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

In Episode 53 of the Total Knee Success podcast, Michelle explains what platelet‑rich plasma (PRP) injections are and how they are used before total knee replacement. She discusses how PRP is prepared from a patient’s own blood, what the research shows about symptom relief for knee osteoarthritis, and why PRP does not reverse advanced structural arthritis. The episode also describes what patients typically experience before and after the injection.What will you do before surgery? You need a clear checklist so you know exactly what to prepare, what to expect, and how to set yourself up for a smoother first week after surgery. totalkneesuccess.kit.com/free2weeklaunchThe Knee Replacement Game Plantotalkneesuccess.comMedical 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 Bannuru RR, Osani MC, Vaysbrot EE, et al. Comparative effectiveness of pharmacologic interventions for knee osteoarthritis: a systematic review and network meta‑analysis. Ann Intern Med. 2015;162(1):46‑54.Dai WL, Zhou AG, Zhang H, Zhang J. Efficacy of platelet‑rich plasma in the treatment of knee osteoarthritis: a meta‑analysis of randomized controlled trials. Arthroscopy. 2017;33(3):659‑670.Belk JW, Kraeutler MJ, Houck DA, et al. Platelet‑rich plasma versus hyaluronic acid for knee osteoarthritis: a systematic review and meta‑analysis of randomized controlled trials. Am J Sports Med. 2021;49(1):249‑260.Filardo G, Di Matteo B, Di Martino A, et al. Platelet‑rich plasma intra‑articular knee injections for the treatment of degenerative cartilage lesions and osteoarthritis. Knee Surg Sports Traumatol Arthrosc. 2015;23(7):1913‑1920.Cole BJ, Karas V, Hussey K, et al. Hyaluronic acid versus platelet‑rich plasma: a prospective, double‑blind randomized controlled trial comparing clinical outcomes in knee osteoarthritis. Am J Sports Med. 2017;45(2):339‑346.Zhao J, Huang H, Liang G, et al. Platelet-rich plasma for knee osteoarthritis: a systematic review and meta-analysis of randomized controlled trials. J Orthop Surg Res. 2023;18:518.Shen L, Yuan T, Chen S, Xie X, Zhang C. The temporal effect of platelet‑rich plasma on pain and physical function in the treatment of knee osteoarthritis: systematic review and meta‑analysis of randomized controlled trials. J Orthop Surg Res. 2017;12:16.Laudy ABM, Bakker EWP, Rekers M, Moen MH. Efficacy of platelet‑rich plasma injections in osteoarthritis of the knee: a systematic review and meta‑analysis. Br J Sports Med. 2015;49(10):657‑672.

In Episode 52 of the Total Knee Success podcast, Michelle explains what gel injections, also known as hyaluronic acid injections, are designed to do before total knee replacement. She breaks down how these injections interact with joint fluid, why clinical research on their effectiveness is mixed, and which patients may be more likely to notice benefit. Michelle also discusses how gel injections fit into real-world treatment decisions, including timing before surgery and how to evaluate whether they align with your functional goals and overall knee health strategy.What will you do before surgery? You need a clear checklist. Get your 2-Week Knee Replacement Launch Plan — so you know exactly what to prepare, what to expect, and how to set yourself up for a smoother first week after surgery. totalkneesuccess.kit.com/free2weeklaunchThe Knee Replacement Game Plantotalkneesuccess.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 American Academy of Orthopaedic Surgeons. Management of osteoarthritis of the knee (non-arthroplasty) evidence-based clinical practice guideline. Published August 31, 2021.Bannuru RR, Osani MC, Vaysbrot EE, et al. Comparative effectiveness of pharmacologic interventions for knee osteoarthritis: a systematic review and network meta-analysis. Ann Intern Med. 2015;162(1):46-54.Bannuru RR, Osani MC, Vaysbrot EE, et al. OARSI guidelines for the non-surgical management of knee osteoarthritis: a network meta-analysis of treatments. Osteoarthritis Cartilage. 2019;27(11):1578-1589.McAlindon TE, Bannuru RR, Sullivan MC, et al. OARSI guidelines for the non-surgical management of knee osteoarthritis. Osteoarthritis Cartilage. 2014;22(3):363-388.Altman RD, Manjoo A, Fierlinger A, Niazi F, Nicholls M. The mechanism of action for hyaluronic acid treatment in the osteoarthritic knee: a systematic review. BMC Musculoskelet Disord. 2015;16:321.Jevarajah A, Kwon JY. Intra-articular hyaluronic acid injections for knee osteoarthritis: a review of the evidence. Orthop Clin North Am. 2019;50(4):439-446.Rutjes AWS, Jüni P, da Costa BR, et al. Viscosupplementation for osteoarthritis of the knee: a systematic review and meta-analysis. Ann Intern Med. 2012;157(3):180-191.Campbell KA, Erickson BJ, Saltzman BM, et al. Is local viscosupplementation injection clinically superior to other therapies in the treatment of osteoarthritis of the knee? A systematic review of overlapping meta-analyses. Arthroscopy. 2015;31(10):2036-2045.

In Episode 51 of the Total Knee Success podcast, Michelle explains how cortisone injections work before total knee replacement. She discusses how corticosteroids reduce inflammation, what relief to realistically expect, timing considerations before surgery, and how to determine whether a cortisone injection aligns with your overall surgical plan.Get 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.ReferencesAmerican Academy of Orthopaedic Surgeons. Management of osteoarthritis of the knee (non‑arthroplasty) evidence‑based clinical practice guideline. Published August 31, 2021.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.Ibad HA, Kasaeian A, Ghotbi E, et al. Longitudinal MRI‑defined cartilage loss and radiographic joint space narrowing following intra‑articular corticosteroid injection for knee osteoarthritis: a systematic review and meta‑analysis. Osteoarthr Imaging. 2023;3(3):100157.Bharadwaj UU, Lynch JA, Joseph GB, et al. Intra‑articular knee injections and progression of knee osteoarthritis: data from the Osteoarthritis Initiative. Radiology. 2025;315(2):e233081.Werner BC, Cancienne JM, Browne JA. The timing of total knee arthroplasty after intra-articular corticosteroid injection affects postoperative infection risk. J Bone Joint Surg Am. 2016;98(6):438-443.Bedard NA, Pugely AJ, Westermann RW, Duchman KR, Glass NA, Callaghan JJ. Does the timing of previous intra-articular steroid injection affect the post-operative rate of infection in total knee arthroplasty? J Arthroplasty. 2017;32(1):382-387.McAlindon TE, Bannuru RR, Sullivan MC, et al. OARSI guidelines for the non-surgical management of knee osteoarthritis. Osteoarthritis Cartilage. 2014;22(3):363-388.McAlindon TE, LaValley MP, Harvey WF, et al. Effect of intra‑articular triamcinolone vs saline on knee cartilage volume and pain in patients with knee osteoarthritis: a randomized clinical trial. JAMA. 2017;317(19):1967-1975.Lai Q, Cai K, Lin T, Zhou C, Chen Z, Zhang Q. Prior intra‑articular corticosteroid injection within 3 months may increase the risk of deep infection following total knee arthroplasty: a meta‑analysis. Clin Orthop Relat Res. 2022;480(6):971-979.

In Episode 50 of the Total Knee Success podcast, Michelle explains how walking speed and endurance predict independence after total knee replacement. She outlines how to measure 10‑meter walking speed, discusses the 2‑ and 6‑minute walk tests for endurance, and connects gait performance to strength, balance, and long-term function.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, Snyder-Mackler L, 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):101-110.Dandis NA, Stevens-Lapsley JE, Mizner RL. 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):362-370.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.Na A, Coronado RA, 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.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.White DK, Hinman RS, Liles S, et al. A telehealth physical therapy intervention to increase physical activity in adults with knee OA: The Delaware PEAK randomized controlled trial. J Orthop Sports Phys Ther. 2025;55(5):377-389.Bricca A, et al. Exercise therapy “wears down” my knee joint: Myth or reality? J Orthop Sports Phys Ther. 2025;55(7):463-468.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 49 of the Total Knee Success Podcast, Michelle explains the objective strength benchmarks that define meaningful recovery after total knee replacement. She breaks down quadriceps strength symmetry, sit-to-stand performance, stair descent control, and single-leg stability thresholds that predict long-term independence. Listeners learn why pain reduction alone does not define recovery and how measurable strength data creates clarity and direction. This episode lays the foundation for understanding how strength translates into walking performance in the next episode.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, 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):101-111. 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. 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. 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. Na A, 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. 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):362-372.

In Episode 48 of the Total Knee Success podcast, Michelle explains what truly defines a successful recovery after total knee replacement beyond range of motion and timelines. She discusses strength, functional performance, walking endurance, balance, and meaningful improvement as more accurate markers of progress. Listeners learn how to evaluate their own recovery in practical, real-life terms and gain clarity about whether they are truly on track.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):1-15.Arhos EK, Ito N, Stevens-Lapsley JE, 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):101-110.Roush JR, et al. Preliminary evaluation of the clinimetrics of a modified Lower Extremity Functional Scale in older adults after total knee arthroplasty. JOSPT Open. 2024;2(3):240-250.Dandis R, 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):362-370.Na A, 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.Aldhahwani BM, 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):254-268.Nunes GS, et al. Are changes in dynamic knee movement control related to changes in pain or function in people with knee disorders? A systematic review and meta-analysis. J Orthop Sports Phys Ther. 2023;53(7):388-401.White DK, et al. A telehealth physical therapy intervention to increase physical activity in adults with knee OA: The Delaware PEAK randomized controlled trial. J Orthop Sports Phys Ther. 2025;55(5):377-388.TKA Structured Research Guide. Balance and falls evidence summary. Updated 2025.

In Episode 47 of the Total Knee Success podcast, Michelle explains what prehabilitation actually changes before knee replacement and what it was never designed to control. She clarifies why prehab improves early strength and confidence but does not eliminate later slowdowns or plateaus. This episode reframes mid‑recovery challenges in a way that reduces self‑blame and supports steady, progressive rebuilding. Listeners walk away with a clearer understanding of how to use preparation strategically and why prehab remains a valuable investment in long‑term recovery.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.ReferencesGränicher U, 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. doi:10.2519/jospt.2022.11160Minick 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. doi:10.2519/jospt.2023.11600Orange 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. doi:10.2519/jospt.2025.11800Bricca A, et al. Exercise therapy “wears down” my knee joint: myth or reality? J Orthop Sports Phys Ther. 2025;55(7):463‑468.Goff AJ, Donaldson A, de Oliveira Silva D, et al. 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.2022.11054American Academy of Orthopaedic Surgeons. Total knee replacement exercise guide. OrthoInfo. Accessed February 16, 2026. https://orthoinfo.aaos.org/en/recovery/total-knee-replacement-exercise-guide/

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.