Preparing for knee replacement surgery doesn’t start in the hospital – it starts right now, at home, with you. If you’re scheduled for a knee replacement and want to make the most of your time while you wait, then the Total Knee Prehab programme is for you.
Research shows that patients who undergo structured prehabilitation before knee replacement surgery experience significant benefits:
3.9 days shorter on average
and improved functional outcomes
after surgery
critical since 24% of patients fall in the first year after surgery
The strongest predictor of how well you’ll do after surgery is how strong and mobile you are going into it. Yet most patients receive little guidance on how to prepare physically. Every person’s knee is different — what one patient needs to focus their prehab on will be completely different from the next patient.
The Total Knee Prehab programme provides you with everything you need to prepare your body for surgery, recover faster, and get back to the activities you love sooner.
Start with our comprehensive assessment that measures your current:
This creates your personalised starting point and helps track your progress.
Based on your assessment, you’ll be guided to undertake a tailored programme focusing on the areas you need most:
£100 – Lifetime access to:
£5/month – Everything in the Foundation Package, plus:
*Available as an add-on to the Foundation Package. Subscribe for as long as you need and cancel anytime.
is a specialist physiotherapist with 25+ years of experience, including 10 years as a physiotherapist in the British Army. She specialises in helping people with long-term and complex conditions, including preparing patients for orthopaedic surgery and optimising their recovery.
Nell’s approach is evidence-based and practical, focusing on what really works to improve surgical outcomes. She has helped hundreds of knee replacement patients achieve faster, smoother recoveries through targeted prehabilitation.
Her book “How To Be Your Own Physio” has become a trusted resource for patients who want to take an active role in their recovery.
Ideally, you should start at least 6-8 weeks before your surgery date to see optimal benefits. However, even 2-3 weeks of preparation can make a significant difference. If you’re on a waiting list without a specific date, starting now gives you the maximum benefit time
The Total Knee Prehab programme includes modifications for various health conditions and fitness levels. However, you should always consult your doctor before starting any new exercise programme, especially if you have heart conditions, uncontrolled high blood pressure, or other significant health concerns.
Most exercises require minimal equipment – you’ll need a sturdy chair, a step, and possibly some light resistance bands (which can be purchased inexpensively online). All equipment requirements are clearly explained before you begin.
Each exercise video is between 2-8 minutes long. We recommend doing around 30 minutes of exercises, 3-5 times per week – but because all the videos can be done individually, you don’t have to do the whole 30 minutes at once – doing 10 minutes three times a day is just fine. The programme is designed to fit into your daily life, not dominate it.
The programme starts with a thorough assessment and begins at your current ability level, with modifications for pain and mobility limitations. We focus on working within your comfort level while gradually building strength and function
Absolutely! In fact, many of our most successful participants have had their other knee replaced previously and wish they’d known about prehab for their first surgery!
Our comprehensive assessment measures your strength, mobility, balance, and functional abilities across various tests. After completing the assessment, you’ll compare your results with the normative values we provide to identify your priority areas. For example, if your VMO test score is below target, you’d focus on the Quads module first. If your balance tests show weakness, you’d prioritise the Balance module. This targeted approach ensures you’re working on the areas that will give you the best results for your specific situation, rather than following a one-size-fits-all programme.
The Foundation Package (£100) gives you lifetime access to all the core content you need for effective prehab, including the assessment protocol, essential modules, and targeted optional modules based on your results. The Community Support subscription (£5/month) is an optional add-on that provides access to our private Facebook community of knee replacement patients and weekly live physio-led exercise classes with Kate. Many people find the additional support and motivation from others going through the same journey to be invaluable, but the Foundation Package contains everything you need to successfully prepare for surgery.