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PODCAST

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

Have you recently had a total knee replacement, or are you preparing for surgery and wondering what recovery will really be like? Welcome to the Total Knee Success Podcast, your resource for total knee replacement recovery and life after surgery. Hosted by Michelle Losurdo, a trusted doctor of physical therapy and board-certified orthopedic clinical specialist, this show is designed for anyone considering, preparing for, or recovering from knee replacement surgery.In about the time it takes to put a

health & fitness medicine

All Episodes

13:00

Episode 41: Why Am I Still Walking So Slowly? What...

The Total Knee Success Podcast: Your Essential... ·

2026/01/27

In episode 41 of the Total Knee Success podcast, Michelle explains why walking speed often feels slower than expected after knee replacement and why this does not signal failure or poor effort. She describes walking speed as a functional vital sign, explains what common walking speeds in meters per second tend to reflect during recovery, and reviews research showing that improvement unfolds gradually and along different trajectories. The episode explores how strength, balance, pain, and confidence

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19:54

Episode 40: NMES: The Missing Link for a Stronger...

The Total Knee Success Podcast: Your Essential... ·

2026/01/23

In Episode 40, Michelle takes a deep dive into neuromuscular electrical stimulation and its role in restoring quadriceps strength after total knee replacement. She explains why quadriceps weakness persists after surgery, how NMES works to improve muscle activation when the nervous system is still protective, and why visible, high-intensity contractions are essential for results. The episode clarifies how NMES differs from TENS and other forms of electrical stimulation, reviews what the research

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13:01

Episode 39: Why Quad Weakness Changes the Way You...

The Total Knee Success Podcast: Your Essential... ·

2026/01/20

In Episode 39 of the Total Knee Success Podcast, we explore why quadriceps weakness is one of the most overlooked drivers of difficulty after knee replacement. Many patients notice slower progress with walking, stairs, and confidence even when they are consistent with their exercises, and this episode explains why that happens. We break down how quad inhibition develops after surgery, how it changes movement patterns and trust in the surgical leg, and why simply pushing harder with strengthening

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16:06

Episode 38: Why Knee Arthritis Makes Everyday Life...

The Total Knee Success Podcast: Your Essential... ·

2026/01/16

Episode 38 explores why knee arthritis makes everyday life feel harder than expected by examining effort, fatigue, loss of efficiency, and changes in confidence beyond pain. It sets the foundation for Episodes 39 and 40, which focus on quadriceps weakness and neuromuscular electrical stimulation as tools for restoring function.Click here to get an email when The Knee Replacement Game Plan is released.More information at totalkneesuccess.com. What will you do in the two weeks before surgery? Click on

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10:26

Episode 37: What Matters Less Than You Think Before...

The Total Knee Success Podcast: Your Essential... ·

2026/01/13

In Episode 37 of the Total Knee Success Podcast, Michelle continues a two-part, evidence-based series focused on preparation before knee replacement surgery. This episode explains which commonly emphasized factors carry less influence than people often fear, including imaging, weight, and equipment, while highlighting less obvious influences such as expectations, access to care, and health context Episode 37 complements Episode 36 by helping listeners let go of noise and focus on steadier readiness

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12:29

Episode 36: What Actually Matters Before Surgery Part...

The Total Knee Success Podcast: Your Essential... ·

2026/01/09

In Episode 36 of the Total Knee Success Podcast, Michelle begins a two-part, evidence-based conversation focused entirely on preparation before knee replacement surgery. This episode explores the foundational drivers that shape recovery, including strength, muscle activation, walking capacity, and consistency, while clearing common myths about exercise and range of motion. Episode 36 sets the stage for Part 2 by clarifying what truly deserves attention before surgery.Get notified when the Knee

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16:45

Episode 35: Can You Wait Too Long for a Knee...

The Total Knee Success Podcast: Your Essential... ·

2026/01/06

In Episode 35 of the Total Knee Success Podcast, Michelle explores how to think about the timing of knee replacement without focusing solely on the calendar. This episode walks listeners through the trade-offs between waiting and moving forward, explains how strength, balance, and physical capacity influence recovery, and helps people reflect on whether waiting is preserving function or gradually making recovery harder. Listeners are encouraged to use this information alongside conversations with

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18:10

Episode 34: Is Robotic-Assisted Total Knee...

The Total Knee Success Podcast: Your Essential... ·

2026/01/02

In Episode 34 of the Total Knee Success Podcast, Michelle examines robotic-assisted total knee arthroplasty through the lens of current research. She explains what robotic assistance actually does during surgery, where it improves technical precision, and why those advantages don’t automatically translate into faster recovery or better long-term outcomes for every patient. She also discusses newer MAKO-specific evidence suggesting modest functional benefits at certain timepoints, while emphasizing

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13:23

Episode 33: Partial Knee Replacement Who It’s For,...

The Total Knee Success Podcast: Your Essential... ·

2025/12/30

In Episode 33 of the Total Knee Success Podcast, Michelle explains what partial knee replacement really is, how it differs from total knee replacement, and why it’s often confused with minimally invasive surgery. Drawing on large national joint registries from the United Kingdom and Australia, she discusses who may be an appropriate candidate, the trade-offs patients need to understand, and why revision rates are higher for partial knee replacement. The episode helps listeners approach this decision

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15:18

Episode 32: Minimally Invasive Knee Replacement: What...

The Total Knee Success Podcast: Your Essential... ·

2025/12/26

In Episode 32 of the Total Knee Success Podcast, Michelle takes a clear, evidence-based look at minimally invasive knee replacement and what that label really means for patients. She explains how minimally invasive approaches compare with standard total knee replacement, why early experiences can feel different for some people, and what research shows about long-term outcomes. The episode also addresses surgeon experience, individual health factors, and the role of rehabilitation, helping listeners

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12:34

Episode 31: Home Health or Outpatient PT After Knee...

The Total Knee Success Podcast: Your Essential... ·

2025/12/23

In Episode 31 of the Total Knee Success Podcast, Michelle explains how the decision is made between home health physical therapy and outpatient physical therapy after total knee replacement. She walks listeners through why this choice is often driven by safety, medical stability, access, and insurance authorization rather than personal preference alone. Drawing from large-scale rehabilitation studies and clinical guidelines, Michelle clarifies how often each pathway is used, what early recovery

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12:10

Episode 30: Sleep Positions After Knee Replacement —...

The Total Knee Success Podcast: Your Essential... ·

2025/12/19

In Episode 30 of the Total Knee Success Podcast, Michelle explores why sleep often feels so disrupted after knee replacement and why this experience is both common and expected during early healing. She explains how swelling, pain sensitivity, and nervous system changes influence sleep, and walks listeners through back sleeping, side sleeping, and recliner use with a focus on comfort, safety, and flexibility rather than rigid rules. Michelle also addresses common misconceptions about sleep

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14:01

Episode 29: The Most Common Mistakes People Make...

The Total Knee Success Podcast: Your Essential... ·

2025/12/16

In Episode 29 of the Total Knee Success Podcast, Michelle walks through the most common mistakes people make before knee replacement surgery—including resting too much, waiting for pain to improve before moving, underestimating the role of strength and endurance, and going into surgery with unrealistic expectations. You’ll learn why smart, intentional preparation matters, how prehabilitation can support a smoother early recovery, and what to focus on in the final weeks before surgery. This episode

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16:47

Episode 28: How Much Should You Really Walk Right...

The Total Knee Success Podcast: Your Essential... ·

2025/12/12

In Episode 28 of the Total Knee Success Podcast, Michelle explains how much walking is appropriate in the first two weeks after total knee replacement and why the early focus should be on short, frequent, controlled bouts of walking rather than distance. She discusses surgeon-recommended limits including five-minute and ten-minute hourly walks, specific step caps, and the importance of respecting tissue tolerance. The episode emphasizes that early activity does not predict long-term outcomes and

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11:43

Episode 27: The Pre-Surgery Confidence Checklist:...

The Total Knee Success Podcast: Your Essential... ·

2025/12/09

In Episode 27 of the Total Knee Success Podcast, Michelle guides you through exactly what to focus on in the final two weeks before your knee replacement so you can walk into surgery feeling steady and prepared. She explains why this isn’t the time to push your strength, how to set up your home for an easier first week, and why simple organization can make those early days feel calmer. Michelle also shares insights from the latest research and from real patients who’ve been through it, all to help

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14:44

Episode 26: Caring for Your “Other” Knee: How to...

The Total Knee Success Podcast: Your Essential... ·

2025/12/05

In Episode 26 of the Total Knee Success Podcast, Michelle explains why the “other” knee—the one that didn’t have surgery—often feels tired or achy after total knee replacement. She discusses how arthritis in the opposite knee impacts balance and fall risk and brings in new research on function, movement control, strength, and prehabilitation. Listeners learn practical ways to support both knees using strength, pacing, and better movement habits.Learn more at totalkneesuccess.comMedical DisclaimerThe

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11:12

Episode 25: Are Wearables the Secret to Better Knee...

The Total Knee Success Podcast: Your Essential... ·

2025/12/02

In Episode 25 of the Total Knee Success Podcast, Michelle explores how wearable technology can support recovery after total knee replacement. She discusses step counters, smartphone apps, QR-code exercise programs, and motion-tracking sensors, and explains how these tools bring clarity to a process that can feel unpredictable. Michelle shares how wearables help people stay consistent, notice progress that isn’t always easy to feel day to day, and give therapists meaningful insight between visits

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10:36

Episode 24: Still Hesitating When You Walk After Knee...

The Total Knee Success Podcast: Your Essential... ·

2025/11/28

In Episode 24 of the Total Knee Success Podcast, Michelle explains how the standard Timed Up and Go and the Dynamic Gait Index help clarify why walking may still feel hesitant or slower after total knee replacement. The episode breaks down what these tests measure, how therapists interpret the results, and how they relate to real-world walking challenges.https://totalkneesuccess.com/walking-hesitation-after-knee-replacement-tests/Medical Disclaimer The Total Knee Success Podcast is for educational

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12:23

Episode 23: Still Feeling Wobbly After Knee...

The Total Knee Success Podcast: Your Essential... ·

2025/11/25

In Episode 23 of the Total Knee Success Podcast, Michelle explains how the Berg Balance Scale and the Mini-BESTest describe balance and mobility after total knee replacement. She reviews what each test measures, why many therapists still use the Berg, and why the Mini-BESTest often provides a clearer picture of dynamic balance and walking confidence.Medical Disclaimer The Total Knee Success Podcast is for educational purposes only and is not a substitute for medical advice, diagnosis, or treatment

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16:37

Episode 22: Prehab Power: Getting Set Before Your...

The Total Knee Success Podcast: Your Essential... ·

2025/11/21

In Episode 22 of the Total Knee Success Podcast, Michelle examines how prehab affects the early period after knee replacement surgery. She explains why preparing the body ahead of time can make the first few days more familiar and manageable. The episode breaks down what the research shows, which patients tend to benefit the most, and how the physical preparation helps create a more stable starting point. Michelle also discusses what to expect in the first therapy sessions after surgery and previews

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