Your journey

Your knee-replacement journey, step by step.

A plain-language guide to what happens between your first sore knee and full recovery — so you know exactly what to expect at every stage.

01

Recognising the problem

Most people come in because knee pain has started to shape their day — climbing stairs, standing up from a chair, sleeping through the night or keeping up on a walk. Recognising the pattern is the first step.

  • Pain on stairs or when getting up from sitting
  • Stiffness in the morning or after resting
  • Swelling, clicking, or a feeling of giving way
  • Pain at night that wakes you
Common questions patients ask
02

Take the Knee Check

Knee Check is a free, two-minute online screening. It asks about your symptoms and gives Dr Oosthuizen enough information to decide whether a consultation is the right next step — or whether something simpler will help.

  • Takes about two minutes on any device
  • Reviewed by Dr Oosthuizen, not an algorithm
  • Preliminary only — not a diagnosis
Start the Knee Check
03

Book your consultation

Book by phone or through the online form. Consulting happens on set mornings at Johannesburg Surgical Hospital and Life Wilgeheuwel — pick whichever is easier to reach.

  • ID and medical-aid card
  • Any recent X-rays, MRI or reports
  • A list of your current medication
  • A short note of what makes the pain worse and better
Consulting sessions
  • Mondays·06:30 – 10:00·Johannesburg Surgical Hospital
  • Tuesdays·06:30 – 10:00·Life Wilgeheuwel Hospital
  • Thursdays·06:30 – 12:00·Johannesburg Surgical Hospital
Book a consultation
04

Your consultation

Dr Oosthuizen takes a full history, examines the knee, and reviews your imaging. He grades the arthritis using the KOGS system and talks through every option — from physiotherapy and injections to partial or full knee replacement — so you can make the decision that fits your life.

  • Full history and hands-on examination
  • Review of your X-rays and MRI
  • KOGS grading of the arthritis
  • All options explained in plain language
How KOGS grading works
05

Deciding on surgery

If surgery is the right step, we discuss whether a partial knee replacement (resurfacing only the worn side of the joint) or a full knee replacement suits you better. The rooms handle the medical-aid authorisation, the hospital booking, and the pre-operative tests.

  • Partial vs full knee replacement, explained clearly
  • Medical-aid authorisation handled by the rooms
  • Choose between JSH and Life Wilgeheuwel
  • Pre-operative bloods, ECG and anaesthetic review
Partial vs full knee replacement
06

The day of surgery

You arrive at the hospital in the morning, meet the anaesthetist, and are in theatre soon after. A partial knee replacement typically takes about an hour; a full knee replacement takes a little longer. You wake in recovery with pain well controlled and are usually up on your feet the same day.

  • Admission the morning of surgery
  • Spinal or general anaesthetic — your choice, guided by the anaesthetist
  • Surgery usually 60–90 minutes
  • Standing and taking first steps the same day
07

Recovery and getting back to life

Most patients spend two to three nights in hospital and start physiotherapy immediately. Recovery is gradual but steady — small wins every week. Dr Oosthuizen and the physio team stay involved through every follow-up.

  • Weeks 1–2 · Home with crutches, daily physio, wound care
  • Weeks 2–6 · Off crutches, driving again for most patients
  • Weeks 6–12 · Walking freely, back to desk work and light activity
  • 3–12 months · Full return to sport, hiking, cycling and travel
Ready to start? Book a consultation
Frequently asked

The questions patients ask most.

How painful is a knee replacement?
Modern pain control — usually a spinal anaesthetic plus a nerve block and oral medication — keeps most patients comfortable from the first day. Discomfort during physiotherapy is normal for a few weeks but improves quickly.
How long will I be off work?
Desk-based work is realistic from around four to six weeks. Physical or standing work usually takes eight to twelve weeks. Dr Oosthuizen will give you a personal estimate at your consultation.
How long does a knee replacement last?
Modern partial and full knee replacements last most patients 15 to 25 years, and often longer, depending on activity and weight. Choosing the right operation for the right knee is the biggest factor.
When can I drive again?
Most patients drive again between three and six weeks after surgery — sooner for a partial knee replacement on the left leg with an automatic car, and only once you can perform an emergency stop comfortably.
Can I fly after surgery?
Short domestic flights are usually fine from about two weeks. International or long-haul flights are best avoided for six weeks because of the risk of blood clots.
Will I be able to exercise and travel again?
Yes — that is the whole point. Walking, hiking, cycling, swimming, golf and doubles tennis are all realistic goals. High-impact running is generally discouraged, but almost everything else is on the table.
More answers on the Questions page.
Start where you are

Not sure where you are on the journey?

Start with a two-minute Knee Check, or book a consultation directly. Either way, Dr Oosthuizen will meet you where you are.

Consulting: Mon · Tue · Thu (AM)