The Total Knee Success Podcast: Your Essential Resource for Navigating Total Knee Replacement

In Episode 46 of the Total Knee Success podcast, Michelle explains how to stay engaged after knee replacement when progress feels slower and less obvious. She discusses why mid-phase slowdowns are normal and why consistency, rather than constant testing or perfection, supports continued improvement. Michelle introduces ten research-informed activity options often used between three and six months after surgery and encourages listeners to use these as a starting point for thoughtful conversations with their physical therapist about where to focus next.NMES unit commonly used for quad muscle contractionA second estim unit to check outGet email when The Knee Replacement Game Plan is released.Visit totalkneesuccess.com.Medical Disclaimer: This podcast is for educational purposes only and does not constitute medical advice. The content is not intended to replace individualized medical guidance, diagnosis, or treatment. Always consult your surgeon, physical therapist, or other qualified healthcare provider regarding your specific condition, surgical decisions, and rehabilitation plan.Amazon Affiliate Disclaimer: Some resources mentioned in this podcast may include Amazon affiliate links. If you choose to purchase through these links, the podcast may earn a small commission at no additional cost to you.Evidence-Based Content Statement: All information presented in this episode is grounded in peer-reviewed research, published clinical guidelines, and current best practices in orthopedic surgery and rehabilitation.Music Licensing Statement: Intro and outro music for the Total Knee Success Podcast is licensed for commercial use. Editing and production for this episode were completed using Descript.ReferencesGränicher P, Mulder L, Lenssen T, Scherr J, Swanenburg J. Prehabilitation improves knee functioning before and within the first year after total knee arthroplasty: A systematic review with meta-analysis. J Orthop Sports Phys Ther. 2022;52(11):709–725.Minick KI, Hunter SJ, Capin JJ, et al. Improved outcomes following a care guideline implementation: Part 1 of an analysis of 12 355 patients after total knee arthroplasty. J Orthop Sports Phys Ther. 2023;53(3):143–150.Capin JJ, Minick KI, Stevens-Lapsley JE, et al. Variation in outcomes and number of visits following care guideline implementation: Part 2 of an analysis of 12 355 patients after total knee arthroplasty. J Orthop Sports Phys Ther. 2023;53(3):151–159.Duong V, Dennis S, Ferreira ML, et al. Predictors of adherence to a step count intervention following total knee replacement: An exploratory cohort study. J Orthop Sports Phys Ther. 2022;52(9):620–629.Orange GM, Hince DA, Jones M, et al. Physical function following total knee arthroplasty for osteoarthritis: A longitudinal systematic review with meta-analysis. J Orthop Sports Phys Ther. 2025;55(1):1–16.Na A, Coronado RA, Fitzgerald GK, et al. Diabetes mellitus blunts the symptoms, physical function, and health-related quality of life benefits of total knee arthroplasty: A systematic review with meta-analysis. J Orthop Sports Phys Ther. 2021;51(6):269–280.

In Episode 45 of the Total Knee Success podcast, Michelle explains why progress after total knee replacement often slows after the early postoperative phase and why that change does not mean recovery has stalled. The episode explores how deeper strength, endurance, and neuromuscular adaptations take longer to develop and are harder to see week to week. Michelle reviews research on recovery trajectories, adherence, and activity consistency after TKA, helping listeners understand why early gains do not predict long-term outcomes. The episode closes with guidance on when to seek individualized input from a physical therapist or surgeon and how to stay engaged without chasing perfection.NMES unit commonly used for quad muscle contractionA second estim unit to check outGet email when The Knee Replacement Game Plan is released.Visit totalkneesuccess.com.Medical Disclaimer: This podcast is for educational purposes only and does not constitute medical advice. The content is not intended to replace individualized medical guidance, diagnosis, or treatment. Always consult your surgeon, physical therapist, or other qualified healthcare provider regarding your specific condition, surgical decisions, and rehabilitation plan.Amazon Affiliate Disclaimer: Some resources mentioned in this podcast may include Amazon affiliate links. If you choose to purchase through these links, the podcast may earn a small commission at no additional cost to you.Evidence-Based Content Statement: All information presented in this episode is grounded in peer-reviewed research, published clinical guidelines, and current best practices in orthopedic surgery and rehabilitation.Music Licensing Statement: Intro and outro music for the Total Knee Success Podcast is licensed for commercial use. Editing and production for this episode were completed using Descript.ReferencesDuong V, et al. Predictors of adherence to a step-count intervention following total knee replacement: an exploratory study. Phys Ther. 2022.Minick KI, et al. Improved outcomes following a care guideline implementation after total knee arthroplasty: analysis of 12,355 patients. J Orthop Sports Phys Ther. 2023.Orange ST, et al. Physical function following total knee arthroplasty for osteoarthritis: a longitudinal systematic review. Osteoarthritis Cartilage. 2025.Gränicher F, et al. Prehabilitation improves knee function before and after total knee arthroplasty. Clin Rehabil. 2022.Graber J, et al. Expert consensus for outpatient rehabilitation visits after total knee arthroplasty. J Orthop Sports Phys Ther. 2023.Capin JJ, et al. Variation in outcomes and rehabilitation utilization following care guideline implementation after total knee arthroplasty. J Orthop Sports Phys Ther. 2023.Dandis K, et al. Predictors of outcomes after early high-intensity physical therapy following total knee arthroplasty. Phys Ther. 2021.Goff AJ, et al. Physical therapists’ perspectives on education and exercise after knee arthroplasty. Phys Ther. 2022.

In Episode 44 of the Total Knee Success podcast, Michelle explains why being “cleared” after knee replacement does not mean recovery is complete. She explores the difference between medical clearance and true functional readiness, including strength, load tolerance, and neuromuscular recovery. The episode helps listeners understand why swelling, stiffness, or fatigue can persist despite surgical success and how to respond without fear. Listeners are guided to view clearance as permission to progress thoughtfully rather than pressure to perform.NMES unit commonly used for quad muscle contractionA second estim unit to check outGet email when The Knee Replacement Game Plan is released.Visit totalkneesuccess.com.Medical Disclaimer: This podcast is for educational purposes only and does not constitute medical advice. The content is not intended to replace individualized medical guidance, diagnosis, or treatment. Always consult your surgeon, physical therapist, or other qualified healthcare provider regarding your specific condition, surgical decisions, and rehabilitation plan.Amazon Affiliate Disclaimer: Some resources mentioned in this podcast may include Amazon affiliate links. If you choose to purchase through these links, the podcast may earn a small commission at no additional cost to you.Evidence-Based Content Statement: All information presented in this episode is grounded in peer-reviewed research, published clinical guidelines, and current best practices in orthopedic surgery and rehabilitation.Music Licensing Statement: Intro and outro music for the Total Knee Success Podcast is licensed for commercial use. Editing and production for this episode were completed using Descript.References: Vossen JA, et al. Long-term recovery of knee extensor strength after total knee arthroplasty. J Arthroplasty. 2025.Sun Y, et al. Neuromuscular electrical stimulation after joint replacement surgery: a systematic review and meta-analysis. Clin Rehabil. 2025.Arhos A, Ito Y, Stevens-Lapsley J, et al. Who’s afraid of electrical stimulation? Let’s revisit the application of neuromuscular electrical stimulation at the knee. J Orthop Sports Phys Ther. 2024;54(2):101-110.Orange GM, Hince DA, Jones M, et al. Physical function following total knee arthroplasty for osteoarthritis: a longitudinal systematic review with meta-analysis. J Orthop Sports Phys Ther. 2025;55(1):1-20.Minick KI, Hunter SJ, Capin JJ, et al. Improved outcomes following a care guideline implementation: part 1 of an analysis of 12,355 patients after total knee arthroplasty. J Orthop Sports Phys Ther. 2023;53(3):143-152.Gränicher P, Mulder L, Lenssen T, et al. Prehabilitation improves knee functioning before and within the first year after total knee arthroplasty: a systematic review with meta-analysis. J Orthop Sports Phys Ther. 2022;52(11):709-725.Graber J, Stevens-Lapsley J, et al. Expert consensus for the use of outpatient rehabilitation visits after total knee arthroplasty: a Delphi study. J Orthop Sports Phys Ther. 2023;53(9):566-576.

In Episode 43 of the Total Knee Success podcast, Michelle explains the real healing timeline after knee replacement by walking through how skin, muscle, tendons, ligaments, and bone heal at different rates. She clarifies why the knee can look healed on the outside while deeper tissues are still adapting, and how this mismatch influences stiffness, swelling, and strength. The episode helps listeners understand how different tissues heal over time and what they can reasonably expect as recovery progresses.NMES unit commonly used for quad muscle contractionGet email when The Knee Replacement Game Plan is released.Visit totalkneesuccess.com.Medical Disclaimer: This podcast is for educational purposes only and does not constitute medical advice. The content is not intended to replace individualized medical guidance, diagnosis, or treatment. Always consult your surgeon, physical therapist, or other qualified healthcare provider regarding your specific condition, surgical decisions, and rehabilitation plan.Amazon Affiliate Disclaimer: Some resources mentioned in this podcast may include Amazon affiliate links. If you choose to purchase through these links, the podcast may earn a small commission at no additional cost to you.Evidence-Based Content Statement: All information presented in this episode is grounded in peer-reviewed research, published clinical guidelines, and current best practices in orthopedic surgery and rehabilitation.Music Licensing Statement: Intro and outro music for the Total Knee Success Podcast is licensed for commercial use. Editing and production for this episode were completed using Descript.ReferencesOrange GM, Hince DA, Jones M, et al. Physical function following total knee arthroplasty for osteoarthritis: a longitudinal systematic review with meta-analysis. J Orthop Sports Phys Ther. 2025;55(1):1-14.Minick KI, Hunter SJ, Capin JJ, et al. Improved outcomes following a care guideline implementation after total knee arthroplasty. J Orthop Sports Phys Ther. 2023;53(3):143-150.Capin JJ, Hunter SJ, Minick KI, et al. Variation in outcomes and number of visits following care guideline implementation after total knee arthroplasty. J Orthop Sports Phys Ther. 2023;53(3):151-160.Gränicher P, Mulder L, Lenssen T, et al. Prehabilitation improves knee functioning before and within the first year after total knee arthroplasty: a systematic review with meta-analysis. J Orthop Sports Phys Ther. 2022;52(11):709-725.Graber J, Stevens-Lapsley J, et al. Expert consensus for the use of outpatient rehabilitation visits after total knee arthroplasty: a Delphi study. J Orthop Sports Phys Ther. 2023;53(9):566-578.Dandis D, et al. Latent class analysis to predict outcomes of early high-intensity physical therapy after total knee arthroplasty. J Orthop Sports Phys Ther. 2021;51(7):362-371.Na A, Coronado RA, et al. Diabetes mellitus blunts the symptoms, physical function, and health-related quality-of-life benefits of total knee arthroplasty. J Orthop Sports Phys Ther. 2021;51(6):269-280.Aldhahwani BM, et al. Sociodemographic differences in short-term physical function outcomes after hip and knee arthroplasty. JOSPT Open. 2025;3(3):254-266.Werner BC, Carr JB, Browne JA. Risk factors, outcomes, and timing of manipulation under anesthesia after total knee arthroplasty. J Bone Joint Surg Am. 2015;97(24):1956-1961.

In Episode 42 of the Total Knee Success podcast, Michelle explains how to decide when to progress walking after knee replacement without guessing or reacting out of fear. The episode focuses on practical signals such as recovery patterns, fatigue, walking speed trends, endurance, confidence, and assistive device use. Listeners learn how to interpret these signals to make informed progression decisions, shifting from uncertainty to clarity and building confidence in their recovery choices.Check out this Self Standing Pivot Walking Cane or this Rollator Walker on AmazonGet email when The Knee Replacement Game Plan is released.Visit totalkneesuccess.com.Medical Disclaimer: This podcast is for educational purposes only and does not constitute medical advice. The content is not intended to replace individualized medical guidance, diagnosis, or treatment. Always consult your surgeon, physical therapist, or other qualified healthcare provider regarding your specific condition, surgical decisions, and rehabilitation plan.Amazon Affiliate Disclaimer: Some resources mentioned in this podcast may include Amazon affiliate links. If you choose to purchase through these links, the podcast may earn a small commission at no additional cost to you.Evidence-Based Content Statement: All information presented in this episode is grounded in peer-reviewed research, published clinical guidelines, and current best practices in orthopedic surgery and rehabilitation.Music Licensing Statement: Intro and outro music for the Total Knee Success Podcast is licensed for commercial use. Editing and production for this episode were completed using Descript.References: Minick KI, Hunter SJ, Capin JJ, Stevens-Lapsley JE, Snow G, et al. Improved outcomes following a care guideline implementation: part 1 of an analysis of 12 355 patients after total knee arthroplasty. J Orthop Sports Phys Ther. 2023;53(3):143-152. doi:10.2519/jospt.2022.11436.Capin JJ, Kittelson AJ, Stevens-Lapsley JE, et al. Variation in outcomes and number of visits following care guideline implementation after total knee arthroplasty. J Orthop Sports Phys Ther. 2023;53(4):1-12. doi:10.2519/jospt.2022.11437.Dandis MT, Stevens-Lapsley JE, Kittelson AJ, et al. Latent class analysis to predict outcomes of early high-intensity physical therapy after total knee arthroplasty based on longitudinal trajectories of walking speed. J Orthop Sports Phys Ther. 2021;51(7):362-371. doi:10.2519/jospt.2021.10345.Orange GM, Murphy MC, Wand BM, Sharma S, Kim S, et al. Physical function following total knee arthroplasty for osteoarthritis: a longitudinal systematic review with meta-analysis. J Orthop Sports Phys Ther. 2025;55(1):1-16. doi:10.2519/jospt.2024.12123.Graber J, Stevens-Lapsley JE, Snyder-Mackler L, et al. Expert consensus for the use of outpatient rehabilitation visits after total knee arthroplasty. J Orthop Sports Phys Ther. 2023;53(5):1-11. doi:10.2519/jospt.2023.11541.

In episode 41 of the Total Knee Success podcast, Michelle explains why walking speed often feels slower than expected after knee replacement and why this does not signal failure or poor effort. She describes walking speed as a functional vital sign, explains what common walking speeds in meters per second tend to reflect during recovery, and reviews research showing that improvement unfolds gradually and along different trajectories. The episode explores how strength, balance, pain, and confidence influence pace, and offers practical guidance on how to interpret walking speed as useful feedback. Listeners are guided from uncertainty to clarity, learning how walking speed can inform smarter recovery decisions rather than drive fear or self-comparison.NMES unit commonly used for quad muscle contractionGet email when The Knee Replacement Game Plan is released.Visit totalkneesuccess.com.Medical Disclaimer: This podcast is for educational purposes only and does not constitute medical advice. The content is not intended to replace individualized medical guidance, diagnosis, or treatment. Always consult your surgeon, physical therapist, or other qualified healthcare provider regarding your specific condition, surgical decisions, and rehabilitation plan.Amazon Affiliate Disclaimer: Some resources mentioned in this podcast may include Amazon affiliate links. If you choose to purchase through these links, the podcast may earn a small commission at no additional cost to you.Evidence-Based Content Statement: All information presented in this episode is grounded in peer-reviewed research, published clinical guidelines, and current best practices in orthopedic surgery and rehabilitation.Music Licensing Statement: Intro and outro music for the Total Knee Success Podcast is licensed for commercial use. Editing and production for this episode were completed using Descript.References: Gränicher P, Mulder L, Lenssen T, Scherr J, Mulder L, et al. Prehabilitation improves knee functioning before and within the first year after total knee arthroplasty: a systematic review with meta-analysis. J Orthop Sports Phys Ther. 2022;52(11):709-725. doi:10.2519/jospt.2022.11160.Minick KI, Hunter SJ, Capin JJ, Stevens-Lapsley JE, Snow G, et al. Improved outcomes following a care guideline implementation: part 1 of an analysis of 12 355 patients after total knee arthroplasty. J Orthop Sports Phys Ther. 2023;53(3):143-152. doi:10.2519/jospt.2022.11436.Orange GM, Murphy MC, Wand BM, Sharma S, Kim S, et al. Physical function following total knee arthroplasty for osteoarthritis: a longitudinal systematic review with meta-analysis. J Orthop Sports Phys Ther. 2025;55(1):1-16. doi:10.2519/jospt.2024.12123.Dandis MT, Stevens-Lapsley JE, Kittelson AJ, et al. Latent class analysis to predict outcomes of early high-intensity physical therapy after total knee arthroplasty based on longitudinal trajectories of walking speed. J Orthop Sports Phys Ther. 2021;51(7):362-371. doi:10.2519/jospt.2021.10345.Arhos EK, Stevens-Lapsley JE, Balter JE, et al. Who’s afraid of electrical stimulation? Revisiting the application of neuromuscular electrical stimulation at the knee. J Orthop Sports Phys Ther. 2024;54(2):1-12. doi:10.2519/jospt.2023.12041.

In Episode 40, Michelle takes a deep dive into neuromuscular electrical stimulation and its role in restoring quadriceps strength after total knee replacement. She explains why quadriceps weakness persists after surgery, how NMES works to improve muscle activation when the nervous system is still protective, and why visible, high-intensity contractions are essential for results. The episode clarifies how NMES differs from TENS and other forms of electrical stimulation, reviews what the research shows about earlier and more consistent use, and discusses practical setup considerations including pad size, placement, skin preparation, and safety precautions. Michelle also explores why NMES sometimes appears to “fail” in clinical settings, how dosing and frequency influence outcomes, and when guided home use may be appropriate as part of a broader strengthening plan.NMES unit commonly used for quad muscle contractionA second estim unit to check outGet email when The Knee Replacement Game Plan is released.Visit totalkneesuccess.com.Medical Disclaimer: This podcast is for educational purposes only and does not constitute medical advice. The content is not intended to replace individualized medical guidance, diagnosis, or treatment. Always consult your surgeon, physical therapist, or other qualified healthcare provider regarding your specific condition, surgical decisions, and rehabilitation plan.Amazon Affiliate Disclaimer: Some resources mentioned in this podcast may include Amazon affiliate links. If you choose to purchase through these links, the podcast may earn a small commission at no additional cost to you.Evidence-Based Content Statement: All information presented in this episode is grounded in peer-reviewed research, published clinical guidelines, and current best practices in orthopedic surgery and rehabilitation.Music Licensing Statement: Intro and outro music for the Total Knee Success Podcast is licensed for commercial use. Editing and production for this episode were completed using Descript.ReferencesArhos EK, Ito N, Silbernagel KG, et al. Who’s afraid of electrical stimulation? Let’s revisit the application of NMES at the knee. Journal of Orthopaedic & Sports Physical Therapy. 2024;54(2):101–109.Stevens-Lapsley JE, Balter JE, Wolfe P, Eckhoff DG, Kohrt WM. Early neuromuscular electrical stimulation to improve quadriceps muscle strength after total knee arthroplasty. Physical Therapy. 2012;92(2):210–226.Nussbaum EL, Houghton P, Anthony J, et al. Neuromuscular electrical stimulation for treatment of muscle impairment: critical review and recommendations for clinical practice. Physiotherapy Canada. 2017;69(5):1–76.Graber J, Jette DU, McDonough CM, et al. Expert consensus for the use of outpatient rehabilitation visits after total knee arthroplasty. Physical Therapy. 2023;103(4):pzac185.Gränicher C, de Bie RA, Staal JB, et al. Prehabilitation improves knee functioning before and within the first year after total knee arthroplasty. Archives of Physical Medicine and Rehabilitation. 2022;103(7):1357–1366.American Physical Therapy Association. Clinical practice guideline for physical therapy management of total knee arthroplasty. Journal of Orthopaedic & Sports Physical Therapy. 2020;50(9):CPG1–CPG81.

In Episode 39 of the Total Knee Success Podcast, we explore why quadriceps weakness is one of the most overlooked drivers of difficulty after knee replacement. Many patients notice slower progress with walking, stairs, and confidence even when they are consistent with their exercises, and this episode explains why that happens. We break down how quad inhibition develops after surgery, how it changes movement patterns and trust in the surgical leg, and why simply pushing harder with strengthening often falls short. Listeners will gain clarity on what may truly be holding their recovery back and why this challenge is common rather than a personal failure.Click here to get email when The Knee Replacement Game Plan is released.Visit totalkneesuccess.com. What will you do two weeks before surgery? Click on this link: totalkneesuccess.kit.com/free2weeklaunchMedical Disclaimer: This podcast is for educational purposes only and does not constitute medical advice. The content is not intended to replace individualized medical guidance, diagnosis, or treatment. Always consult your surgeon, physical therapist, or other qualified healthcare provider regarding your specific condition, surgical decisions, and rehabilitation plan.Amazon Affiliate Disclaimer: Some resources mentioned in this podcast may include Amazon affiliate links. If you choose to purchase through these links, the podcast may earn a small commission at no additional cost to you.Evidence-Based Content Statement: All information presented in this episode is grounded in peer-reviewed research, published clinical guidelines, and current best practices in orthopedic surgery and rehabilitation.Music Licensing Statement: Intro and outro music for the Total Knee Success Podcast is licensed for commercial use. Editing and production for this episode were completed using Descript.ReferencesArhos EK, Ito Y, Schmitt LC, et al. Who’s afraid of electrical stimulation? Let’s revisit the application of NMES at the knee. J Orthop Sports Phys Ther. 2024;54(2):101-109.Orange GM, Hince DA, Jones M, et al. Physical function following total knee arthroplasty for osteoarthritis: a longitudinal systematic review with meta-analysis. J Orthop Sports Phys Ther. 2025;55(1):1-15.Minick KI, Hunter SJ, Capin JJ, et al. Improved outcomes following a care guideline implementation after total knee arthroplasty. J Orthop Sports Phys Ther. 2023;53(3):143-150.Capin JJ, Minick KI, Stevens-Lapsley JE, et al. Variation in outcomes and number of visits following care guideline implementation after total knee arthroplasty. J Orthop Sports Phys Ther. 2023;53(3):151-159.Gränicher P, Mulder L, Lenssen T, et al. Prehabilitation improves knee functioning before and within the first year after total knee arthroplasty: a systematic review with meta-analysis. J Orthop Sports Phys Ther. 2022;52(11):709-725.Na A, Coronado RA, et al. Diabetes mellitus blunts the symptoms, physical function, and health-related quality of life benefits of total knee arthroplasty. J Orthop Sports Phys Ther. 2021;51(6):269-280.Dandis J, et al. Latent class analysis to predict outcomes of early high-intensity physical therapy after total knee arthroplasty. J Orthop Sports Phys Ther. 2021;51(7):362-371.White DK, Hinman RS, et al. A telehealth physical therapy intervention to increase physical activity in adults with knee osteoarthritis: the Delaware PEAK randomized controlled trial. J Orthop Sports Phys Ther. 2025;55(5):377-388.

Episode 38 explores why knee arthritis makes everyday life feel harder than expected by examining effort, fatigue, loss of efficiency, and changes in confidence beyond pain. It sets the foundation for Episodes 39 and 40, which focus on quadriceps weakness and neuromuscular electrical stimulation as tools for restoring function.Click here to get an email when The Knee Replacement Game Plan is released.More information at totalkneesuccess.com. What will you do in the two weeks before surgery? Click on this link: totalkneesuccess.kit.com/free2weeklaunchMedical Disclaimer: This podcast is for educational purposes only and does not constitute medical advice. The content is not intended to replace individualized medical guidance, diagnosis, or treatment. Always consult your surgeon, physical therapist, or other qualified healthcare provider regarding your specific condition, surgical decisions, and rehabilitation plan.Amazon Affiliate Disclaimer: Some resources mentioned in this podcast may include Amazon affiliate links. If you choose to purchase through these links, the podcast may earn a small commission at no additional cost to you.Evidence-Based Content Statement: All information presented in this episode is grounded in peer-reviewed research, published clinical guidelines, and current best practices in orthopedic surgery and rehabilitation.Music Licensing Statement: Intro and outro music for the Total Knee Success Podcast is licensed for commercial use. Editing and production for this episode were completed using Descript.ReferencesSchmitt LC, Rudolph KS. Altered gait characteristics in individuals with knee osteoarthritis and self-reported knee instability. J Orthop Sports Phys Ther. 2015;45(5):351-359. doi:10.2519/jospt.2015.5540.Hart HF, Crossley KM, Culvenor AG, Khan MCM, West TJ, Kennedy JB, Couch JL, Whittaker JL. Knee confidence, fear of movement, and psychological readiness for sport in individuals with knee conditions: a systematic review and meta-analysis. J Orthop Sports Phys Ther. 2024;54(4):234-247. doi:10.2519/jospt.2024.12070.Arhos E, Ito K, Snyder-Mackler K, Stevens-Lapsley JE. Who’s afraid of electrical stimulation? Let’s revisit the application of neuromuscular electrical stimulation at the knee. J Orthop Sports Phys Ther. 2024;54(2):101-110.Gränicher F, Wieser K, Aeschlimann A, et al. Prehabilitation improves knee functioning before and within the first year after total knee arthroplasty. Arch Orthop Trauma Surg. 2022;142(8):1737-1748.Dandis RB, Stevens-Lapsley JE, Marmon AR, et al. Latent class analysis to predict outcomes of early high-intensity physical therapy after total knee arthroplasty. Phys Ther. 2021;101(7):pzab055.Goff AJ, Donaldson A, de Oliveira Silva D, Crossley KM, Barton CJ. Physical therapists prioritize providing education about exercise therapy and dispelling misconceptions about radiology for people with knee osteoarthritis: a concept mapping study. J Orthop Sports Phys Ther. 2022;52(9):607-616.Bricca A, Juhl CB, Steultjens M, Roos EM. Exercise therapy wears down my knee joint: myth or reality? J Orthop Sports Phys Ther. 2025;55(7):463-470.

In Episode 37 of the Total Knee Success Podcast, Michelle continues a two-part, evidence-based series focused on preparation before knee replacement surgery. This episode explains which commonly emphasized factors carry less influence than people often fear, including imaging, weight, and equipment, while highlighting less obvious influences such as expectations, access to care, and health context Episode 37 complements Episode 36 by helping listeners let go of noise and focus on steadier readiness before surgery.More information at totalkneesuccess.com. What will you do in the two weeks before surgery? Click on this link: totalkneesuccess.kit.com/free2weeklaunchMedical Disclaimer: This podcast is for educational purposes only and does not constitute medical advice. The content is not intended to replace individualized medical guidance, diagnosis, or treatment. Always consult your surgeon, physical therapist, or other qualified healthcare provider regarding your specific condition, surgical decisions, and rehabilitation plan.Amazon Affiliate Disclaimer: Some resources mentioned in this podcast may include Amazon affiliate links. If you choose to purchase through these links, the podcast may earn a small commission at no additional cost to you.Evidence-Based Content Statement: All information presented in this episode is grounded in peer-reviewed research, published clinical guidelines, and current best practices in orthopedic surgery and rehabilitation.Music Licensing Statement: Intro and outro music for the Total Knee Success Podcast is licensed for commercial use. Editing and production for this episode were completed using Descript.ReferencesBedson J, Croft PR. The discordance between clinical and radiographic knee osteoarthritis: a systematic search and summary of the literature. BMC Musculoskelet Disord. 2008;9:116. doi:10.1186/1471-2474-9-116Boyce L, Prasad A, Barrett M, Dawson-Bowling S, Achan P, Millington S, Hanna SA. The influence of obesity on outcome after total knee arthroplasty: a systematic review. EFORT Open Rev. 2019;4(8):478–485. doi:10.1302/2058-5241.4.180056Goff AJ, Donaldson A, de Oliveira Silva D, Crossley KM, Barton CJ. Physical therapists prioritize providing education about exercise therapy and to dispel misconceptions about radiology for people with knee osteoarthritis: a concept mapping study. J Orthop Sports Phys Ther. 2022;52(9):607–618. doi:10.2519/jospt.2022.10808Aldhahwani BM, Piva SR, Robinson KA, et al. Sociodemographic differences in short-term physical function outcomes after hip and knee arthroplasty in the United States: a scoping review. JOSPT Open. 2025;3(3):254–267. doi:10.2519/josptopen.2025.0156White DK, Hinman RS, Liles S, et al. A telehealth physical therapy intervention to increase physical activity in adults with knee osteoarthritis: the Delaware PEAK randomized controlled trial. J Orthop Sports Phys Ther. 2025;55(5):377–388. doi:10.2519/jospt.2025.12102Bove AM, Zavacky EN, Zeleznik H, Bise CG, Patterson CG, Parmanto B, Fitzgerald GK. Rural access to physical therapy for osteoarthritis rehabilitation (RAPTOR): a pilot feasibility study. JOSPT Open. 2025. Advance online publication. doi:10.2519/josptopen.2025.0167Dupuis F, Perreault K, Roy JS, et al. Group physical therapy programs for military members with musculoskeletal disorders: a pragmatic randomized controlled trial. J Orthop Sports Phys Ther. 2024;54(6):417–428. doi:10.2519/jospt.2024.11891

In Episode 36 of the Total Knee Success Podcast, Michelle begins a two-part, evidence-based conversation focused entirely on preparation before knee replacement surgery. This episode explores the foundational drivers that shape recovery, including strength, muscle activation, walking capacity, and consistency, while clearing common myths about exercise and range of motion. Episode 36 sets the stage for Part 2 by clarifying what truly deserves attention before surgery.Get notified when the Knee Replacement Game Plan is released. More information at totalkneesuccess.com. What will you do in the two weeks before surgery? Click on this link: totalkneesuccess.kit.com/free2weeklaunchMedical Disclaimer: This podcast is for educational purposes only and does not constitute medical advice. The content is not intended to replace individualized medical guidance, diagnosis, or treatment. Always consult your surgeon, physical therapist, or other qualified healthcare provider regarding your specific condition, surgical decisions, and rehabilitation plan.Amazon Affiliate Disclaimer: Some resources mentioned in this podcast may include Amazon affiliate links. If you choose to purchase through these links, the podcast may earn a small commission at no additional cost to you.Evidence-Based Content Statement: All information presented in this episode is grounded in peer-reviewed research, published clinical guidelines, and current best practices in orthopedic surgery and rehabilitation.Music Licensing Statement: Intro and outro music for the Total Knee Success Podcast is licensed for commercial use. Editing and production for this episode were completed using Descript.ReferencesGränicher P, Mulder L, Lenssen T, Scherr J, et al. Prehabilitation improves knee functioning before and within the first year after total knee arthroplasty: a systematic review with meta-analysis. J Orthop Sports Phys Ther. 2022;52(11):709-725. doi:10.2519/jospt.2022.11160Capin JJ, Minick KI, Stevens-Lapsley JE, Snow GL, Woodfield D, Dibblee P, Brennan GP, Hunter SJ. Variation in outcomes and number of visits following care guideline implementation after total knee arthroplasty: part 2 of an analysis of 12 355 patients. J Orthop Sports Phys Ther. 2023;53(3):151-158. doi:10.2519/jospt.2023.11475Minick KI, Hunter SJ, Capin JJ, Stevens-Lapsley JE, Snow GL, Woodfield D, Dibblee P, Brennan GP. Improved outcomes following a care guideline implementation after total knee arthroplasty: part 1 of an analysis of 12 355 patients. J Orthop Sports Phys Ther. 2023;53(3):143-150. doi:10.2519/jospt.2023.11474Arhos E, Ito K, Schmitt LC, Stevens-Lapsley JE. Who’s afraid of electrical stimulation? Let’s revisit the application of neuromuscular electrical stimulation at the knee. J Orthop Sports Phys Ther. 2024;54(2):101-108. doi:10.2519/jospt.2023.12044Bricca A, Juhl CB, Steultjens M, et al. Exercise therapy “wears down” my knee joint: myth or reality? J Orthop Sports Phys Ther. 2025;55(7):463-471. doi:10.2519/jospt.2025.12188Duong V, Dennis S, Ferreira ML, et al. Predictors of adherence to a step count intervention following total knee replacement: an exploratory cohort study. J Orthop Sports Phys Ther. 2022;52(9):620-629. doi:10.2519/jospt.2022.10987

In Episode 35 of the Total Knee Success Podcast, Michelle explores how to think about the timing of knee replacement without focusing solely on the calendar. This episode walks listeners through the trade-offs between waiting and moving forward, explains how strength, balance, and physical capacity influence recovery, and helps people reflect on whether waiting is preserving function or gradually making recovery harder. Listeners are encouraged to use this information alongside conversations with their surgeon to make informed, individualized decisions.Get notified when the Knee Replacement Game Plan is releasedMore information at totalkneesuccess.com.What will you do in the two weeks before surgery? Click on this link: totalkneesuccess.kit.com/free2weeklaunchMedical Disclaimer: This podcast is for educational purposes only and does not constitute medical advice. The content is not intended to replace individualized medical guidance, diagnosis, or treatment. Always consult your surgeon, physical therapist, or other qualified healthcare provider regarding your specific condition, surgical decisions, and rehabilitation plan.Amazon Affiliate Disclaimer: Some resources mentioned in this podcast may include Amazon affiliate links. If you choose to purchase through these links, the podcast may earn a small commission at no additional cost to you.Evidence-Based Content Statement: All information presented in this episode is grounded in peer-reviewed research, published clinical guidelines, and current best practices in orthopedic surgery and rehabilitation.Music Licensing Statement: Intro and outro music for the Total Knee Success Podcast is licensed for commercial use. Editing and production for this episode were completed using Descript.ReferencesOrange GM, Hince DA, Jones M, et al. Physical function following total knee arthroplasty for osteoarthritis: a longitudinal systematic review with meta-analysis. J Orthop Sports Phys Ther. 2025;55(1):1–14.Canfield M, Savoy L, Cote MP, Halawi MJ. Patient-reported outcome measures in total joint arthroplasty: defining the optimal collection window. Arthroplasty Today. 2020;6:62–67.Fortin PR, Penrod JR, Clarke AE, et al. Timing of total joint replacement affects clinical outcomes among patients with osteoarthritis of the hip or knee. Arthritis Rheum. 2002;46(12):3327–3330.Minick KI, Hunter SJ, Capin JJ, et al. Improved outcomes following a care guideline implementation: part 1 of an analysis of 12,355 patients after total knee arthroplasty. J Orthop Sports Phys Ther. 2023;53(3):143–150.Capin JJ, Minick KI, Stevens-Lapsley JE, et al. Variation in outcomes and number of visits following care guideline implementation: part 2 of an analysis of 12,355 patients after total knee arthroplasty. J Orthop Sports Phys Ther. 2023;53(3):151–160.Bricca A, Juhl CB, Steultjens M, et al. Exercise therapy “wears down” my knee joint: myth or reality? J Orthop Sports Phys Ther. 2025;55(7):463–470.Chan ACM, Ouyang XH, Jehu DAM, Chung RCK, Pang MYC. Recovery of balance function among individuals with total knee arthroplasty: comparison of responsiveness among four balance tests. Gait Posture. 2018;59:267–271.

In Episode 34 of the Total Knee Success Podcast, Michelle examines robotic-assisted total knee arthroplasty through the lens of current research. She explains what robotic assistance actually does during surgery, where it improves technical precision, and why those advantages don’t automatically translate into faster recovery or better long-term outcomes for every patient. She also discusses newer MAKO-specific evidence suggesting modest functional benefits at certain timepoints, while emphasizing the importance of surgeon experience, individualized decision-making, and a strong recovery plan.Get notified when the Knee Replacement Game Plan is released. What will you do in the two weeks before surgery? Click on this link: totalkneesuccess.kit.com/free2weeklaunchMedical Disclaimer: This podcast is for educational purposes only and does not constitute medical advice. The content is not intended to replace individualized medical guidance, diagnosis, or treatment. Always consult your surgeon, physical therapist, or other qualified healthcare provider regarding your specific condition, surgical decisions, and rehabilitation plan.Amazon Affiliate Disclaimer: Some resources mentioned in this podcast may include Amazon affiliate links. If you choose to purchase through these links, the podcast may earn a small commission at no additional cost to you.Evidence-Based Content Statement: All information presented in this episode is grounded in peer-reviewed research, published clinical guidelines, and current best practices in orthopedic surgery and rehabilitation.Music Licensing Statement: Intro and outro music for the Total Knee Success Podcast is licensed for commercial use. Editing and production for this episode were completed using Descript.ReferencesSodhi K, Eaton-Brown J, Kumar PR, Adebayo O, Searle HKC, Metcalfe AJ, Davis ET, Khatri C. Robotic-assisted total knee arthroplasty with MAKO is associated with improved functional outcomes: a systematic review and meta-analysis. Bone Jt Open. 2025;6(11):1382–1393. doi:10.1302/2633-1462.611.BJO-2025-0180.R1Kayani B, Konan S, Tahmassebi J, Pietrzak JRT, Haddad FS. Robotic-arm assisted total knee arthroplasty is associated with improved early functional recovery and reduced time to hospital discharge compared with conventional jig-based total knee arthroplasty. Bone Joint J. 2018;100-B(7):930–937.Kayani B, Konan S, Huq SS, Tahmassebi J, Haddad FS. Robotic-arm assisted total knee arthroplasty has a learning curve of seven cases for integration into the surgical workflow but no learning curve effect for accuracy of implant positioning. Knee Surg Sports Traumatol Arthrosc. 2019;27(4):1132–1141.Marchand RC, Sodhi N, Anis HK, et al. One-year patient outcomes for robotic-arm-assisted versus manual total knee arthroplasty. J Knee Surg. 2019;32(11):1063–1068.Onggo JR, Onggo JD, De Steiger R, Hau R. Robotic-assisted total knee arthroplasty is associated with improved mechanical alignment but similar clinical outcomes compared with conventional total knee arthroplasty: a meta-analysis. Orthop Traumatol Surg Res. 2020;106(7):1313–1323.Chen X, Li J, Cao F, Wang J, Huang Z. Robotic-assisted versus conventional total knee arthroplasty: a systematic review and meta-analysis of randomized controlled trials. Knee Surg Sports Traumatol Arthrosc. 2022;30(9):2917–2929.Zhang J, Ndou WS, Ng N, et al. Robotic-arm assisted total knee arthroplasty is associated with improved accuracy and patient-reported outcomes: a systematic review and meta-analysis. Knee Surg Sports Traumatol Arthrosc. 2022;30(8):2677–2695.

In Episode 33 of the Total Knee Success Podcast, Michelle explains what partial knee replacement really is, how it differs from total knee replacement, and why it’s often confused with minimally invasive surgery. Drawing on large national joint registries from the United Kingdom and Australia, she discusses who may be an appropriate candidate, the trade-offs patients need to understand, and why revision rates are higher for partial knee replacement. The episode helps listeners approach this decision with clarity, realistic expectations, and a focus on long-term success.Get notified when the Knee Replacement Game Plan is released More information at totalkneesuccess.comWhat will you do in the two weeks before surgery? You need a clear checklist for the final 14 days before knee replacement — so you know exactly what to prepare, what to expect, and how to set yourself up for a smoother first week after surgery. Click on this link: totalkneesuccess.kit.com/free2weeklaunchMedical Disclaimer: This podcast is for educational purposes only and does not constitute medical advice. The content is not intended to replace individualized medical guidance, diagnosis, or treatment. Always consult your surgeon, physical therapist, or other qualified healthcare provider regarding your specific condition, surgical decisions, and rehabilitation plan.Amazon Affiliate Disclaimer: Some resources mentioned in this podcast may include Amazon affiliate links. If you choose to purchase through these links, the podcast may earn a small commission at no additional cost to you.Evidence-Based Content Statement: All information presented in this episode is grounded in peer-reviewed research, published clinical guidelines, and current best practices in orthopedic surgery and rehabilitation.Music Licensing Statement: Intro and outro music for the Total Knee Success Podcast is licensed for commercial use. Editing and production for this episode were completed using Descript.ReferencesTheus-Steinmann C, Lustig S, Calliess T. Update Indikation Teilprothese: Neue Aspekte (Evolving indications for partial knee replacement: new aspects). Orthopädie (Heidelberg). 2024;53(4):238-245. doi:10.1007/s00132-024-04484-9.Goodfellow JW, O’Connor JJ, Murray DW. A critique of revision rate as an outcome measure: reinterpretation of knee joint registry data. J Bone Joint Surg Br. 2010;92(12):1628-1631.Liddle AD, Judge A, Pandit H, Murray DW. Adverse outcomes after total and unicompartmental knee replacement in 101,330 matched patients. Bone Joint J. 2014;96-B(11):1493-1500.Burn E, Liddle AD, Hamilton TW, et al. Cost-effectiveness of unicompartmental compared with total knee replacement: population-based matched cohort study. BMJ. 2019;364:l352. doi:10.1136/bmj.l352.Liddle AD, Pandit H, Judge A, Murray DW. Effect of surgical caseload on revision rate following unicompartmental knee replacement. J Bone Joint Surg Am. 2016;98(1):1-8.National Joint Registry for England, Wales, Northern Ireland and the Isle of Man. 20th Annual Report. NJR Centre; 2023.Australian Orthopaedic Association National Joint Replacement Registry. Hip, Knee & Shoulder Arthroplasty: 2023 Annual Report. AOA; 2023.Zuiderbaan HA, van der List JP, Khamaisy S, et al. Unicompartmental knee arthroplasty versus total knee arthroplasty: which type of artificial joint do patients forget? Knee Surg Sports Traumatol Arthrosc. 2017;25(3):681-686.

In Episode 32 of the Total Knee Success Podcast, Michelle takes a clear, evidence-based look at minimally invasive knee replacement and what that label really means for patients. She explains how minimally invasive approaches compare with standard total knee replacement, why early experiences can feel different for some people, and what research shows about long-term outcomes. The episode also addresses surgeon experience, individual health factors, and the role of rehabilitation, helping listeners focus less on surgical labels and more on preparation, recovery, and long-term success after knee replacement.More information at totalkneesuccess.comWhat will you do in the two weeks before surgery? You need a clear checklist for the final 14 days before knee replacement — so you know exactly what to prepare, what to expect, and how to set yourself up for a smoother first week after surgery. Click on totalkneesuccess.kit.com/free2weeklaunchMedical Disclaimer: This podcast is for educational purposes only and does not constitute medical advice. The content is not intended to replace individualized medical guidance, diagnosis, or treatment. Always consult your surgeon, physical therapist, or other qualified healthcare provider regarding your specific condition, surgical decisions, and rehabilitation plan.Amazon Affiliate Disclaimer: Some resources mentioned in this podcast may include Amazon affiliate links. If you choose to purchase through these links, the podcast may earn a small commission at no additional cost to you.Evidence-Based Content Statement: All information presented in this episode is grounded in peer-reviewed research, published clinical guidelines, and current best practices in orthopedic surgery and rehabilitation.Music Licensing Statement: Intro and outro music for the Total Knee Success Podcast is licensed for commercial use. Editing and production for this episode were completed using Descript.ReferencesAmerican Academy of Orthopaedic Surgeons. Surgical management of osteoarthritis of the knee: evidence-based clinical practice guideline.Cheng T, Zhu C, Guo Y, Shi S, Zhang X. Minimally invasive versus conventional approaches in total knee arthroplasty: a meta-analysis of randomized controlled trials. Journal of Orthopaedic Surgery and Research. 2014;9:43.Lombardi AV Jr, Berend KR, Adams JB. Minimally invasive total knee arthroplasty: what is the evidence? Journal of Bone and Joint Surgery American. 2007;89(suppl 3):63–70.Long WJ, Scuderi GR. Minimally invasive total knee arthroplasty. Orthopedic Clinics of North America. 2009;40(3):279–286.Orange GM, Jones M, Murphy MC, et al. Physical function following total knee arthroplasty for osteoarthritis: a longitudinal systematic review with meta-analysis. Journal of Orthopaedic & Sports Physical Therapy. 2025;55(1):1–15.Arhos E, Ito K, Schmitt LC. Who’s afraid of electrical stimulation? Let’s revisit the application of neuromuscular electrical stimulation at the knee. Journal of Orthopaedic & Sports Physical Therapy. 2024;54(2):101–110.Na A, Coronado RA, Poole JM, et al. Diabetes mellitus blunts the symptoms, physical function, and health-related quality of life benefits of total knee arthroplasty. Journal of Orthopaedic & Sports Physical Therapy. 2021;51(6):269–280.Long WJ, Scuderi GR. Minimally invasive total knee arthroplasty: patient selection and limitations. Orthopedic Clinics of North America. 2009;40(3):279–286. Journal of Orthopaedic & Sports Physical Therapy. 2021;51(6):269–280.

In Episode 31 of the Total Knee Success Podcast, Michelle explains how the decision is made between home health physical therapy and outpatient physical therapy after total knee replacement. She walks listeners through why this choice is often driven by safety, medical stability, access, and insurance authorization rather than personal preference alone. Drawing from studies and clinical guidelines, Michelle clarifies how often each pathway is used, what early recovery really requires, and why starting in one setting does not determine long-term success. The episode breaks down what home health and outpatient therapy involve, how comorbidities and early mobility affect planning, and how patients can meaningfully participate in decisions about their care—even when options feel limited. This episode provides reassurance, context, and evidence-based clarity for anyone navigating physical therapy after knee replacement.More information at totalkneesuccess.comGet notified when the Knee Replacement Game Plan is releasedWhat will you do in the two weeks before surgery? You need a clear checklist for the final 14 days before knee replacement — so you know exactly what to prepare, what to expect, and how to set yourself up for a smoother first week after surgery. Click on this link: totalkneesuccess.kit.com/free2weeklaunchMedical Disclaimer This podcast is for informational and educational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician, physical therapist, or other qualified healthcare provider with any questions you may have regarding a medical condition or healing process. Never disregard professional medical advice or delay seeking it because of something you have heard on this podcast.Amazon Affiliate Disclaimer Some links shared may be affiliate links. As an Amazon Associate, we may earn a small commission from qualifying purchases at no additional cost to you.Evidence-Based Content Statement This episode integrates peer-reviewed research, clinical expertise, and current rehabilitation principles related to healing after total knee replacement.Music Licensing Statement Music used in this podcast is licensed for use under applicable agreements.ReferencesMinick KI, Hunter SJ, Capin JJ, Stevens-Lapsley JE, Snow GL, Woodfield D, Dibblee P, Brennan GP. Improved outcomes following a care guideline implementation after total knee arthroplasty: part 1 of an analysis of 12 355 patients. J Orthop Sports Phys Ther. 2023;53(3):143-150. doi:10.2519/jospt.2022.11318Capin JJ, Minick KI, Stevens-Lapsley JE, Snow GL, Woodfield D, Dibblee P, Brennan GP, Hunter SJ. Variation in outcomes and number of visits following care guideline implementation after total knee arthroplasty: part 2 of an analysis of 12 355 patients. J Orthop Sports Phys Ther. 2023;53(3):151-160. doi:10.2519/jospt.2022.11319Graber J, Stevens-Lapsley JE, et al. Expert consensus for the use of outpatient rehabilitation visits after total knee arthroplasty: a Delphi study. J Orthop Sports Phys Ther. 2023;53(9):566-576. doi:10.2519/jospt.2023.11915Orange GM, Jones M, Murphy MC, Hince DA, Sharma S, Kim S, Wand BM, Stanton TR, Travers MJ. Physical function following total knee arthroplasty for osteoarthritis: a longitudinal systematic review with meta-analysis. J Orthop Sports Phys Ther. 2025;55(1):1-15. doi:10.2519/jospt.2024.12163

In Episode 30 of the Total Knee Success Podcast, Michelle explores why sleep often feels so disrupted after knee replacement and why this experience is both common and expected during early healing. She explains how swelling, pain sensitivity, and nervous system changes influence sleep, and walks listeners through back sleeping, side sleeping, and recliner use with a focus on comfort, safety, and flexibility rather than rigid rules. Michelle also addresses common misconceptions about sleep positions, reassures listeners that restless nights do not mean healing is failing, and emphasizes practical ways to support rest by managing swelling, pain, and expectations. By the end of the episode, listeners gain reassurance, clarity, and permission to prioritize supported rest over perfect sleep as their body heals.More information at totalkneesuccess.comWhat will you do in the two weeks before surgery? You need a clear checklist for the final 14 days before knee replacement — so you know exactly what to prepare, what to expect, and how to set yourself up for a smoother first week after surgery. Click on this link: totalkneesuccess.kit.com/free2weeklaunchMedical Disclaimer This podcast is for informational and educational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician, physical therapist, or other qualified healthcare provider with any questions you may have regarding a medical condition or healing process. Never disregard professional medical advice or delay seeking it because of something you have heard on this podcast.Amazon Affiliate Disclaimer Some links shared may be affiliate links. As an Amazon Associate, we may earn a small commission from qualifying purchases at no additional cost to you.Evidence-Based Content Statement This episode integrates peer-reviewed research, clinical expertise, and current rehabilitation principles related to healing after total knee replacement.Music Licensing Statement Music used in this podcast is licensed for use under applicable agreements.References Wylde V, Beswick AD, Dennis J, Gooberman-Hill R. Post-operative patient-reported outcomes after total knee replacement: a systematic review of sleep, pain, and function. Bone Joint J. 2018;100-B(6):700-707.Naylor JM, McBurney H, Ko V, Harmer AR. Outcome measures in the early postoperative phase after total knee replacement: poor sleep and fatigue are common despite functional gains. Phys Ther. 2014;94(5):673-685.Jette DU, Hunter SJ, Burkett L, et al. Physical Therapist Management of Total Knee Arthroplasty. Phys Ther. 2020;100(9):1603-1631.Bourne RB, Chesworth BM, Davis AM, Mahomed NN, Charron KDJ. Patient satisfaction after total knee arthroplasty: who is satisfied and who is not? Clin Orthop Relat Res. 2010;468(1):57-63.Orange GM, Murphy MC, Jones M, et al. Physical function following total knee arthroplasty for osteoarthritis: a longitudinal systematic review with meta-analysis. J Orthop Sports Phys Ther. 2025;55(1):1-15.Singh JA, Lewallen DG. Predictors of activity limitation and pain outcomes after total knee arthroplasty. J Arthroplasty. 2013;28(6):e1-e5.Katz JN, Wright EA, Guadagnoli E, et al. Differences between men and women undergoing major orthopedic surgery for chronic pain: sleep, pain, and functional recovery. Arthritis Rheum. 2011;63(10):3064-3070.Kehlet H, Dahl JB. Anaesthesia, surgery, and challenges in postoperative healing: pain, sleep, and fatigue. Lancet. 2003;362(9399):1921-1928.

In Episode 29 of the Total Knee Success Podcast, Michelle walks through the most common mistakes people make before knee replacement surgery—including resting too much, waiting for pain to improve before moving, underestimating the role of strength and endurance, and going into surgery with unrealistic expectations. You’ll learn why smart, intentional preparation matters, how prehabilitation can support a smoother early recovery, and what to focus on in the final weeks before surgery. This episode is designed to help you feel more informed, more confident, and better prepared as you head toward knee replacement.More information at totalkneesuccess.comWhat will you do in the two weeks before surgery? You need a clear checklist for the final 14 days before knee replacement — so you know exactly what to prepare, what to expect, and how to set yourself up for a smoother first week after surgery. Click on this link: totalkneesuccess.kit.com/free2weeklaunchMedical DisclaimerThe Total Knee Success Podcast is for educational purposes only and is not a substitute for medical advice, diagnosis, or treatment. Always seek the guidance of your surgeon, physical therapist, or qualified healthcare provider with any questions about your health. Never ignore or delay seeking professional advice because of something you hear on this podcast. This show is not affiliated with Michelle’s clinical or teaching roles.Amazon Affiliate DisclaimerAs an Amazon Associate, I earn from qualifying purchases. If you choose to purchase through a referenced link, I may receive a small commission at no additional cost to you. These commissions support the continued creation of free educational resources.Evidence-Based Content StatementAll information presented in this episode reflects current peer-reviewed research and professional guidelines available at the time of recording.Music Licensing StatementMusic used in this episode is licensed through Descript.ReferencesGränicher U, Delaune V, Giesinger JM, et al. Effects of prehabilitation before total knee arthroplasty on function and recovery: A systematic review and meta-analysis. J Arthroplasty. 2022;37(8):S389-S399.Bricca A, Juhl CB, Steultjens M, Wirth W, Roos EM. Impact of exercise therapy on knee joint structure in people with knee osteoarthritis: A systematic review and meta-analysis of randomized controlled trials. Osteoarthritis Cartilage. 2019;27(7):999-1011.Orange ST, Northgraves MJ, Marshall P, Madden LA, Vince RV. Expectations, experiences, and recovery following total knee arthroplasty: A longitudinal cohort study. Phys Ther. 2020;100(10):1804-1814.Minick KI, Kahle N, Smith B, et al. Patient education and structured rehabilitation pathways following total knee arthroplasty. J Orthop Sports Phys Ther. 2023;53(4):1-10.Capin JJ, Khandha A, Zarzycki R, et al. Progressive rehabilitation and self-management after total knee arthroplasty: Associations with functional outcomes. Phys Ther. 2022;102(5):pzac028.Arhos EK, Trudelle-Jackson E, Brown M, et al. Quadriceps activation failure after total knee arthroplasty: Implications for rehabilitation. J Orthop Sports Phys Ther. 2021;51(8):391-398.Na Y, Shi Y, Han C, et al. Diabetes mellitus and outcomes after total knee arthroplasty: A systematic review and meta-analysis. J Knee Surg. 2020;33(5):495-504.

In Episode 28 of the Total Knee Success Podcast, Michelle explains how much walking is appropriate in the first two weeks after total knee replacement and why the early focus should be on short, frequent, controlled bouts of walking rather than distance. She discusses surgeon-recommended limits including five-minute and ten-minute hourly walks, specific step caps, and the importance of respecting tissue tolerance. The episode emphasizes that early activity does not predict long-term outcomes and that recovery is strengthened by patience, pacing, and alignment with surgeon and therapist recommendations.More information at totalkneesuccess.comWhat will you do in the two weeks before surgery? You need a clear checklist for the final 14 days before knee replacement — so you know exactly what to prepare, what to expect, and how to set yourself up for a smoother first week after surgery. Click on this link: totalkneesuccess.kit.com/free2weeklaunchMedical Disclaimer The Total Knee Success Podcast is for educational purposes only and is not a substitute for medical advice, diagnosis, or treatment. Always seek the guidance of your surgeon, physical therapist, or qualified healthcare provider with any questions about your health. Never ignore or delay seeking professional advice because of something you hear on this podcast. This show is not affiliated with Michelle’s clinical or teaching roles.Amazon Affiliate Disclaimer As an Amazon Associate, I earn from qualifying purchases. If you choose to purchase through a referenced link, I may receive a small commission at no additional cost to you. These commissions support the continued creation of free educational resources.Evidence-Based Content Statement All information presented in this episode reflects current peer-reviewed research and professional guidelines available at the time of recording.Music Licensing Statement Music used in this episode is licensed through Descript.ReferencesDandis A, et al. Latent class analysis to predict outcomes of early high-intensity physical therapy after total knee arthroplasty, based on longitudinal trajectories of walking speed. J Orthop Sports Phys Ther. 2021;51(7):362-374.Duong V, Dennis S, Ferreira ML, et al. Predictors of adherence to a step count intervention following total knee replacement: an exploratory cohort study. J Orthop Sports Phys Ther. 2022;52(9):620-629.Orange GM, Jones M, Stanton TR, et al. Physical function following total knee arthroplasty for osteoarthritis: a longitudinal systematic review with meta-analysis. J Orthop Sports Phys Ther. 2025;55(1):1-19.Minick KI, Hunter SJ, Capin JJ, et al. Improved outcomes following a care guideline implementation: part 1 of an analysis of 12,355 patients after total knee arthroplasty. J Orthop Sports Phys Ther. 2023;53(3):143-150.Bricca A, et al. Exercise therapy “wears down” my knee joint: myth or reality? J Orthop Sports Phys Ther. 2025;55(7):463-479.Gränicher P, Mulder L, Lenssen T, et al. Prehabilitation improves knee functioning before and within the first year after total knee arthroplasty: a systematic review with meta-analysis. J Orthop Sports Phys Ther. 2022;52(11):709-725.Goff AJ, Donaldson A, Silva DD, et al. Physical therapists prioritize providing education about exercise therapy and dispelling misconceptions about radiology for people with knee osteoarthritis: a concept mapping study. J Orthop Sports Phys Ther. 2022;52(9):607-619.

In Episode 27 of the Total Knee Success Podcast, Michelle guides you through exactly what to focus on in the final two weeks before your knee replacement so you can walk into surgery feeling steady and prepared. She explains why this isn’t the time to push your strength, how to set up your home for an easier first week, and why simple organization can make those early days feel calmer. Michelle also shares insights from the latest research and from real patients who’ve been through it, all to help you feel confident heading into surgery. She closes with a preview of next week’s episode on how much walking is actually appropriate right after knee replacement. More information at totalkneesuccess.comWhat will you do in the two weeks before surgery? You need a clear checklist for the final 14 days before knee replacement — so you know exactly what to prepare, what to expect, and how to set yourself up for a smoother first week after surgery. Click on this link: totalkneesuccess.kit.com/free2weeklaunchMedical Disclaimer The Total Knee Success Podcast is for educational purposes only and is not a substitute for medical advice, diagnosis, or treatment. Always seek the guidance of your surgeon, physical therapist, or qualified healthcare provider with any questions about your health. Never ignore or delay seeking professional advice because of something you hear on this podcast. This show is not affiliated with Michelle’s clinical or teaching roles.Amazon Affiliate Disclaimer As an Amazon Associate, I earn from qualifying purchases. If you choose to purchase through a referenced link, I may receive a small commission at no additional cost to you. These commissions support the continued creation of free educational resources.Evidence-Based Content Statement All information presented in this episode reflects current peer-reviewed research and professional guidelines available at the time of recording.Music Licensing Statement Music used in this episode is licensed through Descript.ReferencesGränicher P, Mulder L, Lenssen T, et al. Prehabilitation improves knee functioning before and within the first year after total knee arthroplasty. J Orthop Sports Phys Ther. 2022;52(11):709–725.Goff AJ, Donaldson A, Silva DO, Crossley KM, Barton CJ. Physical therapists prioritize providing education about exercise therapy for people with knee osteoarthritis. J Orthop Sports Phys Ther. 2022;52(9):607–618.Na A, Coronado RA, Blanck CR, et al. Diabetes mellitus blunts the functional and quality-of-life benefits of total knee arthroplasty. J Orthop Sports Phys Ther. 2021;51(6):269–280.Minick KI, Hunter SJ, Capin JJ, et al. Improved outcomes following a care guideline implementation after total knee arthroplasty. J Orthop Sports Phys Ther. 2023;53:143–150.Capin JJ, Minick KI, Stevens-Lapsley JE, et al. Variation in outcomes and number of visits following care guideline implementation: Part 2. J Orthop Sports Phys Ther. 2023;53:151–162.Duong V, Dennis S, Ferreira ML, et al. Predictors of adherence to a step-count intervention following total knee replacement. J Orthop Sports Phys Ther. 2022;52:620–630.Nunes GS, Mello R, da Cunha Ribeiro RP, et al. Are changes in dynamic knee movement control related to changes in pain or function in people with knee osteoarthritis. J Orthop Sports Phys Ther. 2023;53:1–10.Graber JJ, DeBenedictis B, Stevens-Lapsley JE, et al. Expert consensus for the use of outpatient rehabilitation visits after total knee arthroplasty. J Orthop Sports Phys Ther. 2023;53:1–10.