In Episode 21 of the Total Knee Success Podcast, Michelle explains why knee stiffness after surgery is common and often long-lasting for a substantial subgroup of patients. She covers swelling, quad inhibition, and movement patterns, and uses the Minick and Capin studies to show what structured rehab actually looks like. Michelle discusses diabetes, activity patterns, NMES dosing and effectiveness, and gives clear strategies for both bending and straightening. She also highlights the role of prehab and why it improves early outcomes.As an Amazon Associate, I earn from qualifying purchases.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 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 a product link 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.Evidence-Based Content Statement: All information shared in this episode is based on current research and professional guidelines available at the time of recording.Music Licensing Statement: Music used in this episode is licensed for use through Descript.ReferencesOrange GM, Hince DA, Travers MJ, 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).Gränicher P, Vienneau J, Lübbeke A, 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.Minick KI, Capin JJ, Stevens-Lapsley JE, 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.Capin JJ, Minick KI, Stevens-Lapsley JE, et al. Variation in outcomes and number of visits following care guideline implementation: Part 2 of an analysis of 12,355 patients after total knee arthroplasty. J Orthop Sports Phys Ther. 2023;53(3):151-158.Arhos E, Sturgill L, Capin JJ. Who’s afraid of electrical stimulation? Let’s revisit the application of NMES at the knee. J Orthop Sports Phys Ther. 2024;54(2):101-112.Na A, Lim KY, Lee HJ, et al. Diabetes mellitus blunts the symptoms, physical function, and health-related quality-of-life benefits of total knee arthroplasty: a systematic review. J Orthop Sports Phys Ther. 2021;51(6):269-280.Duong V, de Oliveira Silva D, Baker RT, et al. Predictors of adherence to a step-count intervention following total knee replacement: an exploratory cohort study. J Orthop Sports Phys Ther. 2022;52(9):620-629.

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