In episode 44 of the Total Knee Success podcast, Michelle explains why being “cleared” after knee replacement does not mean recovery is complete. She explores the difference between medical clearance and true functional readiness, including strength, load tolerance, and neuromuscular recovery. The episode helps listeners understand why swelling, stiffness, or fatigue can persist despite surgical success and how to respond without fear. Listeners are guided to view clearance as permission to progress thoughtfully rather than pressure to perform.

NMES unit commonly used for quad muscle contraction

A second estim unit to check out

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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: Vossen JA, et al. Long-term recovery of knee extensor strength after total knee arthroplasty. J Arthroplasty. 2025.

Sun Y, et al. Neuromuscular electrical stimulation after joint replacement surgery: a systematic review and meta-analysis. Clin Rehabil. 2025.

Arhos A, Ito Y, Stevens-Lapsley J, et al. Who’s afraid of electrical stimulation? Let’s revisit the application of neuromuscular electrical stimulation at the knee. J Orthop Sports Phys Ther. 2024;54(2):101-110.

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):1-20.

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):143-152.

Gränicher P, 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.

Graber J, Stevens-Lapsley J, 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.