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.

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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:

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.