This episode of the Total Knee Success Podcast explores the powerful role of nutrition in total knee replacement healing. We break down why protein, hydration, anti-inflammatory foods, vitamins, and minerals are essential for tissue repair, scar formation, and steady energy. We also look at how GLP-1 weight loss medications may impact muscle and success, and what steps patients can take to protect strength. Practical advice, red flags to watch for, and clear science-backed takeaways make this episode a must-listen for anyone preparing for or moving forward after knee replacement.

00:00 Introduction to Protein and Recovery 00:26 Welcome to the Total Knee Success Podcast 00:53 The Importance of Nutrition in Healing 02:09 The Role of Protein in Recovery 03:14 Hydration and Its Impact on Healing 03:58 Anti-Inflammatory Foods and Their Benefits 04:44 Essential Vitamins and Minerals 06:33 Foods to Avoid for Better Recovery 07:15 Tailoring Nutrition to Health Conditions 07:52 Weight Loss Medications and Muscle Preservation 09:18 Red Flags and When to Seek Help 09:43 Summary and Final Thoughts 10:15 Resources and Next Episode Preview

Medical Disclaimer The Total Knee Success Podcast is for educational purposes only. It is not a substitute for professional 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 on a product link in my show notes or at TotalKneeSuccess.com 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. I only share products that are commonly recommended for knee replacement and that patients have found helpful.

References

Bohl DD, Volpe KA. Nutritional optimization in total joint arthroplasty: a review of the literature. J Arthroplasty. 2017;32(9):2831-2839. doi:10.1016/j.arth.2017.05.016.

Zhang Z, Xu H, Ma J, et al. Anti-inflammatory dietary patterns and joint health after orthopedic surgery. Clin Nutr. 2020;39(11):3456-3463. doi:10.1016/j.clnu.2020.05.013.

Cross MB, Yi PH, Thomas CF, Garcia J, Della Valle CJ. Evaluation of malnutrition in orthopaedic surgery. J Am Acad Orthop Surg. 2014;22(3):193-199. doi:10.5435/JAAOS-22-03-193.

Miller PE, Van Elswyk M, Alexander DD. Dehydration and orthopedic surgical outcomes: a systematic review. Nutr Clin Pract. 2018;33(1):48-58. doi:10.1002/ncp.10028.

O’Neill SC, Queally JM, Hickey A, et al. Vitamin D status and surgical outcomes following knee arthroplasty. J Arthroplasty. 2017;32(9):3020-3024. doi:10.1016/j.arth.2017.05.002.

Hunger RE, et al. Individualized nutrition care improves strength and independence after knee replacement. Clin Nutr ESPEN. 2020;35:205–211. doi:10.1016/j.clnesp.2019.10.015.

Biolo G, Tipton KD, Klein S, Wolfe RR. An abundant supply of amino acids enhances the metabolic effect of exercise on muscle protein. Am J Physiol Endocrinol Metab. 1997;273(1):E122-E129. doi:10.1152/ajpendo.1997.273.1.E122.

Changes in lean body mass with GLP-1-based treatments for obesity. Curr Opin Endocrinol Diabetes Obes. 2024;31(5):223-229. doi:10.1097/MED.0000000000000863.

Zhou Y, Liu T, Zhang Y, et al. Inhibition of GDF8 and activin A protects against GLP-1 RA-induced muscle loss while enhancing fat loss. Nat Commun. 2025;16(1):1552. doi:10.1038/s41467-025-59485-9.

In this episode of the Total Knee Success Podcast, we address one of the most common post-surgery complaints—lack of sleep. We discuss how issues like pre-existing sleep problems, pain, and swelling can worsen after knee replacement surgery and offer practical, research-backed strategies for improving sleep quality. Tips include establishing a bedtime routine, using pillows for support, reducing swelling before bed, calming the mind, and avoiding sleep disruptors like caffeine and light exposure. We also emphasize the importance of consulting healthcare providers for persistent sleep issues. Tune in for actionable advice to help you rest better and recover more effectively.

Medical Disclaimer The Total Knee Success Podcast is for educational purposes only. It is not a substitute for professional 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 DisclaimerAs an Amazon Associate, I earn from qualifying purchases. This means that if you click on a product link in my show notes or at TotalKneeSuccess.com 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. I only share products that are commonly recommended for knee replacement recovery and that patients have found helpful.

Chapters

00:00 Introduction to Sleep Issues Post-Surgery

00:53 Welcome to the Total Knee Success Podcast

00:57 Understanding Sleep Problems After Knee Replacement

01:57 Building a Consistent Bedtime Routine

02:56 Finding a Comfortable Sleeping Position

03:59 Managing Swelling for Better Sleep

04:48 Calming Your Mind for Restful Sleep

05:52 Avoiding Common Sleep Disruptors

07:19 When to Seek Professional Help

07:41 Recap and Final Thoughts

08:19 Preview of Next Episode and Closing Remarks

References American Physical Therapy Association. Clinical practice guideline: Physical therapist management of total knee arthroplasty. Phys Ther. 2020;100(9):1603-1631. doi:10.1093/ptj/pzaa099

Wylde V, Rooker J, Halliday L, Blom A. Acute postoperative pain at rest after hip and knee arthroplasty: severity, sensory qualities and impact. Musculoskeletal Care. 2011;9(4):201-209. doi:10.1002/msc.204

Mont MA, Beaver WB, Dysart SH, Barrington JW, Del Gaizo DJ. Local infiltration analgesia in total knee arthroplasty: a randomized controlled trial. J Arthroplasty. 2018;33(1):90-95. doi:10.1016/j.arth.2017.08.017

Garland SN, Carlson LE, Stephens AJ, Antle MC, Samuels C, Campbell TS. Mindfulness-based stress reduction compared with cognitive behavioral therapy for the treatment of insomnia. J Consult Clin Psychol. 2014;82(5):651–663. doi:10.1037/a0036734

Huberman AD, Patel A, Zhang S. Light exposure and circadian rhythm regulation: implications for sleep and health. Curr Biol. 2023;33(12):R456-R458. doi:10.1016/j.cub.2023.04.015

In this episode of the Total Knee Success Podcast, we tackle one of the most common questions after knee replacement surgery: "When will I stop limping?" Discover why limping can persist after surgery, the science behind gait retraining, and practical, evidence-based strategies to help you walk with confidence again. We share step-by-step tips on weight bearing, using assistive devices correctly, correcting gait patterns, strengthening key muscles, and practicing in different environments. Whether you’re preparing for surgery or deep into recovery, this episode offers actionable advice to help you break old habits, improve your walking, and regain your independence. Tune in for expert insights, encouragement, and resources to support your total knee success!

Disclaimer

Educational Purpose Only

Total Knee Success provides educational information on total knee replacement, rehabilitation, and related topics. All content—whether on this website, the podcast, or linked resources—is intended for general educational purposes only. It is not designed to diagnose, treat, or replace individualized medical care.

You should always consult your physician, surgeon, or physical therapist before making health decisions. Do not disregard professional advice or delay seeking it because of material found here.

No Professional or Academic Relationship

Accessing this site or listening to the podcast does not create a physical therapist–patient relationship or a faculty–student relationship. Information is provided in a general context only and should not be considered personalized professional advice.

Educational and Professional Standards

Content is aligned with professional practice standards in the United States, including requirements for safe and ethical delivery of health information. Information is presented in a manner consistent with U.S. and Ohio laws governing health education, physical therapy practice, and academic instruction.

Affiliate Disclosure

This site and podcast may contain affiliate links. Total Knee Success participates in affiliate programs, including the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by linking to Amazon.com and affiliated sites.

• If you purchase a product through an affiliate link, I may earn a small commission at no extra cost to you.

Transparency matters—you should assume that links on this site or podcast may be affiliate links.

References

1. American Physical Therapy Association. Clinical practice guideline: Physical therapist management of total knee arthroplasty. Phys Ther. 2020;100(9):1603-1631. doi:10.1093/ptj/pzaa099
2. Mont MA, Beaver WB, Dysart SH, Barrington JW, Del Gaizo DJ. Local infiltration analgesia in total knee arthroplasty: a randomized controlled trial. J Arthroplasty. 2018;33(1):90-95. doi:10.1016/j.arth.2017.08.017
3. Wylde V, Rooker J, Halliday L, Blom A. Acute postoperative pain at rest after hip and knee arthroplasty: severity, sensory qualities and impact. Musculoskeletal Care. 2011;9(4):201-209. doi:10.1002/msc.204
4. Smith TO, Chester R, Clark A, Donell ST. Cross-sectional study into peri-operative practices surrounding total knee replacement surgery in the UK. Knee. 2012;19(5):365-369. doi:10.1016/j.knee.2011.06.010
5. The Knee Journal. Reduced knee flexion in TKA patients: carryover of preoperative gait patterns. Knee. 2021.
6. McClelland JA, Webster KE, Feller JA. Gait analysis of patients following total knee replacement: a review. PMCID: PMC3754839.