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 contraction

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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.

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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 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.2022.11160

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. doi:10.2519/jospt.2023.11600

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. doi:10.2519/jospt.2025.11800

Bricca 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.2022.11054

American 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/