How Pre-Hab Reduces Pain and Improves Outcomes for Knee Replacement Patients
Dr. Nathan Cafferky, a distinguished board-certified orthopedic surgeon and joint replacement specialist at The Steadman Clinic in Vail, and Frisco, Colorado, is at the forefront of innovations in joint replacement care. One powerful strategy he recommends for optimizing recovery is often overlooked: prehab for knee replacement. In this article, Dr. Cafferky explains how targeted preparation through physical therapy before knee replacement surgery can significantly reduce post-operative pain, improve outcomes, and accelerate the return to an active lifestyle.
Why Prehab Matters
“Knee replacement prehab can be a game-changer,” says Dr. Cafferky. “Patients who engage in physical therapy prior to surgery tend to have shorter hospital stays, better range of motion, and less post-op pain.”
The concept is simple but effective: by strengthening the muscles around the knee joint and improving flexibility before surgery, the body is better equipped to recover afterward. Prehab for knee replacement often includes targeted exercises to build quadriceps and hamstring strength, gait training, and low-impact cardio to improve stamina.
Building Strength Before Surgery
“Think of it like training for a big event,” Dr. Cafferky explains. “You wouldn’t run a marathon without preparing—physical therapy before knee replacement is that preparation.”
Many patients undergoing knee replacement prehab work with a physical therapist for 4–6 weeks before surgery. This focused period helps to decrease swelling, improve mobility, and identify any movement patterns that could delay recovery.
For patients who are already dealing with limited mobility or pain, prehab for knee replacement can also include strategies for pain management, such as cryotherapy, bracing, and activity modifications.
Faster Recovery and Better Long-Term Outcomes
Patients who engage in physical therapy before knee replacement often experience a smoother transition into post-operative rehab. “The body already knows what to do,” says Dr. Cafferky. “Muscle memory kicks in, and the exercises feel familiar instead of brand new.”
Knee replacement prehab has also been linked to improved surgical outcomes. Studies show that patients who complete a prehab program regain function more quickly and are more likely to meet mobility milestones earlier in their recovery. This reduces the risk of complications like stiffness or falls, and it boosts confidence in the healing process.
Dr. Cafferky’s Approach to Prehab
As an advocate for whole-patient care, Dr. Cafferky emphasizes personalized planning. “Not all patients are the same,” he says. “We tailor prehab for knee replacement to each individual’s fitness level, goals, and timeline.”
Whether you're an avid skier, cyclist, or simply want to walk without pain, engaging in physical therapy before knee replacement can help ensure you’re strong and prepared going into surgery—and set you up for success on the other side.
Bottom line: If you’re considering knee replacement, don’t wait until after surgery to start rehab. Knee replacement prehab is a proven tool to reduce pain, restore function, and help you get back to the activities you love—faster. To learn more, please contact Dr. Cafferky and his team today.
