Episode 77 explores what the research shows about how sleep starts improving after knee replacement and why progress often comes from small adjustments that stack over time. Michelle connects findings from sleep questionnaires, wearable tracking, and overnight sleep studies to four practical areas: swelling timing, routines, positioning, and timing conversations with your provider. Episode 77 also previews Episode 78, which looks at what changes when sleep stops controlling your entire day.Making Sense of Pain After Knee ReplacementTotal Knee Success Insidertotalkneesuccess.comMedical 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.Amazon Affiliate Disclaimer: Some resources mentioned in this podcast may include Amazon affiliate links. If you choose to purchase through these links, the podcast may earn a small commission at no additional cost to you.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:Krenk L, Jennum P, Kehlet H. Sleep disturbances after fast-track hip and knee arthroplasty. Br J Anaesth. 2012;109(5):769-775. doi:10.1093/bja/aes239.Van Meirhaeghe JP, Delaere O, Van Genechten W, et al. Improvement in sleep patterns after hip and knee arthroplasty: a prospective study in 780 patients. J Arthroplasty. 2021;36(2):442-448. doi:10.1016/j.arth.2020.08.034.Vitale JA, Bonato M, La Torre A, et al. How do patients sleep after orthopaedic surgery? Changes in actigraphy-based sleep characteristics and pain in patients undergoing hip or knee joint replacement during hospitalisation. Int Orthop. 2023;47(8):1959-1968. doi:10.1007/s00264-023-05862-2.Zhu Z, Zhu Z, Peng C, et al. Perioperative sleep disturbances in total knee arthroplasty: incidence, mechanisms, and management strategies. J Orthop Surg Res. 2025;20:964. doi:10.1186/s13018-025-06416-5.Ferrero A, Patrucco F, Marcolin MG, Anzillotti G. Objective sleep disturbance after total hip and knee arthroplasty: a systematic review of wearable-derived metrics and targeted interventions. Arthroplast Today. 2026;39:102013. doi:10.1016/j.artd.2026.102013.Gong L, Wang Z, Fan D. Sleep quality effects early outcomes after total knee arthroplasty: a randomized, double-blind, controlled study. J Arthroplasty. 2015;30(11):1897-1901. doi:10.1016/j.arth.2015.02.020.Krenk L, Jennum P, Kehlet H. Postoperative sleep disturbances after zolpidem treatment in fast-track hip and knee replacement. J Clin Sleep Med. 2014;10(3):321-326. doi:10.5664/jcsm.3540.Bjurström MF, Bohman T, Everson-Rose SA, et al. Promoting sleep to alleviate pain after total joint arthroplasty: protocol for a randomized controlled trial. BMJ Open. 2025;15(7):e099785. doi:10.1136/bmjopen-2024-099785.

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