Episode 69: The Limp That's Protecting You vs. The Limp That's Hurting You (Understanding Compensation After Knee Replacement)
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In Episode 69, Michelle explains why limping happens after knee replacement and how to recognize the difference between a protective limp and one that may be holding you back. She walks you through what your body is doing during each phase of healing, how to interpret what you are feeling when you walk, and how to respond in a way that supports progress without forcing perfection.
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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.
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:
Arhos EK, Grindem H, Snyder-Mackler L, et al. Who’s afraid of electrical stimulation? Revisiting the application of neuromuscular electrical stimulation at the knee. J Orthop Sports Phys Ther. 2024;54(2):101-110.
Roush JR, Huddleston W, et al. Preliminary evaluation of the clinimetrics of a modified Lower Extremity Functional Scale in older adults after total knee arthroplasty. JOSPT Open. 2024;2(3):240-250.
Orange GM, Hince DA, Jones M, Sharma S, Kim S, Wand BM, Murphy MC. Physical function following total knee arthroplasty for osteoarthritis: a longitudinal systematic review with meta-analysis. J Orthop Sports Phys Ther. 2025;55(1):1-14.
Graber CJ, Stevens-Lapsley JE, Bade MJ, Christiansen CL, 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):566-579.
Capin JJ, Minick KI, Stevens-Lapsley JE, Snow GL, Woodfield D, Dibblee P, Brennan GP, Hunter SJ. Variation in outcomes and number of visits following care guideline implementation after total knee arthroplasty. J Orthop Sports Phys Ther. 2023;53(3):151-160.
Nunes GS, de Moraes WSL, Sampaio VDS, et al. Are changes in dynamic knee movement control related to changes in pain or function in people with knee disorders? A systematic review and meta-analysis. J Orthop Sports Phys Ther. 2023;53(7):388-401.
White DK, Hinman RS, Liles S, Bye TV, Voinier D, et al. A telehealth physical therapy intervention to increase physical activity in adults with knee osteoarthritis: a randomized controlled trial. J Orthop Sports Phys Ther. 2025;55(5):377-389.
Bricca A, Skou ST, et al. Exercise therapy “wears down” my knee joint: myth or reality? J Orthop Sports Phys Ther. 2025;55(7):463-468.