1Consultation 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.
We treat arthrosis in the knee, hip and other joints with SVF cell therapy and PRP, and review your X-rays or MRI for free to judge the stage
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
Osteoarthritis, which doctors also call arthrosis, is a chronic process of cartilage thinning and wearing away inside a joint. The cartilage is there to absorb shock, and as it deteriorates the bones rub together, producing pain, stiffness and reduced mobility. It is degenerative rather than inflammatory, although flares with swelling occur.
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.

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
1After 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.
2A small volume of venous blood is collected; from it, platelet-rich plasma with growth factors is prepared later on.
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.
5With ultrasound guiding the needle, the prepared material is injected directly into the affected joint and placed precisely.
6You need neither crutches nor a hospital stay. The doctor stays in contact afterwards and monitors 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
Your own blood and adipose tissue only; donor and synthetic material are not used
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.

Mainly at early and moderate stages of osteoarthritis — to reduce friction between the joint surfaces and slow down cartilage wear.
We separate plasma rich in platelets and growth factors from a small blood sample and inject it into the joint. This helps quieten inflammation and supports 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
Both large and small joints — after reviewing your scans, the doctor selects the joint, the method and how many injections you need
KneeCartilage wearing down, meniscus problems, pain on stairs and after a walk
HipEarly hip osteoarthritis, groin pain, limited rotation
ShoulderPain as the arm goes up, wear in the joint and surrounding tendons
ElbowPain after overuse or sports strain, wear of the joint surfaces
Hand and wrist jointsStiffness and aching in the fingers' and wrist's small joints
AnklePain and stiffness after sprains and old injuriesAdvantages
Your own joint is kept, not replaced — we treat without surgery

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

Punctures instead of incisions, local anaesthetic, no long rehabilitation

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

After the procedure, we keep in touch and watch the result — our work does not end 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
Osteoarthritis is slow wear of the cartilage over the ends of the bones inside a joint. Thinner cartilage means less cushioning, so the bones rub and you get pain, stiffness and crunching. It is degenerative, not inflammatory.
Often, yes — as long as treatment is not put off. SVF and PRP injections aim to relieve pain and support the cartilage with no operation. Joint replacement is the final option, for a joint that is already destroyed.
Many patients report the first changes 2–3 weeks after the procedure. A stable result develops over about six months and lasts from several months to several years depending on the individual. Because osteoarthritis is chronic, the approach is an ongoing plan rather than a single 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.
Joints under the greatest load — knees, hips and ankles — as well as the spine and the small joints of the hand. All of these joints are treated with regenerative methods.
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.
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.
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.
You can. Once you send your X-rays, MRI or test results, a doctor reviews them free of charge, assesses the osteoarthritis stage and suggests a non-surgical plan if it fits.
Yes — exercise is encouraged. The right activity builds the muscles that take the load off the joint, improves how the cartilage is nourished and keeps you mobile. Try swimming, water aerobics, cycling, Nordic walking or yoga, and avoid running on hard ground, jumping, 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 Yenagoa.
During the first week the joint may ache a little more — this is an expected reaction. Pain usually eases over the first month, and mobility improves over about three months. Patients from Yenagoa go home the same day.
Book a free consultation in Yenagoa to find out whether SVF or PRP could slow your osteoarthritis. The doctor names the price after examining the joint.
Yenagoa is the capital of Bayelsa State, in the Niger Delta region of Southern Nigeria. The Local Government Area covers 706 km2 and has an estimated population of 798,466 at 2024. It is a working, busy place where people spend a lot of time on their feet, walking between home, market, church, office and the water's edge. When knees, hips or hands begin to ache, the effect on daily life is felt quickly.
Osteoarthritis is a chronic condition of the joint. Pain usually builds slowly and is often worse after activity. Many residents first put it down to age, to a long working week or to an old injury, and wait months before asking anyone. This text is meant to help people in Yenagoa understand what a structured treatment plan looks like, what questions to prepare, and how a remote consultation with City Medical Centre works from home.
A key point is that osteoarthritis needs an ongoing plan rather than a single injection. That idea shapes everything below: the season you choose, how you organise work and family duties, and what you expect from the first weeks and from the following months.
Yenagoa has a swampy setting with mangrove tropical rainforest. The weather is warm and cloudy in the wet season and hot and mostly cloudy in the dry season. The average annual temperature fluctuates between 71 °F and 87 °F, rarely falling below 63 °F or rising over 90 °F. There is little real cold, so the body is always dealing with warmth and humidity.
For recovery this matters in practical ways. Heat and humidity make small wounds sweat and itch, so the puncture area on the abdomen or inner thigh, where a small portion of adipose tissue is taken, should be kept clean and dry and covered as advised by your surgeon. Light, loose cotton clothing is more comfortable than tight synthetic fabric. If swelling around a joint is a concern, ask whether any support or compression garment is suitable for you, and how to wear it in constant warmth.
Humid air can also make stiff joints feel worse on some mornings, and long periods in an enclosed, poorly ventilated room do not help. Gentle movement in the cooler part of the day, drinking enough water and resting in a shaded, airy place are sensible habits. These are general ideas, and your surgeon will give instructions fitted to your own case.
Life in a delta city is close to water. Rivers, creeks, flooded paths in heavy rain and wet ground are part of everyday routine for many families. After any procedure that involves a puncture, the skin needs protection while it closes, so contact with river water, standing water, swimming pools and the sea should be discussed with the surgeon before you decide on a date. Follow the guidance you receive on when water activities may be resumed.
In the rainy months, wet and slippery surfaces are also a real concern for anyone with a painful knee or hip. A fall can set back the plan. Sturdy footwear with a good grip, a walking stick if it is advised, and avoiding uneven ground in the first weeks are simple measures that fit local conditions.
Mosquitoes and insects are common in a mangrove setting, and scratching a healing puncture area is best avoided. Ask your coordinator and surgeon how to protect the area in your own home, including whether a light dressing should be kept in place.
Patients in Yenagoa often use the word arthritis for every joint problem, but the causes differ. 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 wear-related, chronic condition, and its pattern is often different: pain that increases with load and eases with rest, particularly in the early period. Because the two groups of conditions are treated differently, a correct diagnosis comes first. If you have a hot, red, swollen joint, pain at night or long morning stiffness, say so clearly during the consultation. These signs may point to an inflammatory or infectious cause that must be checked before any regenerative approach is considered.
Guidance such as the NICE guideline Osteoarthritis in over 16s: diagnosis and management (NG226) stresses assessment, information and an individual management plan. It is a reasonable reference point for the questions you bring to your surgeon.
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 for use in the treatment plan that your surgeon will describe to you in detail.
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 distinction is central: SVF therapy is not a substitute for surgery when the joint is already badly damaged, and an honest assessment of your stage is more useful than hope.
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. Plan for gradual change, not an overnight difference, and keep in mind that continued care, sensible weight management and exercise remain part of the plan.
Body weight influences how much load passes through the knees and hips. The World Health Organization provides general information on overweight and obesity, and it is a useful read for anyone building a long-term joint plan. In Yenagoa, where meals often centre on fish, starchy staples and rich soups, small steady changes in portions and cooking methods can help without removing the foods people enjoy at family tables.
Work matters as much as food. Market traders, civil servants, teachers, drivers, boat operators and people in the service sectors all load their joints differently. Standing all day, climbing in and out of boats or vehicles, and carrying heavy goods each affect recovery. Before treatment, think through which tasks you can reduce or share for the first weeks.
Talk with your employer or family early. A short, planned adjustment in duties is far easier than a sudden absence. Ask the surgeon when light desk work, standing work and physical work can reasonably be resumed in your situation.
Yenagoa has no cold season to avoid, so the choice is mostly between the warm, cloudy wet season and the hot, mostly cloudy dry season. In the wet season, wet ground raises the risk of slipping and keeping dressings dry is harder. In the dry season, heat can make rest less comfortable and sweating more of a problem. Neither is wrong; what matters is a quiet period in your calendar.
Think about family events, church gatherings, community celebrations and work deadlines. Long standing, dancing and carrying dishes are exactly the activities that should wait during the early weeks. Football is an important part of local life, with Bayelsa United and Bayelsa Queens known in the city, and watching a match in a crowded stand is a different demand from playing. Ask the surgeon when sport and crowded events are sensible for you.
Plan for help at home for the first days: someone to shop, cook and run errands. Organise a comfortable chair, a clear path through the house and a place to rest your leg or arm in the shade.
Return to normal activity should be gradual and guided by your surgeon. Because osteoarthritis is chronic, exercise is part of the treatment, not only a reward after it. Walking on flat ground, gentle range-of-motion exercises and strengthening of the muscles around the joint are common elements of an ongoing plan, and your surgeon or physiotherapist can tell you what suits your stage.
Avoid testing the joint too early. Feeling better after 2–3 weeks can tempt people to return to heavy labour or football with friends, but the stable result forms over about six months. Respect that timeline and build up load slowly.
If pain increases, the joint becomes hot, red or swollen, or the puncture area looks inflamed, contact your coordinator promptly. Coordinators are available around the clock (24/7) on Telegram and Telegram, and you can send a photograph and a short description from home.
The first consultation with City Medical Centre is free and takes place online, from your own city. You contact the coordinators on Telegram or Telegram at any hour, since they are available 24/7. You describe your symptoms, send available reports, scans or X-rays, and list your medications and previous treatments.
A specialist reviews the material and explains what is realistic for your stage, whether SVF therapy may be considered, or whether surgery is more likely to be needed. You can ask about the procedure, recovery, compression, activity and how the follow-up plan will be organised remotely.
Prepare in advance: when the pain started, which joint is affected, what makes it worse, whether you have morning stiffness, night pain, swelling, redness or warmth, and any history of gout, psoriasis, rheumatoid arthritis or infection. Clear answers make the consultation more useful.
Useful questions include: What stage is my osteoarthritis? Is my case suitable for SVF therapy or is surgery more realistic? What happens during the procedure and how is the puncture area cared for in a warm, humid climate? When can I return to work, walking and sport? What should I do about my weight and my usual medications? How will follow-up be arranged?
Some people are not suitable candidates. Active infection, an inflammatory arthritis that is not yet diagnosed or controlled, and joints already at a late stage usually call for a different approach. Other health conditions, medicines and previous surgeries also matter. Be honest about your full medical history so that the plan is safe.
Finally, ask what you will need to do yourself. A good plan includes exercise, weight care, protection of the joint and regular review. A single procedure on its own is not a full answer to a chronic condition.
Yes. The first online consultation is free. You write to the coordinators on Telegram or Telegram from home, and they are available around the clock (24/7).
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 rheumatoid arthritis, infections, gout and psoriasis. Osteoarthritis is a chronic wear-related condition that needs an ongoing plan.
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. Exercise, weight care and regular review remain important.
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.
Warm, humid weather can cause sweating and itching around the puncture area. Keep it clean, dry and protected, wear light loose clothing, and ask your surgeon how to manage dressings and any compression garment.
Water contact should wait until the surgeon confirms the puncture area is ready. Because water is part of daily life in the Niger Delta, ask for clear instructions about rivers, pools and the sea before choosing a date.
There is no cold season in Yenagoa, so choose a calm period in your calendar. The wet season brings slippery ground and damp conditions, while the dry season is hot. Your surgeon can advise on your case.
Send scans, X-rays and reports if you have them, a list of medicines, and notes on which joint hurts, when it began, and whether you have night pain, long morning stiffness, swelling, redness or warmth.