Osteoarthritis in Tunis: Treatment by Stage

The cartilage over the bone ends of a joint gradually wears out. As it becomes thinner, cushioning is lost and the bones rub against each other, bringing pain, stiffness and crunching. This is a degenerative disease, not an inflammatory one.

In many cases yes, if you start treatment on time. Injections of SVF and PRP are aimed at easing pain and supporting cartilage without an operation. The last option, joint replacement, is for joints already destroyed.

The first changes are often noticed 2–3 weeks after the procedure. Over about six months a stable result forms, lasting anywhere from several months to several years depending on the individual. Osteoarthritis is chronic and calls for an ongoing plan rather than one injection.

Early and moderate stages respond best. Generally, the milder the stage, the faster and longer-lasting the effect, which may cut the need for regular hyaluronic acid injections. When the joint space has almost disappeared at the most advanced stage, a lasting effect cannot be expected.

Load-bearing joints are most at risk: knees, hips, ankles — and also the spine and small hand joints. Regenerative treatment is used across 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.

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.

Osteoarthritis is cartilage wear, with aching pain on movement, crunching and stiffness after rest. Arthritis is inflammation, with pain at rest and at night, swelling, redness and warmth over the joint. Treatment differs, so diagnosis comes first.

Yes — a doctor will review your X-rays, MRI or test results free of charge after you send them, assess the stage of osteoarthritis and suggest a non-surgical plan where it is appropriate.

You can and should. Appropriate activity strengthens the supporting muscles that unload the joint, improves cartilage nutrition and keeps mobility. Good options: swimming, water aerobics, cycling, Nordic walking, yoga. Avoid: running on hard surfaces, jumping, heavy lifting, sudden movements.