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Recent episodes
Episode 69: The Limp That's Protecting You vs. The Limp That's Hurting You (Understanding Compensation After Knee Replacement)
May 5, 2026
14m 35s
Episode 68: Stop Trying to Walk "Perfectly" After Knee Replacement (What a Healthy Gait Actually Looks Like)
May 1, 2026
12m 03s
Episode 67: Why Walking Feels So Different After Knee Replacement (And Why That’s Actually Normal)
Apr 28, 2026
9m 58s
Episode 66: Can You Rewire Pain? (Recovery, Hope, and What’s Possible)
Apr 24, 2026
11m 33s
Episode 65: How to Actually Reduce Pain (What Works & What Doesn’t)
Apr 21, 2026
12m 08s
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| Date | Episode | Description | Length | ||||||
|---|---|---|---|---|---|---|---|---|---|
| 5/5/26 | Episode 69: The Limp That's Protecting You vs. The Limp That's Hurting You (Understanding Compensation After Knee Replacement) | In Episode 69, Michelle explains why limping happens after knee replacement and how to recognize the difference between a protective limp and one that may be holding you back. She walks you through what your body is doing during each phase of healing, how to interpret what you are feeling when you walk, and how to respond in a way that supports progress without forcing perfection.Free newsletter: Total Knee Success InsiderHave a question we can answer on the podcast? Click here for Ask Michelletotalkneesuccess.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:Arhos EK, Grindem H, Snyder-Mackler L, 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):101-110.Roush JR, Huddleston W, 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.Orange GM, Hince DA, Jones M, Sharma S, Kim S, Wand BM, Murphy MC. 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.Graber CJ, Stevens-Lapsley JE, Bade MJ, Christiansen CL, 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):566-579.Capin 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. J Orthop Sports Phys Ther. 2023;53(3):151-160.Nunes GS, de Moraes WSL, Sampaio VDS, 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, Hinman RS, Liles S, Bye TV, Voinier D, et al. A telehealth physical therapy intervention to increase physical activity in adults with knee osteoarthritis: a randomized controlled trial. J Orthop Sports Phys Ther. 2025;55(5):377-389.Bricca A, Skou ST, et al. Exercise therapy “wears down” my knee joint: myth or reality? J Orthop Sports Phys Ther. 2025;55(7):463-468. | 14m 35s | ||||||
| 5/1/26 | Episode 68: Stop Trying to Walk "Perfectly" After Knee Replacement (What a Healthy Gait Actually Looks Like) | In Episode 68, Michelle explains why trying to walk perfectly after knee replacement can slow progress and increase tension. This Episode teaches listeners what a healthy gait actually looks like, why natural variation is normal, and which progress markers are more meaningful than appearance alone. Michelle also shares practical strategies to improve walking through strength, rhythm, confidence, and consistency.Get the Making Sense of Pain After Knee Replacement GuideHave a question we can answer on the podcast? Click here for Ask Michelletotalkneesuccess.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:Arhos EK, et al. Who’s afraid of electrical stimulation? Revisiting the application of neuromuscular electrical stimulation at the knee. J Orthop Sports Phys Ther. 2024.Roush JR, et al. Preliminary evaluation of the clinimetrics of a modified Lower Extremity Functional Scale in older adults. J Orthop Sports Phys Ther. 2024.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):1-14.Nunes GS, de Moraes WSL, 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, Hinman RS, et al. A telehealth physical therapy intervention to increase physical activity in adults with knee osteoarthritis: a randomized controlled trial. J Orthop Sports Phys Ther. 2025;55(5):377-389.Graber CJ, Stevens-Lapsley JE, Bade MJ, 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):566-579.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):151-160.Goff AJ, Donaldson A, et al. Physical therapists prioritize providing education about exercise therapy and dispelling misconceptions for knee osteoarthritis. J Orthop Sports Phys Ther. 2022;52(9):607-617. | 12m 03s | ||||||
| 4/28/26 | Episode 67: Why Walking Feels So Different After Knee Replacement (And Why That’s Actually Normal) | In Episode 67, Michelle explains why walking after knee replacement can feel stiff, awkward, heavy, or unfamiliar in the early months after surgery. This Episode helps listeners understand how swelling, quadriceps weakness, confidence, coordination, and long-standing movement habits can shape walking after a knee replacement. Michelle also outlines which symptoms are commonly seen, which warning signs deserve prompt medical attention, and how to focus on steady weekly progress instead of perfection.Get the Making Sense of Pain After Knee Replacement download.Free newsletter: Total Knee Success InsiderHave a question we can answer on the podcast? Click here for Ask Michelletotalkneesuccess.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: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):1-14.Dandis N, Stevens-Lapsley J, Snow G, 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.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.Graber CJ, Stevens-Lapsley JE, Bade MJ, 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):566-579. | 9m 58s | ||||||
| 4/24/26 | Episode 66: Can You Rewire Pain? (Recovery, Hope, and What’s Possible) | In Episode 66, Michelle explores whether pain can actually change after knee replacement and what that means for recovery. She explains neuroplasticity in simple terms and how the nervous system can adapt over time. Listeners will learn how expectations, consistency, and experience shape pain, and what signs to look for as progress begins. This episode closes the pain series with a grounded, hopeful perspective.Get the Making Sense of Pain After Knee Replacement GuideFree newsletter: Total Knee Success InsiderBefore surgery? free2weeklaunchtotalkneesuccess.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:Moseley GL, Butler DS. Fifteen years of explaining pain: the past, present, and future. J Pain. 2015;16(9):807-813.Apkarian AV, Hashmi JA, Baliki MN. Pain and the brain: specificity and plasticity of the brain in clinical chronic pain. Pain. 2011;152(3 Suppl):S49-S64.Tracey I, Mantyh PW. The cerebral signature for pain perception and its modulation. Neuron. 2007;55(3):377-391.Kosek E, Cohen M, Baron R, et al. Do we need a third mechanistic descriptor for chronic pain states? Pain. 2016;157(7):1382-1386.Colloca L, Barsky AJ. Placebo and nocebo effects. N Engl J Med. 2020;382(6):554-561.Watson JA, Ryan CG, Cooper L, et al. Pain neuroscience education for adults with chronic musculoskeletal pain: a mixed-methods systematic review and meta-analysis. J Pain. 2019;20(10):1140-1159.Louw A, Zimney K, Puentedura EJ, Diener I. The efficacy of pain neuroscience education on musculoskeletal pain: a systematic review and meta-analysis. Phys Ther. 2016;96(5):730-740. | 11m 33s | ||||||
| 4/21/26 | Episode 65: How to Actually Reduce Pain (What Works & What Doesn’t) | In Episode 65, Michelle explains what actually helps reduce pain after knee replacement and what common approaches tend to fall short. She walks through practical strategies including graded exposure, consistency, and calming the nervous system. Listeners will learn how to approach movement in a way that supports progress without increasing reactivity. This episode builds on earlier concepts and provides clear next steps.Support the podcastFree newsletter: Total Knee Success InsiderGet the Making Sense of Pain After Knee Replacement Guidetotalkneesuccess.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:Woolf CJ. Central sensitization: implications for the diagnosis and treatment of pain. Pain. 2011;152(3 Suppl):S2-S15.Moseley GL, Butler DS. Fifteen years of explaining pain: the past, present, and future. J Pain. 2015;16(9):807-813.Apkarian AV, Bushnell MC, Treede RD, Zubieta JK. Human brain mechanisms of pain perception and regulation in health and disease. Eur J Pain. 2005;9(4):463-484.Tracey I, Mantyh PW. The cerebral signature for pain perception and its modulation. Neuron. 2007;55(3):377-391.Bricca A, et al. Exercise therapy “wears down” my knee joint: myth or reality? J Orthop Sports Phys Ther. 2025;55(7):463-470.Duong V, et al. Predictors of adherence to a step-count intervention following total knee replacement. J Orthop Sports Phys Ther. 2022.White DK, et al. A telehealth physical therapy intervention to increase physical activity in adults with knee osteoarthritis. 2025. | 12m 08s | ||||||
| 4/17/26 | Episode 64: Why Pain Becomes Chronic (The Loop That Traps You) | In Episode 64, Michelle explains why pain can persist after knee replacement even when healing is progressing. She introduces the fear, tension, and pain cycle and explains how the nervous system can become more sensitive over time. Listeners will learn how pain patterns develop and how attention, stress, and avoidance can reinforce the cycle. This episode sets the foundation for understanding how to begin breaking the loop.Free newsletter: Total Knee Success InsiderGet the Making Sense of Pain After Knee Replacement Guidetotalkneesuccess.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:Woolf CJ. Central sensitization: implications for the diagnosis and treatment of pain. Pain. 2011;152(3 Suppl):S2-S15.Kosek E, Cohen M, Baron R, et al. Do we need a third mechanistic descriptor for chronic pain states? Pain. 2016;157(7):1382-1386.International Association for the Study of Pain (IASP). IASP terminology: nociplastic pain definition. Pain. 2021;162(7):1976-1977.Apkarian AV, Bushnell MC, Treede RD, Zubieta JK. Human brain mechanisms of pain perception and regulation in health and disease. Eur J Pain. 2005;9(4):463-484.Tracey I, Mantyh PW. The cerebral signature for pain perception and its modulation. Neuron. 2007;55(3):377-391.Moseley GL, Butler DS. Fifteen years of explaining pain: the past, present, and future. J Pain. 2015;16(9):807-813.Orange GM, Hince DA, Jones M, et al. Physical function following total knee arthroplasty for osteoarthritis: a longitudinal systematic review. J Orthop Sports Phys Ther. 2025;55(1):1-13.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):143-151. | 12m 01s | ||||||
| 4/14/26 | Episode 63: What Pain Really Is (And Why You Feel It) | Episode 63 begins a 4-part pain series by explaining what pain actually is after knee replacement and why it can feel confusing. This Episode helps listeners move from fear to confidence by reframing pain as a protective response rather than a direct signal of damage. It also introduces how multiple factors influence pain, setting up the rest of the series.Get the Making Sense of Pain After Knee Replacement GuideMedical 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:Orange GM, Hince DA, Jones M, Sharma S, Kim S, Wand BM, Murphy MC. 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.Goff AJ, Donaldson D, 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):607-619.Minick KI, Hunter SJ, Capin JJ, Stevens-Lapsley JE, Snow GL, Woodfield D, Dibblee P, Brennan GP. 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):143-151.Capin 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: part 2 of an analysis of 12 355 patients after total knee arthroplasty. J Orthop Sports Phys Ther. 2023;53(3):151-160.Na A, Coronado RA, Bini SA, 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.Moseley GL, Butler DS. Explain Pain. 2nd ed. Noigroup Publications; 2015.Butler DS, Moseley GL. Explain Pain Supercharged. Noigroup Publications; 2017. | 10m 46s | ||||||
| 4/10/26 | Episode 62: What Physical Therapy Actually Does (And Why It’s More Than Just Exercises) | In Episode 62, Michelle breaks down what physical therapy actually does after total knee replacement—and why it is much more than just exercises. She explains how physical therapy retrains the nervous system, rebuilds strength, improves movement quality, and guides long-term function. This Episode helps listeners move from passively doing exercises to actively understanding their role in the process. It’s a foundational, myth-busting Episode for anyone preparing for or recovering from knee replacement.Free newsletter: Total Knee Success InsiderSupport the podcastMedical 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:Arhos EK, 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.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.Duong V, et al. Predictors of Adherence to a Step Count Intervention Following Total Knee Replacement. J Orthop Sports Phys Ther. 2022;52(9):620-629.Gränicher P, 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, 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):566-575.Minick KI, et al. Improved Outcomes Following a Care Guideline Implementation After Total Knee Arthroplasty. J Orthop Sports Phys Ther. 2023;53(3):143-151.Orange GM, 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):1-12.Goff AJ, et al. Physical Therapists Prioritize Providing Education About Exercise Therapy and to Dispel Misconceptions. J Orthop Sports Phys Ther. 2022;52(9):607-616.Nunes GS, et al. Are Changes in Dynamic Knee Movement Control Related to Changes in Pain or Function? J Orthop Sports Phys Ther. 2023;53(7):388-401.Bricca A, et al. Exercise Therapy “Wears Down” My Knee Joint: Myth or Reality? J Orthop Sports Phys Ther. 2025;55(7):463-472. | 13m 15s | ||||||
| 4/7/26 | Episode 61: Consistency Beats Intensity (Why What You Do Every Day Shapes Your Progress More Than What You Do Once) | In Episode 61 of the Total Knee Success podcast, Michelle explains why consistency is more important than intensity after knee replacement. She explores how the body adapts through repeated effort over time and why inconsistent patterns can slow progress. The episode provides a practical framework for building steady improvement and sets up a deeper understanding of physical therapy in the next episode.Free newsletter: Total Knee Success InsiderSupport the podcastBefore surgery? 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:Duong V, Hart DL, Stratford PW, et al. Predictors of adherence to a step count intervention following total knee replacement. Phys Ther. 2022;102(3).Minick KI, DeJong AF, Piva SR, et al. Improved outcomes following care guideline implementation after total knee arthroplasty. J Orthop Sports Phys Ther. 2023;53(4):1-10.Capin JJ, Khandha A, Buchanan TS, et al. Variation in outcomes following care guideline implementation after total knee arthroplasty. J Orthop Sports Phys Ther. 2023;53(4):1-11.White DK, Tudor-Locke C, Felson DT, et al. A telehealth physical therapy intervention to increase physical activity in adults with knee osteoarthritis. Arthritis Care Res (Hoboken). 2025;77(1):45-54.Gränicher P, Mäder U, Angst F, et al. Prehabilitation improves knee functioning before and within the first year after total knee arthroplasty. J Orthop Sports Phys Ther. 2022;52(3):1-11.Clear J. Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones. Avery; 2018.Fogg BJ. Tiny Habits: The Small Changes That Change Everything. Houghton Mifflin Harcourt; 2019.Miller WR, Rollnick S. Motivational Interviewing: Helping People Change. 3rd ed. Guilford Press; 2013. | 11m 43s | ||||||
| 4/3/26 | Episode 60: Strength Is the Missing Piece (Why Your Muscles Drive Your Results More Than Your New Joint) | In Episode 60 of the Total Knee Success podcast, Michelle explains why strength plays a central role in outcomes after knee replacement and how muscles drive movement and function after surgery. She clarifies the difference between joint mechanics and muscle capacity, helping listeners understand why progress may feel limited even when the joint is healing well. The episode emphasizes progressive strength building and sets up the importance of consistency in the next episode.Free newsletter: Total Knee Success InsiderBefore surgery? 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:Graber P, et al. Expert consensus for the use of outpatient rehabilitation visits after total knee arthroplasty. J Orthop Sports Phys Ther. 2023;53(6).Dandis RB, 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(10).Bricca A, et al. Exercise therapy wears down my knee joint: myth or reality? Br J Sports Med. 2025;59(2).Goff AJ, et al. Physical therapists prioritize providing education about exercise therapy and dispelling misconceptions. J Orthop Sports Phys Ther. 2022;52(7).Gränicher P, et al. Prehabilitation improves knee functioning before and within the first year after total knee arthroplasty. J Orthop Sports Phys Ther. 2022;52(3).Minick KI, et al. Improved outcomes following care guideline implementation after total knee arthroplasty. J Orthop Sports Phys Ther. 2023;53(4).Capin JJ, et al. Variation in outcomes following care guideline implementation after total knee arthroplasty. J Orthop Sports Phys Ther. 2023;53(4).Orange GM, et al. Physical function following total knee arthroplasty: a longitudinal systematic review. J Orthop Sports Phys Ther. 2025;55(1). | 13m 17s | ||||||
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| 3/31/26 | Episode 59: What Actually Determines Your Outcome After Knee Replacement (It’s Not What Most People Think) | In Episode 59 of the Total Knee Success podcast, Michelle explains what actually influences outcomes after knee replacement beyond the surgery itself. She discusses the role of preoperative strength, rehabilitation consistency, movement patterns, overall health, and expectations in shaping results. The episode helps listeners understand how to focus on the factors they can control to support better function and long-term outcomes.Free newsletter: Total Knee Success InsiderBefore surgery? free2weeklaunchThe Knee Replacement Game PlanMedical 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, Swanenburg J, de Bie R. 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, Stevens-Lapsley JE, Snow G, Woodfield D, Dibblee P, Brennan GP. 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, Snow G, Woodfield D, Dibblee P, Brennan GP, Hunter SJ. 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):151-158.Na A, Coronado RA, Oppermann AL, Jupiter DC, Lindsey BA. 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):269-279.Orange GM, Hince DA, Travers MJ, Stanton TR, Jones M, Sharma S, Kim S, Wand BM, Murphy MC. Physical function following total knee arthroplasty for osteoarthritis: a longitudinal systematic review with meta-analysis. J Orthop Sports Phys Ther. 2025;55(1):1-10.Jette DU, Hunter SJ, Burkett L, Langham B, Long A, Fritz JM, Stevens-Lapsley J, Bade M, Christiansen CL, Meissner P, et al. Physical therapist management of total knee arthroplasty. Phys Ther. 2020;100(9):1603-1631.Dweck CS. Mindset: The new psychology of success. New York, NY: Random House; 2006. | 11m 20s | ||||||
| 3/27/26 | Episode 58: “You’ll Need Another Knee Replacement in 10 Years” (What Implant Longevity Research Actually Shows) | In Episode 58 of the Total Knee Success podcast, Michelle examines the common belief that knee replacements only last about ten years and explains what current research actually shows about implant longevity. She walks through long-term implant performance data, the factors that influence how long an implant lasts, and how to approach timing decisions using both evidence and real-world clinical experience. The episode helps listeners understand how to apply this information to their own situation, supporting more informed and confident decision-making about function, quality of life, and long-term outcomes.Free newsletter: Total Knee Success InsiderBefore surgery? free2weeklaunchtotalkneesuccess.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.ReferencesEvans JT, Walker RW, Evans JP, Blom AW, Sayers A, Whitehouse MR. How long does a knee replacement last? A systematic review and meta-analysis of case series and national registry reports. Lancet. 2019;393(10172):655-663.American Physical Therapy Association. Clinical Practice Guideline for Physical Therapist Management of Total Knee Arthroplasty. Phys Ther. 2020;100(9):1603-1631.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.Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR). Annual Report 2024. Adelaide: AOA; 2024.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):151-158.Gränicher M, et al. Prehabilitation improves knee functioning before and within the first year after total knee arthroplasty. J Orthop Sports Phys Ther. 2022;52(9):585-596.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. | 12m 23s | ||||||
| 3/24/26 | Episode 57: “You’ll Be Back to Normal in Six Weeks” (Realistic Recovery Timelines After Knee Replacement) | In Episode 57 of the Total Knee Success podcast, Michelle explains why the common phrase “you’ll be back to normal in six weeks” can create unrealistic expectations after knee replacement. She walks listeners through the real phases of process—from early healing to long-term strength rebuilding—and explains how progress continues well beyond the first postoperative milestone. Drawing on current research and clinical rehabilitation insights, the episode helps patients understand why process unfolds over months, not weeks, and how to interpret their progress with greater clarity and confidence.Get your free newsletter: Total Knee Success InsiderWhat will you do before 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.ReferencesReferences 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.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):151-158.Dandis N, Stevens-Lapsley JE, 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):362-370.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):254-266. | 13m 51s | ||||||
| 3/20/26 | Episode 56: “Exercise Will Wear Out Your Knee” (Why Movement Is One of the Best Things for Knee Arthritis) | In Episode 56 of the Total Knee Success Podcast, Michelle addresses the common belief that exercise will wear out an arthritic knee joint. She explains how this idea developed, what modern research shows about exercise and cartilage health, and why strengthening and movement are central strategies for managing knee osteoarthritis. The episode also discusses how maintaining activity can support better preparation and recovery for people considering knee replacement.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.ReferencesBricca A, et al. Exercise therapy “wears down” my knee joint: myth or reality? J Orthop Sports Phys Ther. 2025;55(7):463.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):607–618.White 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):377–389.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.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):1–14.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, Bini SA, 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. | 12m 49s | ||||||
| 3/17/26 | Episode 55: “Bone-on-Bone Means You Need Surgery Now” (The Truth About Imaging and Timing) | In Episode 55 of the Total Knee Success Podcast, Michelle explains what doctors mean when they describe knee arthritis as bone-on-bone and why imaging findings alone do not determine the timing of knee replacement. The episode introduces the Kellgren–Lawrence grading scale used to classify osteoarthritis on X-ray and discusses how structural changes in the joint relate to symptoms, pain, and daily function. Listeners learn why treatment decisions are usually based on quality of life rather than imaging alone.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.ReferencesKellgren JH, Lawrence JS. Radiological assessment of osteo-arthrosis. Ann Rheum Dis. 1957;16(4):494-502.Bedson J, Croft P. The discordance between clinical and radiographic knee osteoarthritis: a systematic search and summary of the literature. BMC Musculoskelet Disord. 2008;9:116.Hannan MT, Felson DT, Pincus T. Analysis of the discordance between radiographic changes and knee pain in osteoarthritis of the knee. J Rheumatol. 2000;27(6):1513-1517.Hunter DJ, Bierma-Zeinstra S. Osteoarthritis. Lancet. 2019;393(10182):1745-1759.Dowsey MM, Nikpour M, Dieppe P, Choong PF. Associations between pre-operative radiographic severity of knee osteoarthritis and patient-reported outcomes after total knee arthroplasty. Osteoarthritis Cartilage. 2012;20(10):1095-1102.Keurentjes JC, Fiocco M, So-Osman C, et al. Patients with severe radiographic osteoarthritis have a greater chance of improvement after total knee arthroplasty. Acta Orthop. 2013;84(5):488-494.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):1-14. | 13m 34s | ||||||
| 3/13/26 | Episode 54: Stem Cells Before Total Knee Replacement (Promise, Marketing, and the Evidence) | In Episode 54 of the Total Knee Success Podcast, Michelle examines stem cell injections for knee arthritis and explains what these treatments actually contain, how they are regulated, and what current research suggests about their effectiveness. The episode separates regenerative medicine marketing from evidence‑based expectations and helps listeners understand the difference between symptom relief and structural joint restoration. Listeners also learn about evaluating biologic injection claims and prepare for informed treatment decisions before knee replacement.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.ReferencesGränicher 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.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):1‑14.Goff AJ, Donaldson A, de Oliveira Silva D, Crossley KM, Barton CJ. Physical therapists prioritize providing education about exercise therapy and dispelling misconceptions for people with knee osteoarthritis. J Orthop Sports Phys Ther. 2022;52(9):607‑616.Jo CH, Chai JW, Jeong EC, et al. Intra‑articular injection of mesenchymal stem cells for the treatment of osteoarthritis of the knee: a proof‑of‑concept clinical trial. Stem Cells. 2014;32(5):1254‑1266.Lamo‑Espinosa JM, Mora G, Blanco JF, et al. Intra‑articular injection of two different doses of autologous bone marrow mesenchymal stem cells versus hyaluronic acid for knee osteoarthritis: randomized controlled trial. Stem Cells Transl Med. 2016;5(10):1288‑1296.Pers YM, Rackwitz L, Ferreira R, et al. Adipose mesenchymal stromal cell‑based therapy for severe osteoarthritis of the knee: a phase I dose‑escalation trial. Stem Cells Transl Med. 2016;5(7):847‑856. | 16m 12s | ||||||
| 3/10/26 | Episode 53: PRP Before Total Knee Replacement (What the Science Says About Platelet‑Rich Plasma) | 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. | 15m 36s | ||||||
| 3/6/26 | Episode 52: Gel Injections Before Total Knee Replacement (What Hyaluronic Acid Really Does — and What It Doesn’t) | 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.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 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. | 13m 07s | ||||||
| 3/3/26 | Episode 51: Cortisone Before Total Knee Replacement (Relief, Risks, and What It Really Changes) | 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. | 17m 31s | ||||||
| 2/27/26 | Episode 50: Walking Speed, Endurance, and What They Predict (Why Your Gait Tells a Bigger Story) | 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. | 11m 59s | ||||||
| 2/24/26 | Episode 49: Strength Benchmarks After Knee Replacement (How Strong Is Strong Enough?) | 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. | 15m 07s | ||||||
| 2/20/26 | Episode 48: What Defines a Successful Recovery? (Beyond Range of Motion and Timelines) | 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. | 15m 29s | ||||||
| 2/17/26 | Episode 47: The Recovery Plateau That Isn’t About Failure (What Prehab Actually Changes — And What It Doesn’t) | 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/ | 12m 50s | ||||||
| 2/13/26 | Episode 46: How to Keep Moving Forward When Progress Feels Slower (Staying Engaged Without Chasing Perfection) | 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. | 10m 34s | ||||||
| 2/10/26 | Episode 45: The Recovery Plateau That Isn’t Actually a Plateau (Why Progress Slows — and Why That’s Normal) | 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. | 12m 53s | ||||||
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