rays or MRI — the stage review costs nothing
No surgery — an injection instead of an operation
Own tissue — your blood and adipose tissue
Ultrasound guidance for every injection
Free consultation
and review of your scans
What is osteoarthritis
(arthrosis)?
Arthrosis, or osteoarthritis, is chronic: the cartilage inside the joint gets thinner and gradually disappears. Without this shock-absorbing layer the bones rub together, and pain, stiffness and a narrower range of motion follow. The process is degenerative; inflammation is not its cause, although swollen flare-ups are possible.
Typically the condition affects the joints that take the most strain — the knee (gonarthrosis) and hip (coxarthrosis), plus the ankle and small joints of the hand. It is most effective to treat at early and moderate stages, while the joint surfaces are not yet badly damaged; at a late stage the doctor will tell you openly whether joint replacement makes more sense.
No surgery — an injection instead of an operation
Ultrasound guidance for every injection
Free consultation and review of your scans
Joints we treat
Large joints and small joints — having reviewed your scans, the doctor chooses which joint, which method and how many injections
Elbow
Overuse or sports strain causing pain; worn joint surfaces
Hand and wrist joints
Small finger and wrist joints that are stiff and painful
Knee
Stairs and walking cause pain; cartilage wear and meniscus problems
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Joint and tendon wear around it, pain on lifting the arm
Methods we use
Cell therapy (SVF) from your own adipose tissue
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.
Early and moderate osteoarthritis is where it is mostly used — to slow cartilage wear and reduce friction between the surfaces of the joint.
PRP — platelet-rich plasma from your own blood
From a little of your blood, plasma rich in platelets and growth factors is separated and injected into the joint. It calms inflammation and gives tissue repair better conditions.
It is a common option in mild osteoarthritis and is combined with SVF where a stronger effect is needed.
How the procedure goes: step by step
Consultation and scan review
After examining the joint and reviewing your X-rays, MRI or ultrasound, the doctor decides whether the procedure suits you. Scans you already have can be sent before the visit.
Blood sample for PRP
Blood is taken from a vein in a small amount. Later, platelet-rich plasma containing growth factors is prepared from it.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
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.
Processing in a centrifuge
Spinning in a centrifuge splits the sample into layers, after which the stromal vascular fraction is isolated and mixed with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Ultrasound guidance allows the prepared material to be injected directly and precisely into the affected joint.
Follow-up
Crutches and a hospital stay are not required. The doctor stays in touch after the procedure, following the joint's response.
Consultation and scan review
After examining the joint and reviewing your X-rays, MRI or ultrasound, the doctor decides whether the procedure suits you. Scans you already have can be sent before the visit.
Blood sample for PRP
Blood is taken from a vein in a small amount. Later, platelet-rich plasma containing growth factors is prepared from it.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
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.
Processing in a centrifuge
Spinning in a centrifuge splits the sample into layers, after which the stromal vascular fraction is isolated and mixed with the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
Ultrasound guidance allows the prepared material to be injected directly and precisely into the affected joint.
Follow-up
Crutches and a hospital stay are not required. The doctor stays in touch after the procedure, following the joint's response.
Follow-up visits
Follow-up appointments let the doctor monitor the joint and adjust the plan. As a rule, pain eases in the first month, mobility improves over about three months and the full effect develops over around six months.
Conditions we treat
Whether this treatment is right for you is a doctor's decision, made after an examination and a scan review
What we work with
Arthritis
Arthrosis
Avascular necrosis
Osteoarthritis
Gonarthrosis (knee osteoarthritis)
Coxarthrosis (hip osteoarthritis)
Meniscus pathology and injury
Rehabilitation after injuries and surgery
Inflammatory joint conditions
Contraindications
Cancer
Pregnancy
Blood clotting disorders
Acute infections, including infection in or near the joint
Flare-up of a serious chronic illness
Cancer
Pregnancy and breastfeeding
Serious heart, kidney or liver disease
Temporary contraindications: fever; a cold or the flu; skin inflammation above the joint to be treated
Book a consultation
Call or message us —
our coordinator will contact you shortly
and book your consultation
Book a consultation
Call or message us —
our coordinator will contact you shortly
and book your consultation
After the procedure
Most people return home the same day, with small dressings on the puncture sites, and resume normal daily activity within a day or two. During the first week a little more joint ache is an expected reaction. Over the first month pain usually eases, over about three months mobility and activity improve, and the full effect develops over around six months. How long it lasts depends on the person, the stage of the condition, body weight, activity and other factors; no one can promise a fixed result. A healthy weight and regular exercise that is kind to the joints help the result last longer.
Why patients choose City Medical Centre
Our focus is saving your own joint, not replacing it — through treatment without surgery
Your own tissue
Your own blood and adipose tissue only; donor and synthetic material are not used
No crutches
No long rehabilitation: local anaesthetic and punctures instead of incisions
Second opinion
Send X-rays, MRI or reports and receive a doctor's independent assessment for free
Support after the procedure
We stay in contact once the procedure is done and follow the result beyond the day of the injection
Osteoarthritis treatment prices
The doctor names the cost after the consultation — it depends on the joint, the method and how advanced the osteoarthritis is
Service
Price
Book a consultation
Call or message us —
our coordinator will contact you shortly
and book your consultation
Book a consultation
Call or message us —
our coordinator will contact you shortly
and book your consultation
Joint treatment: frequently asked questions
What is osteoarthritis in simple terms?
Gradual wear of the cartilage covering the ends of the bones is what happens in this condition. Thinning cartilage removes the joint's cushioning, the bones rub together, and pain, stiffness and crunching result. It is degenerative, not inflammatory.
Can hip osteoarthritis be treated without surgery?
Many times, yes — when treatment is started without delay. SVF and PRP injections work to ease pain and support the cartilage without any operation; only a destroyed joint calls for replacement, the last option.
How soon will I notice a result?
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.
At which stage does the treatment work best?
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.
Which joints are most often affected?
Mostly the heavily loaded knees, hips and ankles, along with the small joints of the hand and the spine. Regenerative treatment is used for all these joints.
What happens if osteoarthritis is left untreated?
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.
Which tests and scans are needed?
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.
How is osteoarthritis different from arthritis?
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.
Can I get a consultation about my case?
Yes — send X-rays, MRI or test results, and a doctor will review them at no charge, assess the stage of osteoarthritis and, if appropriate, suggest a non-surgical plan.
Can I exercise with osteoarthritis?
It is not only possible but advisable. Proper activity strengthens the muscles that unload the joint, improves cartilage nutrition and maintains your mobility. Swimming, water aerobics, cycling, Nordic walking and yoga are good choices; running on hard surfaces, jumps, heavy lifting and sudden movements are to be avoided.
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Other services at our clinic
Osteoarthritis in Pretoria: stages, methods and price
Treatment of osteoarthritis in Pretoria 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.
The procedure does not require crutches or a hospital stay. Patients from Pretoria return to normal daily activity within a day or two and receive recommendations on load for the first weeks.
Do not wait until the joint is destroyed. Book a free consultation in Pretoria: early and moderate osteoarthritis responds best to treatment. The price is set individually.
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