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

Episode 83 focuses on five tools patients often report using the most during the first two weeks after knee replacement. Michelle explains how cold therapy, elevation, compression socks, supportive shoes that are easy to put on, and a leg lifter strap can support swelling management, comfort, safer walking, and independence. This Episode is educational and practical, helping listeners think through their home setup before surgery without turning preparation into an overwhelming shopping list.Top 5 Products for the First Two WeeksTotal Knee Success Insidertotalkneesuccess.comFree 2-Week LaunchMedical 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:Liang Z, Zhu C, Chen X, et al. Cryotherapy for rehabilitation after total knee arthroplasty: a systematic review and meta-analysis. J Orthop Surg Res. 2024;19:1-12.Quesnot A, Guillot S, Laurent A, et al. Randomized controlled trial of compressive cryotherapy versus standard cryotherapy after total knee arthroplasty. BMC Musculoskelet Disord. 2024;25:1-10.Christensen LMR, Overgaard S, Bagger J, et al. The effect of compression therapy on post-surgical swelling and pain after total knee arthroplasty. Int J Orthop Trauma Nurs. 2021;41:100815.Munk S, Jensen NJF, Andersen I, Kehlet H, Hansen TB. Effect of compression therapy on knee swelling and pain after total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2013;21(2):388-392.Thomas AC, Stevens-Lapsley JE. Importance of attenuating quadriceps activation deficits after total knee arthroplasty. Exerc Sport Sci Rev. 2012;40(2):95-101.Arhos EK, Ito N, Mayer IM, 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):101-107.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.

Episode 81 focuses on low stamina before knee replacement and five practical steps that can help some people build a more repeatable base before surgery. Michelle walks through tracking a baseline, choosing a starting amount, building slowly, pacing the day, and supporting stamina with strength and standing tolerance. Using Megan as an example, this Episode explains how step tracking, pacing, and gradual progression can help people prepare for the early phase after surgery.Step CountersPrehab Game Plan2 Week Launch PlanBrowse recommended productsMedical 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, Franchi F, Gokeler A, 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.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. doi:10.2519/jospt.2022.11133.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):377-385. doi:10.2519/jospt.2025.13132.Karimijashni M, de Rooij M, van der Leeden M, et al. Prehabilitation in patients at risk of poorer outcomes following total knee arthroplasty: a systematic review. J Arthroplasty. 2025;40(3):840-851. doi:10.1016/j.arth.2024.10.036.Na A, Creaky J, Oppermann M, 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 of data from more than 17 000 patients. J Orthop Sports Phys Ther. 2021;51(6):269-280. doi:10.2519/jospt.2021.9515.Bricca A, Juhl CB, Roos EM. Exercise Therapy “Wears Down” My Knee Joint: Myth or Reality? J Orthop Sports Phys Ther. 2025;55(7):463-467. doi:10.2519/jospt.2025.13069.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):1-13. doi:10.2519/jospt.2024.12645.

Episode 79 begins a prehab series by focusing on stiff knees before total knee replacement. Michelle explains the most common reasons a knee feels stiff, why timing and swelling patterns affect motion, and how consistent prehab habits can make a knee easier to work with after surgery. The Episode previews Episode 80, which shifts the series to quad weakness and activation.Making Sense of Pain After Knee ReplacementTotal Knee Success Insidertotalkneesuccess.comBrowse recommended productsMedical 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, Franchi F, Gokeler A, 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):752-768. doi:10.2519/jospt.2022.11160.Su W, Zhou Y, Qiu H, et al. The effects of preoperative rehabilitation on pain and functional outcome after total knee arthroplasty: a meta-analysis of randomized controlled trials. J Orthop Surg Res. 2022;17:175. doi:10.1186/s13018-022-03066-9.Calatayud J, Casaña J, Ezzatvar Y, et al. High-intensity preoperative training improves physical and functional recovery in the early post-operative periods after total knee arthroplasty: a randomized controlled trial. Knee Surg Sports Traumatol Arthrosc. 2017;25(9):2864-2872. doi:10.1007/s00167-015-3985-8.Radhakrishnan R, Padki A, Han AX, Liu X, Liow MH, Tay DKJ, Yeo SJY, Pang HN, Chen JY. Preoperative range of motion as a predictor of postoperative outcomes in total knee arthroplasty under enhanced recovery after surgery protocols: Defining clinically relevant cut-offs. J Orthop. 2025;66:232-238. doi:10.1016/j.jor.2025.05.026.Bade MJ, Kohrt WM, Stevens-Lapsley JE. Predicting functional performance and range of motion outcomes after total knee arthroplasty. Am J Phys Med Rehabil. 2014;93(7):579-585. doi:10.1097/PHM.0000000000000068.Punnoose A, Claydon-Mueller LS, Weiss O, Zhang J, Rushton A, Khanduja V. Prehabilitation for Patients Undergoing Orthopedic Surgery: A Systematic Review and Meta-analysis. JAMA Netw Open. 2023;6(4):e238050. doi:10.1001/jamanetworkopen.2023.8050.

Episode 77 explores what the research shows about how sleep starts improving after knee replacement and why progress often comes from small adjustments that stack over time. Michelle connects findings from sleep questionnaires, wearable tracking, and overnight sleep studies to four practical areas: swelling timing, routines, positioning, and timing conversations with your provider. Episode 77 also previews Episode 78, which looks at what changes when sleep stops controlling your entire day.Making Sense of Pain After Knee ReplacementTotal Knee Success Insidertotalkneesuccess.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:Krenk L, Jennum P, Kehlet H. Sleep disturbances after fast-track hip and knee arthroplasty. Br J Anaesth. 2012;109(5):769-775. doi:10.1093/bja/aes239.Van Meirhaeghe JP, Delaere O, Van Genechten W, et al. Improvement in sleep patterns after hip and knee arthroplasty: a prospective study in 780 patients. J Arthroplasty. 2021;36(2):442-448. doi:10.1016/j.arth.2020.08.034.Vitale JA, Bonato M, La Torre A, et al. How do patients sleep after orthopaedic surgery? Changes in actigraphy-based sleep characteristics and pain in patients undergoing hip or knee joint replacement during hospitalisation. Int Orthop. 2023;47(8):1959-1968. doi:10.1007/s00264-023-05862-2.Zhu Z, Zhu Z, Peng C, et al. Perioperative sleep disturbances in total knee arthroplasty: incidence, mechanisms, and management strategies. J Orthop Surg Res. 2025;20:964. doi:10.1186/s13018-025-06416-5.Ferrero A, Patrucco F, Marcolin MG, Anzillotti G. Objective sleep disturbance after total hip and knee arthroplasty: a systematic review of wearable-derived metrics and targeted interventions. Arthroplast Today. 2026;39:102013. doi:10.1016/j.artd.2026.102013.Gong L, Wang Z, Fan D. Sleep quality effects early outcomes after total knee arthroplasty: a randomized, double-blind, controlled study. J Arthroplasty. 2015;30(11):1897-1901. doi:10.1016/j.arth.2015.02.020.Krenk L, Jennum P, Kehlet H. Postoperative sleep disturbances after zolpidem treatment in fast-track hip and knee replacement. J Clin Sleep Med. 2014;10(3):321-326. doi:10.5664/jcsm.3540.Bjurström MF, Bohman T, Everson-Rose SA, et al. Promoting sleep to alleviate pain after total joint arthroplasty: protocol for a randomized controlled trial. BMJ Open. 2025;15(7):e099785. doi:10.1136/bmjopen-2024-099785.

Episode 75 explores why sleep becomes so difficult after total knee replacement and why nighttime often feels harder than many people expect after surgery. Michelle explains the interaction between postoperative inflammation, swelling fluctuations, nervous system alertness, pain sensitivity, positioning discomfort, medication timing, and sleep monitoring behaviors. The episode also discusses why many people feel physically exhausted yet mentally alert after surgery and why disrupted sleep can remain unpredictable long after the daytime environment quiets down.Get the Making Sense of Pain After Knee Replacement on Amazon.The Kindle version is available now. The print version drops on May 30, 2026.Total Knee Success Insidertotalkneesuccess.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:Huang Z, Ma J, Shen B, Pei F. Combination of perioperative sleep disorder and depression can predict long-term outcomes after total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2021;29(6):1905-1914.Krenk L, Jennum P, Kehlet H. Sleep disturbances after fast-track total hip and knee arthroplasty. Br J Anaesth. 2012;109(5):769-775.Madsen MT, Rosenberg J, Gögenur I. Actigraphy for measurement of sleep and physical activity after surgery: a systematic review. Sleep Med Rev. 2013;17(5):387-398.Wylde V, Rooker J, Halliday L, Blom A. Acute postoperative pain at rest after hip and knee arthroplasty: severity, sensory qualities and impact on sleep. Orthop Traumatol Surg Res. 2011;97(2):139-144.Finan PH, Goodin BR, Smith MT. The association of sleep and pain: an update and a path forward. J Pain. 2013;14(12):1539-1552.Haack M, Simpson N, Sethna N, Kaur S, Mullington J. Sleep deficiency and chronic pain: potential underlying mechanisms and clinical implications. Neuropsychopharmacology. 2020;45(1):205-216.Ravyts SG, Dzierzewski JM, Grah SL, et al. Sleep and pain interference in individuals with chronic pain: the role of anxiety and sleep hygiene. J Clin Sleep Med. 2018;14(9):1565-1573.Smith TO, Mansfield M, Dainty JR, et al. Does sleep quality improve following total hip or knee arthroplasty? A systematic review. Clin Rehabil. 2017;31(11):1445-1456.

Episode 73 explores how to build strength after total knee replacement without triggering repeated flareups and inconsistent progress. Michelle explains the difference between productive soreness and warning signs, discusses progressive loading and pacing strategies, and reviews current rehabilitation research related to strength, balance, and movement confidence. The episode also examines how repeated successful movement experiences influence long term mobility and independence. Free download: Top 10 Walking Tips After Knee ReplacementTotal Knee Success Insidertotalkneesuccess.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, Capin JJ, 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):101-105.Bade MJ, Struessel T, Dayton M, et al. Early High-Intensity Versus Low-Intensity Rehabilitation After Total Knee Arthroplasty: A Randomized Controlled Trial. Arthritis Care Res. 2017;69(9):1360-1368.Bricca A, Skou ST, Roos EM, et al. Exercise Therapy “Wears Down” My Knee Joint: Myth or Reality? J Orthop Sports Phys Ther. 2025;55(7):463-470.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.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.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):566-576.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.Na A, Coronado RA, Baker CE, 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 of Data From More Than 17 000 Patients. J Orthop Sports Phys Ther. 2021;51(6):269-280.

Episode 71 explores why quadriceps strength often does not return automatically after total knee replacement, even when pain improves and walking increases. Michelle explains the role of nervous system inhibition, swelling, compensation patterns, and muscle activation in delayed strength restoration. The episode also discusses NMES, functional progress patterns, and why rebuilding trust in your new knee takes time. Listeners will leave with a clearer understanding of why weakness persists and how progressive rehabilitation supports long-term progress.Get the free download: The Total Knee Success Podcast Countdown: Top 10 Walking Tips After Knee ReplacementTotal Knee Success Insidertotalkneesuccess.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:Mizner RL, Petterson SC, Stevens JE, Axe MJ, Snyder-Mackler L. Early quadriceps strength loss after total knee arthroplasty: The contributions of muscle atrophy and failure of voluntary muscle activation. J Bone Joint Surg Am. 2005;87(5):1047-1053. doi:10.2106/JBJS.D.01992.Arhos EK, Ito N, Snyder-Mackler K, 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):101-107. doi:10.2519/jospt.2024.12218.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):1-18. doi:10.2519/jospt.2025.12544.Dandis AS, Hoogeboom TJ, Sliepen M, 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. doi:10.2519/jospt.2021.10145.Graber KC, Stevens-Lapsley JE, Petterson SC, 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. doi:10.2519/jospt.2023.11882.Dupuis 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.2024.12154.

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.

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.

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.

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.

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.

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.