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الجذعية","alias":"stem-cells","name_forms":{"base_form":"الخلايا الجذعية"}},"illness_kind":{"id":80,"name":{"en":"Stem Cells"}},"parsed_details":{"procedure_type":"therapy","fields":{"anesthesia":["local"],"back_to_work_days":{"min":1,"max":3,"unit":"days","qualifier":"Desk work usually next day or two; physical work later, depending on harvest site and treated area."},"complication_rate_pct":{"min":2,"max":10,"unit":"percent","qualifier":"Minor events such as post-injection flare, bruising or harvest-site pain within 30 days; serious events under 1%."},"contraindications":["Active cancer or recent malignancy history","Active infection, including at harvest or injection site","Blood clotting disorders or uncontrolled anticoagulation","Pregnancy or breastfeeding","Severe uncontrolled systemic disease","Immunosuppression or active autoimmune flare","Allergy to local anesthetic"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Same-day harvest, processing and injection; no overnight stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":6,"unit":"weeks","qualifier":"Light activity after 1-2 weeks; impact or heavy loading later, per physician guidance."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Gradual improvement; peak effect often 3-12 months after injection."},"fly_home_after_days":{"min":1,"max":3,"unit":"days","qualifier":"After a wound and injection-site check; clearance depends on harvest site."},"follow_up_visits":[{"purpose":"wound_check","after":{"min":1,"max":3,"unit":"days","qualifier":"Harvest and injection site check before flight home."},"requirement":"routine"},{"purpose":"result_review","after":{"min":90,"max":180,"unit":"days","qualifier":"Symptom and function review; usually remote with local physician."},"requirement":"routine"}],"indications":["Knee or hip osteoarthritis, mild to moderate","Chronic tendon or ligament injuries","Cartilage damage in joints","Selected chronic musculoskeletal pain unresponsive to conservative care"],"main_risks":["Pain, swelling or bruising at harvest and injection sites","Infection","Temporary joint flare-up after injection","Bleeding or hematoma at harvest site","Allergic reaction to anesthetic"],"pain":"Mild to moderate; local anesthesia for harvest, then soreness at harvest and injection sites for several days.","preparation":["Review of imaging and medical history by the physician","Blood tests as required by the clinic","Stop NSAIDs and blood thinners only if physician directs","No corticosteroid injections in target area for several weeks","Adequate hydration and light meal on the day"],"recovery_timeline":[{"phase":"Day 0-3","description":"Soreness and mild swelling at harvest and injection sites; walking allowed.","restrictions":["Avoid strenuous activity","Keep sites clean and dry"]},{"phase":"Weeks 1-2","description":"Discomfort settles; return to daily activities and gentle movement.","restrictions":["No heavy loading or impact of treated area"]},{"phase":"Weeks 2-6","description":"Gradual return to exercise and physiotherapy as advised.","restrictions":["Avoid high-impact sport until cleared"]},{"phase":"Months 3-12","description":"Peak benefit expected; function and pain reassessed.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Return to ordinary daily function; guided physiotherapy may continue longer."},"result_longevity":"Benefit typically lasts 6-24 months, shorter in advanced osteoarthritis; repeat injection is possible.","revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Repeat injection or conversion to joint replacement within 2 years; depends on baseline osteoarthritis severity."},"scars":"No visible scar from injection; tiny puncture mark at the harvest site, or a small mark if adipose tissue is collected.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single same-day session with harvest and injection."},"stages":[{"code":"harvest","label":"Collection of bone marrow or fat tissue","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of treatment."}},{"code":"processing","label":"On-site processing and concentration of cells","after":{"min":0,"max":0,"unit":"days","qualifier":"Same day."}},{"code":"injection","label":"Injection of cells into target area","after":{"min":0,"max":0,"unit":"days","qualifier":"Same day."}}],"qualifier":"Autologous same-day protocol; repeat treatment optional, not standard."},"success":{"metric":"Patients with meaningful knee pain reduction","value":65,"unit":"percent of patients","horizon":"12 months after injection","population":"Adults with mild to moderate knee osteoarthritis treated with autologous BMAC","evidence_status":"limited"},"techniques":[{"name":"Bone marrow aspirate concentrate (BMAC)","suits_whom":"Joint osteoarthritis and tendon problems; same-day autologous option.","recovery":"Soreness at hip harvest site for a few days."},{"name":"Adipose-derived cells (micro-fragmented fat or SVF)","suits_whom":"Patients preferring fat harvest, often for knee osteoarthritis.","recovery":"Bruising at abdomen or flank harvest site for 1-2 weeks."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Includes harvest, processing and injection."},"initial_assessment_documents":["Recent MRI or X-ray of affected joint","Orthopedic or specialist report","Recent blood test results","List of blood thinners","List of previous joint injections or surgeries"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Same-day autologous protocol; stay 2-4 days including pre-treatment checks and wound 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