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 that recovery is strengthened by patience, pacing, and alignment with surgeon and therapist recommendations.

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Medical Disclaimer The Total Knee Success Podcast is for educational purposes only and is not a substitute for medical advice, diagnosis, or treatment. Always seek the guidance of your surgeon, physical therapist, or qualified healthcare provider with any questions about your health. Never ignore or delay seeking professional advice because of something you hear on this podcast. This show is not affiliated with Michelle’s clinical or teaching roles.

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Evidence-Based Content Statement All information presented in this episode reflects current peer-reviewed research and professional guidelines available at the time of recording.

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References

Dandis A, et al. Latent class analysis to predict outcomes of early high-intensity physical therapy after total knee arthroplasty, based on longitudinal trajectories of walking speed. J Orthop Sports Phys Ther. 2021;51(7):362-374.

Duong V, Dennis S, Ferreira ML, 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.

Orange GM, Jones M, Stanton TR, 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):1-19.

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):143-150.

Bricca A, et al. Exercise therapy “wears down” my knee joint: myth or reality? J Orthop Sports Phys Ther. 2025;55(7):463-479.

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.

Goff AJ, Donaldson A, Silva DD, et al. Physical therapists prioritize providing education about exercise therapy and dispelling misconceptions about radiology for people with knee osteoarthritis: a concept mapping study. J Orthop Sports Phys Ther. 2022;52(9):607-619.