Episode Details
Back to Episodes
Episode 40: NMES: The Missing Link for a Stronger Knee After Replacement: Using neuromuscular electrical stimulation to restore quadriceps strength after knee replacement
Description
In Episode 40, Michelle takes a deep dive into neuromuscular electrical stimulation and its role in restoring quadriceps strength after total knee replacement. She explains why quadriceps weakness persists after surgery, how NMES improves muscle activation when the nervous system is still protective, and why visible, high-intensity contractions are essential for results. The episode clarifies how NMES differs from TENS and other forms of electrical stimulation, reviews what the research shows about earlier and more consistent use, and discusses practical setup considerations including pad size, placement, skin preparation, and safety precautions. Michelle also explores why NMES sometimes appears to “fail” in clinical settings, how dosing and frequency influence outcomes, and when guided home use may be appropriate as part of a broader strengthening plan.
Read the Episode 40 article and resources
Free Total Knee Success Insider Newsletter
Book! (Prehab) Knee Replacement Game Plan
Free Top 5 Products for the First Two Weeks
Free Guide: Less Pain, More Gain
Book! Making Sense of Pain After Knee Replacement
Book! Walking Like Yourself Again After Knee Replacement
Browse products on Amazon to make your life easier
Resources at totalkneesuccess.com
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 orthopedics 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.