In Episode 16 of the Total Knee Success Podcast, Michelle explains how surgical incisions heal after knee replacement — from the healing ridge to safe showering and scar massage. She discusses drainage signs, modern closure options like medical-grade adhesives and wound VACs, silicone gels, collagen supplementation research. You’ll come away knowing what’s normal, when to call your surgeon, and how to protect your skin for steady, confident recovery. As an Amazon Associate I earn from qualifying purchases.

Collagen Gummies https://amzn.to/3KXnA0x. Organic Collagen Peptide Powder https://amzn.to/43qcuYf. Free Up Professional Massage Cream (what we use in the clinic) https://amzn.to/3WTsK05. Medical Grade Silicone Scar Sheets https://amzn.to/47mg0nH

Medical Disclaimer. The Total Knee Success Podcast is for educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your surgeon, physical therapist, or other qualified health provider with any questions you may have regarding your specific condition or care. Never disregard professional advice or delay seeking it because of something you heard on this podcast. This podcast is not affiliated with Michelle’s clinic or teaching roles.

Amazon Affiliate Disclaimer. As an Amazon Associate, I earn from qualifying purchases. This means that if you click on a product link in my show notes or at TotalKneeSuccess.com and make a purchase, I may receive a small commission at no extra cost to you. These commissions help support the podcast and allow me to keep creating free, evidence-based content. I only share products that are commonly recommended for knee replacement and that patients have found helpful.

References

Jacobson ME, et al. Nerve injury during total knee arthroplasty. Clin Orthop Relat Res. 2007;464:135-140. doi:10.1097/BLO.0b013e31812f7c2c

Kerver AL, Leliefeld PH, den Hartog D, Kleinrensink GJ. The surgical anatomy of the infrapatellar branch of the saphenous nerve. J Anat. 2013;222(3):328-335. doi:10.1111/joa.12024

Hartin NL, et al. Wound dehiscence following total knee arthroplasty. J Arthroplasty. 2020;35(12):3647-3653. doi:10.1016/j.arth.2020.07.008

Lee J, et al. Modern wound closure techniques in total knee arthroplasty. J Orthop Surg Res. 2022;17(1):471. doi:10.1186/s13018-022-03328-3

Anderson MJ, et al. Allergic contact dermatitis from surgical adhesives and dressings. Dermatitis. 2014;25(1):15-20. doi:10.1097/DER.0000000000000005

Wilke BK, et al. Skin adhesives versus staples for wound closure after knee arthroplasty: a meta-analysis. J Arthroplasty. 2021;36(7):2452-2459. doi:10.1016/j.arth.2021.03.034

In episode 15 of the Total Knee Success Podcast, we take a close look at what really happens to the kneecap during total knee replacement. You’ll learn how surgeons decide whether to resurface the patella, how the small “button” fits on the underside of your own bone, and what the research shows about long-term outcomes. We also cover how ligaments like the ACL, PCL, and collateral ligaments are treated during surgery, and why it’s worth reviewing your surgical report or asking your surgeon exactly what was done. This episode brings clarity to one of the most common — and most misunderstood — aspects of total knee replacement.

Learn more at TotalKneeSuccess.com

As an Amazon Associate I earn from qualifying purchases.

Medical Disclaimer The Total Knee Success Podcast is for educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your surgeon, physical therapist, or other qualified health provider with questions about your specific condition.

Amazon Affiliate Disclaimer As an Amazon Associate, I earn from qualifying purchases. If you click a product link in the show notes or at TotalKneeSuccess.com and make a purchase, I may receive a small commission at no extra cost to you. These commissions support the podcast and allow me to continue sharing free, evidence-based content.

References

1. Chen K, Li G, Fu D, Yuan C, Zhang Q, Cai Z. Patellar resurfacing versus nonresurfacing in total knee arthroplasty: a meta-analysis of randomized controlled trials. J Orthop Surg Res. 2013;8:10.
2. Fu D, Chen K, Li G, et al. Patellar resurfacing versus nonresurfacing in total knee arthroplasty: systematic review of randomized controlled trials. J Arthroplasty. 2018;33(2):666–673.
3. Wood DJ, Smith AJ, Collopy D, White B, Brankov B, Bulsara MK. Patellar resurfacing in total knee arthroplasty: a prospective, randomized trial. J Bone Joint Surg Am. 2005;87(10):2176–2181.
4. He JY, Jiang LS, Dai LY. The influence of patellar mobility on knee flexion after total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2012;20(2):222–227.
5. Chen X, Li J, Peng L, et al. Patellar resurfacing versus non-resurfacing in total knee arthroplasty: a Cochrane systematic review. Cochrane Database Syst Rev. 2021;1:CD009898.
6. Fu D, Chen K, Li G, et al. Long-term outcomes of patellar resurfacing vs nonresurfacing in TKA. J Arthroplasty. 2020;35(5):1463–1470.
7. Stürmer KM, et al. Patellar complications following TKA with or without resurfacing: registry-based analysis. Orthopaedics. 2019.
8. Kim TK, et al. Patellofemoral complications after total knee arthroplasty: update on causes and management. Knee Surg Relat Res. 2022;34:32.
9. Feller JA, Bartlett RJ, Lang DM. Patellar resurfacing versus retention in total knee arthroplasty: ten-year follow-up. J Bone Joint Surg Br. 2020;102-B(5):593–599.

In Episode 14 of the Total Knee Success Podcast, we explore how to safely and confidently master stair climbing after knee replacement. You’ll learn how to use rails and canes correctly, understand why descending often feels harder, and hear how research links stair ability with long-term mobility and independence. The episode blends practical safety reminders — including therapist supervision and home setup tips — with evidence-based encouragement to help you build both strength and confidence step by step.

As an Amazon Associate I earn from qualifying purchases.

The REHAND Walking Cane is foldable, adjustable, and lightweight. It stands on its own, which is convenient because you won’t have to hang it on anything when you need to let go. It is suitable for people ranging from approximately 5 feet 2 inches to over 6 feet tall. To determine the appropriate cane height for you, measure the distance from your wrist to the floor. Check the adjustment heights in the description; if this distance is between 31 and 38 inches, then this cane might be a good fit for you.

The Homeland Foldable Rollator walker with seat is sturdier than most traditional four-wheeled walkers. It features 8-inch wheels and has adjustable handle and seat heights.

Learn more at TotalKneeSuccess.com

Medical Disclaimer The Total Knee Success Podcast is for educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your surgeon, physical therapist, or other qualified health provider with any questions you may have regarding your specific condition or care.

Amazon Affiliate Disclaimer As an Amazon Associate, I earn from qualifying purchases. If you click a product link in the show notes or at TotalKneeSuccess.com and make a purchase, I may receive a small commission at no extra cost to you. These commissions help support the podcast and allow me to keep creating free, evidence-based content.

References

1. Bade MJ, Kohrt WM, Stevens-Lapsley JE. Outcomes before and after total knee arthroplasty compared to healthy adults. J Orthop Sports Phys Ther. 2010;40(9):559-567.
2. Mizner RL, Petterson SC, Snyder-Mackler L. Quadriceps strength and the time course of functional recovery after total knee arthroplasty. J Orthop Sports Phys Ther. 2005;35(7):424-436.
3. Stratford PW, Kennedy DM. Performance measures of functional recovery after total knee arthroplasty. Phys Ther. 2006;86(12):1631-1638.
4. Bade MJ, Stevens-Lapsley JE. Early high-intensity rehabilitation following total knee arthroplasty improves outcomes. J Orthop Sports Phys Ther. 2011;41(12):932-941.
5. Eves ND, Plotnikoff RC. Stair climbing as a health-promoting physical activity for adults: a review. Sports Med. 2006;36(9):871–879.
6. Bade MJ, Stevens-Lapsley JE. Step training improves functional mobility in TKA patients. J Orthop Sports Phys Ther. 2011;41(12):932-941.
7. Stevens-Lapsley JE, Balter JE, Kohrt WM, Eckhoff DG. Quadriceps and hamstrings muscle dysfunction after TKA: eccentric training intervention. J Orthop Res. 2010;28(9):1091-1096.

In Episode 12 of the Total Knee Success Podcast, we explore how activating your parasympathetic system through intentional breathing can ease pain and calm your body after knee replacement. You’ll learn about box breathing, the physiological sigh, and other simple, evidence-based tools to help your body relax and heal.

Learn more and access additional resources at TotalKneeSuccess.com.

As an Amazon Associate I earn from qualifying purchases.

Medical Disclaimer The Total Knee Success Podcast is for educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your surgeon, physical therapist, or other qualified health provider with any questions you may have regarding your specific condition or care. Never disregard professional advice or delay seeking it because of something you heard on this podcast. This podcast is not affiliated with Michelle’s clinic or teaching roles.

Amazon Affiliate Disclaimer As an Amazon Associate, I earn from qualifying purchases. This means that if you click on a product link in my show notes or at TotalKneeSuccess.com and make a purchase, I may receive a small commission at no extra cost to you. These commissions help support the podcast and allow me to keep creating free, evidence-based content. I only share products that are commonly recommended for knee replacement and that patients have found helpful.

References

1. Zautra AJ, Fasman R, Davis MC, Craig AD. The effects of slow breathing on affective responses to pain stimuli: an experimental study. Pain. 2010;149(1):12–18.
2. Busch V, Magerl W, Kern U, Haas J, Hajak G, Eichhammer P. The effect of deep and slow breathing on pain perception, autonomic activity, and mood processing—an experimental study. Pain Med. 2012;13(2):215–228.
3. Lehrer P, Gevirtz R. Heart rate variability biofeedback: how and why does it work? Front Psychol. 2014;5:756.
4. Saoji AA, Raghavendra BR, Manjunath NK. Effects of yogic breath regulation: a narrative review of scientific evidence. J Ayurveda Integr Med. 2019;10(1):50–58.
5. Huberman JA, et al. Rapid state-shifting breathing practices for anxiety reduction. Cell Reports Medicine. 2023;4(1):100898.
6. Varvogli L, Darviri C. Stress management techniques: evidence-based procedures that reduce stress and promote health. Health Sci J. 2011;5(2):74–89.

In Episode 11 of the Total Knee Success Podcast, we bust myths #6 through #10 about healing after knee replacement. From kneeling and gym machines to ice versus heat, the treadmill, and swelling, this episode explains why these myths don’t hold up and what’s actually true instead. It finishes the Top 10 Myths series and helps listeners let go of outdated advice while focusing on what really matters. You’ll walk away with clear, practical insights that support your progress after surgery.

Learn more and access additional resources at TotalKneeSuccess.com. As an Amazon Associate I earn from qualifying purchases.

Medical Disclaimer The Total Knee Success Podcast is for educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your surgeon, physical therapist, or other qualified health provider with any questions you may have regarding your specific condition or care. Never disregard professional advice or delay seeking it because of something you heard on this podcast. This podcast is not affiliated with Michelle's clinic or teaching roles.

Amazon Affiliate Disclaimer As an Amazon Associate, I earn from qualifying purchases. This means that if you click on a product link in my show notes or at TotalKneeSuccess.com and make a purchase, I may receive a small commission at no extra cost to you. These commissions help support the podcast and allow me to keep creating free, evidence-based content. I only share products that are commonly recommended for knee replacement and patients have found helpful.

References

1. Jette DU, Hunter SJ, Binder DS, et al. Physical therapist management of total knee arthroplasty: a clinical practice guideline. Phys Ther. 2020;100(9):1603-1631.
2. Wylde V, Artz N, Bruce J, et al. Kneeling after total knee replacement. EFORT Open Rev. 2019;4(5):460-467.
3. Nadeem S, Tucker A, Heidari N, et al. Predictors of kneeling ability after total knee arthroplasty. Arthroplasty Today. 2021;7:224-232.
4. American Academy of Orthopaedic Surgeons (AAOS). OrthoInfo: Total Knee Replacement. “Kneeling is sometimes uncomfortable, but it is not harmful.” Updated guidance; accessed 2025.
5. Zimmer Biomet. Your Guide to Total Joint Surgery. Patient education booklet noting kneeling may be uncomfortable for a year or more; accessed 2025.
6. Stryker Orthopaedics. Patient materials for the Triathlon Knee system referencing activities such as kneeling in the garden; accessed 2025.
7. DePuy Synthes [duh-POY SIN-theez] (Johnson & Johnson). Patient information for total knee replacement; no kneeling prohibition stated; accessed 2025.
8. Smith+Nephew. Patient education materials for total knee implants; no kneeling prohibition stated; accessed 2025.
9. Brigham and Women’s Hospital. Total Knee Arthroplasty Rehabilitation Protocol. Institutional guideline recommending criteria-based progression to resistance machines; accessed 2025.
10. The Ohio State University Wexner Medical Center. Total Knee Arthroplasty Clinical Practice Guideline. Criteria for stationary bike initiation and later treadmill use; accessed 2025.
11. Liu C, Zhang Y, et al. Effect of continuous cryotherapy versus traditional cold application after total knee arthroplasty: a systematic review and meta-analysis. J Orthop Surg Res. 2023;18:67.

In Episode 10 of the Total Knee Success Podcast, we break down the first five myths about healing after knee replacement. From the old “no pain, no gain” idea to concerns about range of motion, CPM machines, walking, and stairs, this episode explains what the research actually says. Listeners will learn why walking alone isn’t enough and why going downstairs is often harder than going up — so you can avoid the common myths that add worry to your healing. Learn more and access additional resources at TotalKneeSuccess.com.

Medical Disclaimer The Total Knee Success Podcast is for educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your surgeon, physical therapist, or other qualified health provider with any questions you may have regarding your specific condition or care. Never disregard professional advice or delay seeking it because of something you heard on this podcast. This podcast is not affiliated with Michelle's clinic or teaching roles.

Amazon Affiliate Disclaimer As an Amazon Associate, I earn from qualifying purchases. This means that if you click on a product link in my show notes or at TotalKneeSuccess.com and make a purchase, I may receive a small commission at no extra cost to you. These commissions help support the podcast and allow me to keep creating free, evidence-based content. I only share products that are commonly recommended for knee replacement and that patients have found helpful.

References

1. Jette DU, Hunter SJ, et al. Clinical practice guideline: Physical therapist management of total knee arthroplasty. Phys Ther. 2020;100(9):1603-1631.
2. Baker PN, et al. Pain and function outcomes following primary TKA: registry data. J Bone Joint Surg Am. 2012;94(11):990-996.
3. Rice DA, McNair PJ. Quadriceps arthrogenic muscle inhibition: mechanisms and treatment perspectives. Semin Arthritis Rheum. 2010;40(3):250-266.
4. Issa K, et al. Does timing of manipulation under anesthesia affect ROM after primary TKA? J Knee Surg. 2014;27(3):195-199.
5. Werner BC, et al. The incidence of manipulation under anesthesia after TKA. J Arthroplasty. 2015;30(12):1962-1965.
6. Harvey LA, et al. Continuous passive motion following total knee arthroplasty. Cochrane Database Syst Rev. 2014;(2):CD004260.
7. Minns Lowe CJ, et al. Effectiveness of physiotherapy exercise after knee replacement: systematic review. BMJ. 2007;335:812.
8. Artz N, et al. Effectiveness of physiotherapy exercise following total knee replacement: systematic review & meta-analysis. BMC Musculoskelet Disord. 2015;16:15.
9. Skoffer B, Dalgas U. Exercise as treatment in knee OA/TKA patients. Scand J Med Sci Sports. 2012;22(6):e119–e127.
10. Villadsen A, et al. Intensive rehab after TKA improves function. Arthritis Care Res. 2014;66(12):1856–1866.
11. Taylor WR, Duda GN, Bergmann G, et al. Peak knee contact forces during stair ascent and descent in vivo. J Orthop Res. 2012;30(3):408-415.
12. Kutzner I, Heinlein B, Graichen F, et al. In vivo knee joint loading in ADLs. J Biomech. 2010;43(11):2164-2173.
13. Andriacchi TP, et al. Analysis of stair ascent and descent motions. Clin Biomech. 2006;21(5):467-474.

In Episode 9 of the Total Knee Success Podcast, we explore the step-by-step process of regaining strength after knee replacement. You’ll learn why quadriceps weakness happens, how swelling affects muscle activation, and how healing timelines connect to strengthening goals. We also highlight a “minimal quad program” of research-backed exercises you should not skip, plus red flags that tell you when to pause and call your care team.

Learn more and access additional resources at TotalKneeSuccess.com. As an Amazon Associate, I earn from qualifying purchases.

Medical Disclaimer The Total Knee Success Podcast is for educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your surgeon, physical therapist, or other qualified health provider with any questions you may have regarding your specific condition or care. Never disregard professional advice or delay seeking it because of something you heard on this podcast. This podcast is not affiliated with Michelle's clinic or teaching roles.

Amazon Affiliate Disclaimer As an Amazon Associate, I earn from qualifying purchases. This means that if you click on a product link in my show notes or at TotalKneeSuccess.com and make a purchase, I may receive a small commission at no extra cost to you. These commissions help support the podcast and allow me to keep creating free, evidence-based content. I only share products that are commonly recommended for knee replacement recovery and that patients have found helpful.

References

1. Mizner RL, Petterson SC, Snyder-Mackler L. Quadriceps strength and functional recovery after TKA. J Bone Joint Surg Am. 2005;87(5):1047–1053.
2. Rice DA, McNair PJ. Arthrogenic muscle inhibition of the quadriceps: mechanisms & treatment. Semin Arthritis Rheum. 2010;40(3):250–266.
3. Goodpaster BH, et al. Loss of skeletal muscle strength/mass/quality in older adults. J Gerontol A. 2006;61(10):1059–1064.
4. American College of Sports Medicine. Progression models in resistance training for healthy adults. Med Sci Sports Exerc. 2009;41(3):687–708.
5. Jette DU, et al. APTA Clinical Practice Guideline: Physical therapist management of TKA. Phys Ther. 2020;100(9):1603–1631.
6. Brigham & Women’s Hospital. Total Knee Arthroplasty Protocol. 2022.
7. Ohio State University Wexner Medical Center. Total Knee Arthroplasty Clinical Practice Guideline. 2019.
8. Skou ST, et al. Early and late strength recovery after TKA. Clin Orthop Relat Res. 2018;476(6):1131–1141.
9. Mizner RL, et al. Quadriceps strength and activation failure in patients with TKA. J Orthop Res. 2005;23(5):1083–1090.
10. Villadsen A, et al. Intensive rehabilitation after TKA improves function. Arthritis Care Res. 2014;66(12):1856–1866.
11. Minns Lowe CJ, et al. Effectiveness of physiotherapy exercise after knee replacement: systematic review. BMJ. 2007;335:812.

In Episode 8 of the Total Knee Success Podcast, we explore why pain may linger beyond the first few weeks after knee replacement. You’ll learn what’s normal, what’s not, and how to spot red flags that need medical attention. We’ll talk about common reasons for lingering pain, how to recognize patterns of progress, and strategies for easing discomfort - from pacing activity to calming the nervous system with simple breathing techniques. You’ll also hear how mindset and small daily choices can make a big difference in long-term outcomes.

Learn more and access additional resources at TotalKneeSuccess.com.

Medical Disclaimer The Total Knee Success Podcast is for educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your surgeon, physical therapist, or other qualified health provider with any questions you may have regarding your specific condition or care. Never disregard professional advice or delay seeking it because of something you heard on this podcast. This podcast is not affiliated with Michelle's clinic or teaching roles.

Amazon Affiliate Disclaimer As an Amazon Associate, I earn from qualifying purchases. This means that if you click on a product link in my show notes or at TotalKneeSuccess.com and make a purchase, I may receive a small commission at no extra cost to you. These commissions help support the podcast and allow me to keep creating free, evidence-based content. I only share products that are commonly recommended for knee replacement recovery and that patients have found helpful.

References

1. Jette DU, Hunter SJ, et al. Clinical practice guideline: Physical therapist management of total knee arthroplasty. Phys Ther. 2020;100(9):1603-1631. doi:10.1093/ptj/pzaa099
2. Wylde V, et al. Persistent pain after joint replacement: prevalence, sensory qualities, and impact. Rheumatology. 2011;50(2):215–221.
3. Beswick AD, et al. What proportion of patients report long-term pain after hip or knee replacement? BMJ Open. 2012;2:e000435.
4. Baker PN, et al. Pain and function outcomes following primary TKA: registry data. J Bone Joint Surg Am. 2012;94(11):990–996.
5. Lenguerrand E, et al. Risk factors for persistent pain after knee replacement: multicenter study. BMJ Open. 2016;6(12):e012166.
6. Wylde V, Blom AW. The failure of survivorship. Bone Joint J. 2019;101-B(6):629–631.
7. Skou ST, et al. Predictors of pain after total knee arthroplasty. Clin Orthop Relat Res. 2018;476(6):1131–1141.
8. Lewis GN, Rice DA, McNair PJ, Kluger M. Predictors of persistent pain after TKA. Pain. 2015;156(10):1930–1940.
9. Liu SS, et al. Predictors of prolonged pain after TKA. Anesth Analg. 2012;115(5):1066–1073.
10. Zautra AJ, Fasman R, Davis MC, Craig AD. The effects of slow breathing on affective responses to pain stimuli: an experimental study. Pain. 2010;149(1):12–18.
11. Busch V, Magerl W, Kern U, Haas J, Hajak G, Eichhammer P. The effect of deep and slow breathing on pain perception, autonomic activity, and mood processing—an experimental study. Pain Med. 2012;13(2):215–228.
12. Lehrer P, Gevirtz R. Heart rate variability biofeedback: how and why does it work? Front Psychol. 2014;5:756.