
Cartilage repair options for lasting joint health
A practical overview of cartilage repair, injection therapy, rehabilitation planning, and the clinical evidence that guides joint preservation care.

Recovery
NanoACi is a single injection, done in about 30 minutes under local anaesthetic. Most people go home the same day. Here is what recovery looks like, and how much lighter it is than surgery.
Reviewed byProfessor Paul Lee MBBch, FRCS (Tr & Orth), PhDCartilage and joint preservation expertiseRecovery from NanoACi is straightforward. It is one injection under local anaesthetic, about 30 minutes as an outpatient, and most people go home the same day and return to light daily activity that day. Improvement usually starts between 2 and 6 weeks. There is no theatre, no crutches for months and no long staged rehabilitation.
NanoACi is a technique Professor Lee performs in a single session. It delivers your own cells, a ChondroFiller scaffold and PRF into the joint through one injection under local anaesthetic, taking around 30 minutes. It is done as an outpatient, so there is no general anaesthetic and no hospital stay. Most people walk out the same day and get back to light daily activity straight away.
In the first 24 to 48 hours, about 1 in 10 people notice mild joint inflammation as the joint responds. This settles on its own and simple pain relief is usually enough. Over the first week, it helps to rest the treated joint, take things steady, and keep the small ear donor site clean. That ear site is a tiny area where a little of your own cartilage is taken to prepare the cells, and it heals quickly.
In studies of the micrografting technology behind NanoACi, the benefit has been reported to last at least three years. That is a property of the underlying technology, and every joint recovers in its own way.
Surgical cartilage repair such as STACI involves theatre, a recovery on crutches and a staged rehabilitation that can run 9 to 12 months. NanoACi asks far less of you. There is no theatre, no months on crutches and no long staged programme. It is a single injection you recover from over weeks, not seasons, which is why many people who want to avoid or delay surgery start here.
Whether NanoACi or a surgical pathway suits you is decided by Professor Lee on your imaging and examination. If you would like to compare the two directly, the pages below set out how they differ.


Many people return to a desk-based job the same day or the next day. If your work is physically demanding, plan for a few lighter days while the joint settles. NanoACi is an outpatient injection, so there is no hospital stay to work around.
The injection is done under local anaesthetic. About 1 in 10 people notice mild joint inflammation in the first 24 to 48 hours, which settles on its own. Simple pain relief is usually all that is needed, and the small ear donor site is a tiny area that heals quickly.
Improvement usually starts between 2 and 6 weeks as the cartilage repair develops. In studies of the micrografting technology behind NanoACi, the benefit has been reported to last at least three years. That is a property of the underlying technology, and every joint responds in its own way.
It is much lighter than surgical cartilage repair. There is no theatre, no crutches for months, and no 9 to 12 month staged rehabilitation. NanoACi is a single injection you recover from over weeks rather than seasons. See NanoACi vs STACI for how the two pathways differ.
Gentle activity and physiotherapy are encouraged after the first week to guide your return to normal movement. High-impact activity is paused briefly and reintroduced gradually. Professor Lee will tailor the advice to your joint and how you are progressing.
Keep the small ear donor site clean and dry for the first few days. It is a tiny area where a little cartilage is taken to prepare your own cells, and it settles quickly with no special care beyond keeping it clean.
Still have more specific concerns?
Free Discovery CallOptions that our doctors may discuss include NanoACi, ChondroFiller, Mytocel MSK, joint replacement, established conservative care or surgery, depending on examination and imaging.
A free discovery call is the easiest first step. If you have not had a recent MRI, we can arrange your scan and consultation together, so Professor Lee can review your imaging and plan treatment in one visit.
London Cartilage Clinic
Clinical updates, cartilage treatment guidance, and recovery-focused articles from our specialist team.

A practical overview of cartilage repair, injection therapy, rehabilitation planning, and the clinical evidence that guides joint preservation care.

A practical overview of cartilage repair, injection therapy, rehabilitation planning, and the clinical evidence that guides joint preservation care.

A practical overview of cartilage repair, injection therapy, rehabilitation planning, and the clinical evidence that guides joint preservation care.