Arthritis in Tunis: When This Treatment Fits
Cell therapy (SVF) and PRP as one element of arthritis care — knee, hand, shoulder and other joints, with a doctor reviewing your tests beforehand
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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 arthritis
and when does this treatment fit?
Arthritis refers to inflammation within a joint. Typical complaints are resting and night-time pain, morning stiffness beyond half an hour, swelling, redness and warmth. It may be driven by autoimmune disease like rheumatoid or psoriatic arthritis, by gout, by an infection or by a former injury.
Used well, PRP and SVF may ease pain and inflammation and support the joint's internal tissues; still, a systemic disease needs a rheumatologist, and the injections do not replace that care. No procedure takes place during an active joint infection or a severe flare — the type of arthritis is confirmed and the moment chosen first.
No surgery — an injection instead of an operation
Ultrasound guidance for every injection
Free consultation and review of your scans
Joints we treat
Both large and small joints — after reviewing your scans, the doctor decides on the joint, the method and how many injections you need
Elbow
Wear of the joint surfaces, and pain after overuse or strain from sport
Hand and wrist joints
Stiffness with pain in the small joints of the fingers and the wrist
Knee
Wear of the cartilage, problems with the meniscus, pain after walking and on stairs
Hip
Early hip osteoarthritis, groin pain, limited rotation
Ankle
Pain and stiffness after sprains and old injuries
Shoulder
Wear of the joint and the tendons around it, pain on raising the arm
Methods we use
Cell therapy (SVF) from your own adipose tissue
To obtain the stromal vascular fraction (SVF), a mix of cells that support tissue repair, a small sample of your adipose tissue is processed. The SVF is combined with your own plasma and injected into the affected joint.
It is used in inflammatory arthritis — once the acute flare is over — for its influence on local inflammation and the repair of tissue.
PRP — platelet-rich plasma from your own blood
We separate plasma rich in platelets and growth factors from a small quantity of your blood and inject it into the joint. There it helps quieten inflammation and sets up better conditions for tissue repair.
Recommended in some cases of rheumatoid and other inflammatory arthritis, it is one part of a broader treatment plan.
How the procedure goes: step by step
Consultation and scan review
Examination of the joint and a review of X-rays, MRI or ultrasound let the doctor decide whether the procedure is suitable for you; scans you already have can be sent beforehand.
Blood sample for PRP
A small blood sample is taken from a vein. Later, platelet-rich plasma with growth factors is prepared from this blood.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
With local anaesthetic, a small amount of adipose tissue — about 30 ml — is collected through a puncture on the inner thigh or abdomen, and no stitches are required.
Processing in a centrifuge
Centrifuging the sample separates it into layers, after which the stromal vascular fraction is isolated and mixed into the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
The prepared material is injected directly into the affected joint under ultrasound guidance, which helps place it precisely.
Follow-up
No crutches, no hospital stay — and after the procedure the doctor stays in touch to follow how your joint responds.
Consultation and scan review
Examination of the joint and a review of X-rays, MRI or ultrasound let the doctor decide whether the procedure is suitable for you; scans you already have can be sent beforehand.
Blood sample for PRP
A small blood sample is taken from a vein. Later, platelet-rich plasma with growth factors is prepared from this blood.
The doctor tells you in advance which tests are needed.
Adipose tissue sample
With local anaesthetic, a small amount of adipose tissue — about 30 ml — is collected through a puncture on the inner thigh or abdomen, and no stitches are required.
Processing in a centrifuge
Centrifuging the sample separates it into layers, after which the stromal vascular fraction is isolated and mixed into the platelet-rich plasma.
The whole procedure is done in one day.
Injection into the joint
The prepared material is injected directly into the affected joint under ultrasound guidance, which helps place it precisely.
Follow-up
No crutches, no hospital stay — and after the procedure the doctor stays in touch to follow how your joint responds.
Follow-up visits
With follow-up visits the doctor can see how the joint responds and change the plan if needed. As a rule, pain eases in the first month, mobility improves across about three months, and the full effect takes around six months to develop.
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Conditions we treat
A doctor decides whether the treatment suits you after examining you and reviewing your scans
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: flu, a cold or fever, and skin inflammation over the joint to be treated
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Book a consultation
Message our coordinator
Call or message us —
our coordinator will contact you shortly
and book your consultation
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After the procedure
A same-day return home is usual, and normal daily activity comes back within a day or two; the puncture sites just need small dressings. Some extra aching in the first week is an expected reaction. Expect pain to ease over the first month, mobility and activity to improve over about three months, and the full effect to develop over around six months. The duration is different for everyone and depends on the stage of the condition, body weight, activity and other factors — a fixed result is something nobody can promise. Patients treated by a rheumatologist should not stop prescribed medication without discussing it with them.
- 1 week
- 1 month
- ~3 months
- ~6 months
Why patients choose City Medical Centre
We work on keeping your own joint rather than replacing it — treatment without surgery
Your own tissue
Your own adipose tissue and blood are the only materials used, never donor or synthetic ones
No crutches
Punctures, not incisions; local anaesthetic; and rehabilitation that is not long
Second opinion
A doctor independently assesses the X-rays, MRI or reports you send — free of charge
Support after the procedure
Staying in touch after the procedure, we follow the outcome and not only the injection day
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Arthritis treatment prices
The cost is set after the consultation: it depends on which joint, which type of arthritis and which method
Service
Price
Consultation and review of your scans
Free
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PRP therapy (platelet-rich plasma)
Price at consultation
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Cell therapy (SVF + PRP), one joint
Price at consultation
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Get a consultation
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Get a consultation
Apply by the end of the year and the clinic covers your consultation!
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Get a consultation
Apply by the end of the year and the clinic covers your consultation!
Message our coordinator
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Or message us in any messenger
Get a consultation
Apply by the end of the year and the clinic covers your consultation!
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Consultation and review of your scans
Free
Get a consultation
Apply by the end of the year and the clinic covers your consultation!
Message our coordinator
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Or message us in any messenger
PRP therapy (platelet-rich plasma)
Price at consultation
Get a consultation
Apply by the end of the year and the clinic covers your consultation!
Message our coordinator
We reply right in the chat — you can send photos
Message us on TelegramMessage us on WhatsAppBy messaging us, you agree to our Privacy Policy
Or message us in any messenger
Cell therapy (SVF + PRP), one joint
Price at consultation
Get a consultation
Apply by the end of the year and the clinic covers your consultation!
Message our coordinator
We reply right in the chat — you can send photos
Message us on TelegramMessage us on WhatsAppBy messaging us, you agree to our Privacy Policy
Or message us in any messenger
Book a consultation
Message our coordinator
Call or message us —
our coordinator will contact you shortly
and book your consultation
We reply right in the chat — you can send photos
Book a consultation
Message our coordinator
Call or message us —
our coordinator will contact you shortly
and book your consultation
We reply right in the chat — you can send photos
Message our coordinator
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Joint treatment: frequently asked questions
What is arthritis and what are its symptoms?
The joints are inflamed in arthritis, which usually means pain at rest and at night, morning stiffness lasting beyond 30 minutes, swelling, redness and warmth. Autoimmune conditions such as rheumatoid arthritis, infections, gout and psoriasis are among the causes.
Can PRP help with rheumatoid arthritis?
Platelets release growth factors that influence both tissue repair and the immune response, which is why PRP may be used in rheumatoid and other inflammatory arthritis to help reduce local inflammation, pain and swelling. It complements rather than replaces your rheumatologist's prescribed treatment.
Can psoriatic arthritis be cured?
Psoriatic arthritis is chronic and, for now, cannot be cured completely. Treatment therefore aims at long remission, controlling inflammation and preventing the joints from deforming. Regenerative injections may be one part of that plan.
How does SVF work in autoimmune arthritis?
The cells in SVF can modulate the immune response locally and support repair of damaged joint tissue. As research in this area continues, the doctor will discuss what you can realistically expect for your type of arthritis.
When is the treatment not suitable?
It is not done if there is an active joint infection, a severe flare, pregnancy, cancer or a blood clotting disorder. The doctor then postpones the procedure or offers another option.
How is knee arthritis different from osteoarthritis?
The difference: knee arthritis is inflammation from an autoimmune reaction, infection or gout (redness, warmth, marked swelling, tenderness to touch), while osteoarthritis is wear of the cartilage, usually with a dry crunch and aching pain on movement.
Why does an arthritic joint hurt even at rest?
Inflammation stimulates the joint's pain receptors non-stop: on movement, at rest, at night. Reducing the inflammation with treatment such as PRP and SVF can ease this pain.
Can joint injections be done during pregnancy?
No. Joint injections, PRP and SVF included, are contraindicated in pregnancy. Treatment of arthritis during pregnancy is decided only together with an obstetrician and a rheumatologist.
Can I get a second opinion on my tests and scans?
Yes. Send us the results of your X-rays, MRI, ultrasound or blood tests: a doctor reviews them free of charge and tells you if regenerative treatment could suit your type of arthritis.
What happens if rheumatoid arthritis is not treated?
Without treatment it can lead to permanent joint deformity, loss of function, osteoporosis and damage to internal organs such as the heart, lungs and kidneys. Timely treatment is needed to prevent these complications.
Other services at our clinic
Arthritis treatment in Tunis: what you should know
Without treatment, rheumatoid arthritis can lead to permanent joint deformity, loss of function and damage to internal organs. Timely treatment matters for every patient in Tunis.
The procedure is also not done with cancer, blood clotting disorders or during a flare-up of a serious chronic illness. The doctor checks this for every patient in Tunis at the consultation.
How much does arthritis treatment cost in Tunis? The doctor names the price after confirming the type of arthritis and choosing PRP, SVF or a combination. Send a request or message us in any messenger.
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