Osteoarthritis in Bloemfontein: Treatment by Stage

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 it can, as long as treatment is not postponed. SVF and PRP injections set out to reduce pain and support the cartilage, avoiding an operation; replacement of the joint is the last option when it is already destroyed.

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 early and moderate stages. The milder the stage, the quicker and more lasting the effect tends to be, and it may reduce how often hyaluronic acid injections are needed. At the most advanced stage, when the joint space has nearly gone, a lasting effect should not be expected.

The joints with the highest load, namely knees, hips and ankles, as well as the small joints of the hand and the spine. Regenerative treatment covers all of these joints.

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.

Mainly with an X-ray, which reveals the stage. MRI shows the cartilage and soft tissues in detail, ultrasound shows fluid and inflammation in the joint, and blood tests help rule out inflammatory conditions. If you have results already, the doctor can review them at no charge.

With osteoarthritis the cartilage wears down: you get aching pain on movement, crunching and stiffness after rest. With arthritis there is inflammation: pain at rest and at night, swelling, redness and warmth over the joint. The treatment approach is different, so diagnosis comes first.

Yes. After you send X-rays, MRI or test results, a doctor reviews them free of charge, gauges the stage of osteoarthritis and proposes a non-surgical plan if it suits your case.

Definitely yes. The right kind of activity strengthens muscles that unload the joint, supports cartilage nutrition and preserves mobility. Pick swimming, water aerobics, cycling, Nordic walking or yoga; steer clear of running on hard surfaces, jumping, heavy lifting and sudden movements.