The treatment of hip arthritis using stem cells is one of the most innovative treatment methods. In this method, mesenchymal stem cells are extracted from the patient's bone marrow or fat tissue and after processing in the laboratory, they are injected into the hip joint. Due to their regenerative and anti-inflammatory properties, these cells help rebuild damaged cartilage and reduce pain. Research has shown that this method is successful in 70-80% of cases and can be considered as a suitable alternative to joint replacement surgery. One of the main advantages of this method is its non-invasiveness and the use of the patient's own cells, which minimizes the risk of transplant rejection. https://dr-kamrani.com/wp-content/webp-express/webp-images/uploads/2024/12/pelvic-stem-cell-300x169.jpg.webp 300w, https://dr-kamrani.com/wp-content/webp-express/webp-images/uploads/2024/12/Selull-Fonani-Lagen-768x432.jpg.webp 768w" sizes="(max-width: 850px) 100vw, 850px" type="image/webp">
What you are reading:
What is the main cause of hip arthritis?
Hip arthritis is a disorder that gradually destroys the cartilage of the hip joint. The main cause of this disease usually includes genetic factors, excessive use of the joint and aging. Previous injuries to the joint, such as a fracture or inflammation, can also contribute to this condition. In many cases, obesity is known as one of the effective factors in increasing the pressure on the joint. Hormonal changes, especially in postmenopausal women, can also play an important role in the development of osteoarthritis. Identifying risk factors and managing them can help reduce the severity of symptoms and the progression of the disease. https://dr-kamrani.com/wp-content/webp-express/webp-images/uploads/2024/12/arthrosis-of-the-hip-joint-300x150.jpg.webp 300w, https://dr-kamrani.com/wp-content/webp-express/webp-images/uploads/2024/12/arthrosis-of-the-hip-joint-600x299.jpg.webp 600w, https://dr-kamrani.com/wp-content/webp-express/webp-images/uploads/2024/12/arthrosis-of-hip-joint-768x383.jpg.webp 768w" sizes="(max-width: 902px) 100vw, 902px" type="image/webp">
What is hip cell therapy and how is it done?
Pelvic cell therapy is a new, non-surgical method for treating arthritis and hip joint injuries. In this method, mesenchymal stem cells are extracted from the patient's own bone marrow or fat. This process is performed under local anesthesia and takes 45 to 60 minutes. First, the doctor identifies the exact location of the injury using ultrasound or fluoroscopy. He then carefully injects about 50 to 60 cc of the processed stem cells into the affected areas. These cells accelerate the healing process by differentiating into cartilaginous tissue and secreting growth factors. The patient can return to his normal activities 24 to 48 hours after the injection, and the treatment results are usually visible from 3 to 4 weeks later. This method brings the best results for people aged 45 to 65 with mild to moderate arthritis.
Special: knee cell therapy
Advantages and disadvantages of hip arthritis treatment with stem cells
Pelvic arthritis treatment with stem cells has significant advantages: First, unlike joint replacement surgery, it is completely non-invasive and does not require general anesthesia and long-term hospitalization. Second, the patient's own cells are used, which minimizes the risk of transplant rejection. Third, it has a shorter recovery period and the patient can return to his normal life 24-48 hours after the injection. But this method also has limitations: relatively high cost that is not covered by insurance, no guarantee of 100% success (70-80% success rate) and the need to repeat the treatment in some cases after 2-3 years. Also, for advanced arthritis (grade 4) where complete destruction of cartilage has occurred, this method is not very effective and joint replacement surgery will be a better option. Stem cells (from bone marrow or fat) and treatment center vary between 10,000,000 and 18,000,000 million Tomans. This amount includes the costs of cell extraction, laboratory processing, injections and follow-up visits. The fat extraction method is usually 15,000,000 to 18,000,000 million tomans more expensive, but more cells are obtained. In Tehran's prestigious private centers, the average cost is about 25,000,000 million Tomans. Unfortunately, this treatment is not covered by basic and supplementary insurances, but some centers provide the possibility of paying installments of 3 to 6 months. It is recommended to avoid unauthorized centers with unconventional prices, because the quality of stem cells directly affects the treatment result.
Stem cell injection stages in the hip joint
Stem cell injection in the hip joint is done in several steps. At first, the doctor evaluates the extent of joint damage using MRI and radiographs. Then, on the day of the treatment, with local anesthesia, he removes the stem cells from the bone marrow of the pelvis or the fatty tissue of the patient's abdomen. These cells are processed and multiplied in the laboratory for 3 to 4 hours. In the next step, the doctor determines the exact injection site with the help of a fluoroscopy device (live X-ray) and injects the stem cells along with platelet-rich plasma (PRP) into the joint. The whole process takes about 5-6 hours and the patient is discharged the same day. It is usually recommended that the patient have 48 hours of relative rest, and gradual recovery begins from the second week. Physiotherapy sessions start from the third week to improve the treatment result. https://dr-kamrani.com/wp-content/webp-express/webp-images/uploads/2024/12/cell-therapy-arthritis-of-the-hip-300x169.jpg.webp 300w, https://dr-kamrani.com/wp-content/webp-express/webp-images/uploads/2024/12/cell-therapy-arthritis-hip-600x337.jpg.webp 600w, https://dr-kamrani.com/wp-content/webp-express/webp-images/uploads/2024/12/cell-therapy-arthritis-of-the-hip-768x432.jpg.webp 768w" sizes="(max-width: 900px) 100vw, 900px" type="image/webp">
Step Description Approximate time Examination and diagnosis MRI and X-ray examination by a doctor 30 Minutes Cell harvesting Extraction of stem cells from pelvic bone marrow or abdominal fat with local anesthesia 45 minutes Processing of cells Multiplication and preparation of cells in the laboratory 3-4 hours Injection Injection of cells and PRP into the joint with the help of fluoroscopy 30 minutes Rest Relative rest in Home 48 hours Start of recovery Start of gradual recovery process From week Second Physiotherapy Rehabilitation and muscle strengthening sessions From the third week Follow-up Control visits by the doctor Months 1, 3 and 6
Who are the best candidates for hip cell therapy?
The best results of hip cell therapy are seen in people aged 45 to 65 years with mild to moderate osteoarthritis (grade 1 to 3). Ideal candidates are those who have pain and limited range of motion, but complete cartilage destruction has not yet occurred and joint space has been preserved on radiological images. This treatment is considered a suitable option for people who do not respond to painkillers and coronet injections or do not want to replace the joint. Also, athletes and active people who are looking for a quick return to their activities are considered to be one of the best options. On the other hand, people over 75 years of age, people with severe arthritis with complete destruction of the joint, cancer patients, uncontrolled diabetes and those with active infection are not suitable candidates for this treatment. The pelvis progresses gradually and usually begins in the second week. In the first 48 hours, partial rest is necessary and the patient can walk using crutches. From the second week, the gradual reduction of pain and improvement of joint movement begins. In the third week, physiotherapy sessions begin, which help strengthen muscles and increase range of motion. Most patients are able to perform daily activities without pain in the second month. The maximum effectiveness of the treatment is usually observed in the third to sixth months and this process continues for a year. The important thing is that the speed of recovery is different in different people and factors such as age, weight, severity of the initial injury and adherence to the rehabilitation program affect it.
comparison of cell therapy with other methods of hip arthrosis treatment
| Treatment method | Advantages | Disadvantages | Length of recovery | Permanence of effect |
|---|---|---|---|---|
| Cell therapy | • Natural tissue repair • Minimally invasive treatment • Fast return to activity • Without Need for major surgery | • Relatively high cost • Lack of insurance coverage • Need to repeat in some cases | 2-3 months | 2-5 years |
| cortone injection | • Low cost • Fast effectiveness • Insurance coverage | • Temporary effect • Possibility of cartilage damage • Limitation of injection frequency | 1-2 weeks | 3-6 months |
| Physiotherapy | • Low cost • No complications • Strengthening Muscles | • Slow recovery process • Need for frequent visits • Limited effectiveness | 2-3 months | Until continuing exercises |
| joint replacement | • Definitive solution to the problem • Insurance coverage • Predictable result | • Major surgery • Long recovery period • Probability of surgical complications • Prosthesis life limit | 6-12 months | 15-20 years |
| PRP therapy | • Minimally invasive • Low complications • Cost Moderate | • Less effective than cell therapy • Need for repetition • Lack of insurance coverage | 1-2 months | 6-12 months |
Possible side effects of pelvic cell therapy
Like any other treatment method, pelvic cell therapy may have side effects, but these side effects are usually mild and temporary. The most common side effect is temporary pain and discomfort at the injection site, which usually lasts 2 to 3 days. Some patients may experience mild swelling, redness, and warmth in the injection area, which improves with cold compresses and relative rest. In rare cases, there is a possibility of infection at the injection site (less than 1%) or mild allergic reactions. Also, bleeding or bruising at the injection site may occur, which usually resolves on its own. Serious complications such as clot formation or nerve damage are very rare (less than 0.1%). By choosing a specialist doctor and a reputable treatment center and following sterile principles and following the instructions after treatment, these complications will be minimized.
results and rate of success of cell therapy in the treatment of hip arthritis
The results of research and clinical studies show that cell therapy in 75 to 85% of patients with hip arthritis have had positive and satisfactory results. Usually, patients experience a significant reduction in pain 3 to 4 weeks after the injection, and the improvement of joint movement begins in the second month. Therapeutic effects can last up to 2-3 years and in 60% of cases, it delays the need for joint replacement surgery. The best results are observed in patients who have mild to moderate arthritis and are under 65 years old. The return to daily activities has been reported in 80% of patients, 6 to 8 weeks after treatment. Of course, it should be noted that the treatment results are different for different people and factors such as age, weight, severity of arthritis and lifestyle can affect the success of the treatment.
Reputable Pelvic Cell Therapy Centers in Iran
In Iran, there are reputable specialized centers for pelvic cell therapy that operate under the supervision of the Ministry of Health.
- Stem Cell Center Dr. Kamrani in Farmaniye Hospital in Tehran is one of the main stem cell treatment centers.
- Royan Research Institute in Tehran with more than 15 years of experience in this field, one of the pioneers of stem cell therapy.
- The cell therapy center of Shariati Hospital in Tehran and the cell therapy department of Sinai Hospital also provide quality services with advanced equipment and experienced staff.
- In Shiraz, the Namazi Cell Therapy Center
- In Mashhad, the cell therapy center of Imam Reza Hospital (AS) is one of the well-known centers. Cell therapy specialists provide comprehensive services from initial consultation to post-treatment follow-ups. It is recommended to make sure of their official licenses and records before choosing a treatment center.
Care before and after pelvic stem cell injection
For the success of pelvic stem cell treatment, it is very important to follow the tips before and after the injection. One week before the injection, you should stop taking anti-inflammatory drugs such as ibuprofen and aspirin with the doctor's advice. 48 hours before the injection, avoid smoking and alcohol, and also fast for 8 hours. After the injection, you should rest for the first 24 hours and use local ice. In the first week, avoid heavy activities and sports and you can start light walking. From the second week, start physiotherapy and light exercises under the supervision of a specialist. Also, consuming enough fluids, eating healthy and rich in protein and avoiding sitting for long periods of time is very important. Usually, in the first three months, you will have regular follow-up meetings with the doctor and the healing process will gradually become clear.
Patient Experiences of Pelvic Cell Therapy
Patients who have undergone pelvic cell therapy have reported different experiences. Most patients between the ages of 50 and 65 have felt a significant reduction in pain from the third week after the injection. A 58-year-old woman who suffered from severe hip pain for 4 years was able to walk without crutches and return to her daily activities after 2 months. A 62-year-old man who was a candidate for joint replacement surgery was able to postpone the surgery by using cell therapy and is now experiencing a 70% recovery after one year. Of course, some patients, especially people over 70 years old with advanced arthritis, have had less recovery. Mild to moderate pain at the injection site for 3-4 days and temporary movement restriction in the first week are common side effects. Most of the patients are satisfied with the cost-effectiveness of this method compared to surgery. src="data:image/gif;base64,R0lGODdhAQABAPAAAMPDwwAAACwAAAAAAQABAAAACakQBADs=" decoding="async" data-src="https://dr-kamrani.com/wp-content/uploads/2022/01/BEFOR-AFTER.jpg" alt="" class="webpexpress-processed">
Frequently Asked Questions
Is pelvic cell therapy painful?
- Injection is done under local anesthesia and pain not much - Mild to moderate pain in the first 3-4 days is normal. - It can be controlled with simple painkillers.
Who are suitable for this treatment?
- People 40 to 65 years old with mild to moderate arthritis. - Those who have not responded to drug treatments. – People who want to postpone surgery.
When will the results of the treatment be known?
- Pain reduction: 3-4 weeks. - Improvement of movement: 2-3 months. - Maximum effect: 6 months. - Duration of the effect: 2-3 years.
Is there a need to repeat the treatment?
- In 60-70% of cases, one course is enough. - If needed, repetition is possible after 1-2 years. - Making a decision based on the response to the first treatment.
How long should you rest?
- First 24 hours: relative rest. - First week: avoid heavy activity. - From the second week: gradual start of activities.
Is there a need for physiotherapy?
- usually starts from the second week. - 10-12 sessions are recommended.
