Spinal Surgery in Johannesburg

Spinal surgery is any surgical procedure performed to correct possible structural abnormalities. Surgeons can move, fix, decompress, and, if necessary, replace vertebral structures through spinal surgery. This is only considered when conservative, non-surgical treatments have not worked and the pain remains persistent, preventing patients from living a normal life and reducing their quality of life. Some common conditions that may require spinal surgery are spinal deformation, compression of the spinal cord, herniated discs, and tumors of the spinal cord, cauda equine syndrome, vertebral fractures, and degenerative disc disease.

There are numerous types of spinal surgery. The type of surgery you will receive depends on your disease or injury, the location, the level of damage, as well as your own characteristics. Some of the most common types of spinal surgery are as follows:

• Spinal fusion – during spinal fusion, your surgeon will join spinal bones (vertebrae) together to prevent pain caused by their movement against each other.
• Discectomy – your surgeon removes part of or the entire disc that slips out of place presses on a spinal nerve, and cause back pain.
• Laminectomy – most commonly used for lumbar spinal stenosis, this surgery involves the removal of parts of the bone, ligaments, or bone spurs in the back to relieve pressure on spinal nerves and ease the pain.
• Disc replacement – your surgeon removes the damaged spinal disc and replaces it with an artificial one.
• Foraminotomy – bones at the sides of your vertebrae is cut away to widen the space where nerves exit the spine. Like laminectomy, this is done to relieve pressure on a compressed nerve and ease pain.
• Interlaminar implant –a U-shaped device is implanted between two vertebrae in your lower back to ease pressure on your spinal nerves by keeping the space between the vertebrae open. This is a minimally invasive alternative to laminectomy.

How Long Should I Stay in Johannesburg?

You may need to stay in Johannesburg for at least 10 to 14 days following your surgery to allow for your body to recover and attend follow-up checkups, if necessary. During the follow-up checkup, your overall condition will be monitored and the surgical stitches will be removed. 

What's the Expected Recovery Time?

Recovery depends on the specific disease/injury you have, the type of spinal surgery you underwent, and your overall health. If you are healthy and your job is not physically demanding, you may be allowed to go back to work within 4 to 6 weeks following surgery. However, it takes at least 3 to 4 months for the bones to heal, and healing can continue for at least a year. During this period, there might be some restrictions on your activity. Remember, the recovery period is just as important as the surgery.

What Aftercare is Required?

Following all the instructions and recommendations provided by your surgical team is important to avoid complications and speed up your recovery process. You may need physical therapy following your surgery, which is aimed to restore the strength of your spine and help you return to everyday activities gradually. In certain cases, you may also need regular checkups. You can choose to undergo physical therapy and/or regular checkup at home in your local hospital if you prefer.

What's the Success Rate?

The success rate of spinal surgery, in terms of pain relief, is around 70% to 90%, depending on the type of surgery and the condition treated. The success and safety rate of spinal surgery is higher than it used to be and will continue to increase, thanks to the continuous advancement of spinal surgery. For example, today, many types of spinal surgery can be done minimally invasively. This means that no long incisions are needed, leading to shorter operative and recovery times. Still, there are risks you need to be aware of, such as bleeding, infection, blood clots, and persistent pain.

Are there Alternatives?

Spinal surgery is only considered when other treatments have not worked. If you do not want surgery, make sure to discuss this with your doctor for the best possible alternative. When surgery is not needed, you may take a pain reliever or even try acupuncture to help relieve the pain. 

Spinal Surgery in and around Johannesburg

About Johannesburg

Johannesburg is the most populous as well as the largest city in South Africa. There is a lot to see and do in Johannesburg. Home to the Apartheid Museum, it is the perfect place for anyone who loves history and wants to learn more about the country’s past. There are also MOAD and MuseuMAfriCA that exhibit the city’s art and history. Other than the museums, the metropolitan city has a number of other things to do, such as enjoying Gold Reef City, shopping in its many markets, and visiting The Cradle of Human Kind.

Today, people have found a new reason to visit Johannesburg: medical tourism. Although it is not as widely known as other medical tourism destinations in other parts of the world, the city has seen a steady rise in medical tourists. The urban city features public and private medical centers with the highest standards, well-trained medical practitioners, and cutting-edge technology. Most of the medical centers have English speaking doctors, nurses, and staff, so there is no language barrier for foreign medical tourists. Plastic surgery, particularly tummy tuck, is one of the more popular procedures since it is much cheaper here than in Western countries.

Popular Areas in Johannesburg

While Johannesburg is not a popular tourist destination, there are a number of things to see and do in the city. The city is mostly known as Nelson Mandela’s home and has an array of astonishing museums. Those who love history and want to learn about the country’s struggle will enjoy the Apartheid Museum. It exhibits the story of apartheid through photographs, film footage, clippings, newspaper, and artifacts. Mandela House in Soweto Street is also worth a visit. It was once Nelson Mandela’s home. The museum showcases photographs, paintings, as well as awards and recognitions earned by Nelson Mandela. 

One of the most popular places is the Lion Park. The safari park offers an amazing chance to watch lions and several other animals up close. There are also other activities such as animal interactions and hand-feeding a few animals, such as ostriches and giraffes. Other than the Lion Park, Pilanesberg National Park is famous among wildlife enthusiast. The national park is filled with opulent ecosystem and wildlife. Tourists can experience a safari and spot lions, rhinos, elephants, leopards, zebras, and over 300 bird species in their natural habitat. 

Johannesburg is popular for its art and you must visit the Maboneng Precinct where you will find art-studios and shops selling art pieces. Wits Art Museum is another great place to admire African art. If you want to know more about the culture, Lesedi Cultural Village is the best place to go. Here, tourists can learn more about traditional South African culture and a chance to encounter people of Zulu, Pedi, Ndebele, Xhosa, and Basotho origin. Other places including SAB World of Beer, Gold Reef City, Holly Hill, Market Theatre, Constitution Hill, and Mary Fitzgerald Square are also a must-visit. 

Weather and Climate in Johannesburg

Johannesburg experiences a subtropical highland climate. The summer, which runs from October to April, is characterized by hot days with thundershowers in the afternoon and cool evenings. The temperature is mostly mild during the summer. January is one of the hottest months, with an average maximum daytime temperature of 25.6 °C. The summer has an extreme UV index, sometimes reaching as high as 14-16. Therefore, tourists must wear sun-protective clothing and apply sunscreen during the day to avoid sunburn.

In the winter, the city enjoys sunny days and cold nights. This season is dry, and the average maximum temperature is around 16 °C. In June and July, the temperature can drop to 4.1 °C and occasionally drops below freezing at night. The freezing temperature causes frost, but snow is rare. It is advisable to bring warm clothing during this season.

Getting Around in Johannesburg

International visitors usually arrive at O. R. Tambo International Airport, also known as Johannesburg International Airport. It is Africa’s busiest airport and the primary airport that serves domestic and international travel. The airport connects South Africa with various cities all over the world, including London, Abu Dhabi, Atlanta, Singapore, and Sydney. It is the hub for South Africa’s largest domestic and international airlines, South African Airways. Budget airlines such as FlySafair, Mango, and Kalula operate flights from this airport for an inexpensive travel option. 

Johannesburg has a vast public transport system. The Gautrain rapid-rail is safe and fairly easy to navigate. The rail also links the city center with O. R. Tambo International Airport. For efficient transport, tourists can opt for the Rea Vaya bus service that has a circular route through the city and is useful to explore the City Center at a reasonable cost. Many locals will use the minibus taxi network, but it can be pretty confusing for foreign tourists. Passengers need to know a route to their destination, hail the minibus taxi from the street, and once they have arrived at their desired destination, they need to make a hand signal to stop the minibus. 

Metered taxis are available but can be quite expensive. The taxis are mostly found outside hotels. Since there are only a few places to hail a taxi in the street, the best way to hail a taxi is by phone. Be careful because many taxis do not use meters so tourists would need to negotiate the price before getting in. The most reliable metered taxis are Orange Cabs, Quick Cab, and Zebra Cabs. Uber is also available for safer, quicker, and more affordable transport.

Tourist Visas in Johannesburg

All visitors who wish to enter South Africa must hold a passport valid for at least 30 days after the expiration of their intended visit and must have at least two unused pages. Passport holders of more than 60 countries can enter and stay for up to 90 days in the country without a visa. Other nationals not listed in the visa exemption agreement must obtain a visa to the nearest South Africa embassy or consulate. The South Africa Immigration Department also offers Medical Treatment Visa for medical tourists.

Additional Information

1. Local Currency: The local currency is the South African Rand (ZAR). 1 USD is equivalent to 14 ZAR.
2. Money & Payments: ATMs are available at every commercial center. Most hotels, restaurants, and shops accept credit cards (especially MasterCard and Visa). However, be sure to always carry some cash since there are several cases of credit card fraud. Tourists must tip car guards, but should not tip minibus taxi drivers. For bars and restaurants, 10% to 20% of the bill is acceptable.
3. Local Language: Most people will speak more than two languages, including Nguni, Sotho, English, Afrikaans, and Tshivenda.
4. Local Culture and Religion: More than 50% of the population follows Christianity and more than 20% are not affiliated with any religion. There are small groups of Muslim, Jewish, and Hindus. 
5. Public Holidays: There are around 12 official public holidays in the city such as Good Friday, Freedom Day, Heritage Day, and Christmas Day.