therapist for total knee replacementDear fellow PT:

Your patient has heard about the Fast Track system and wants to give it a try. I am a Home health PT of 20 years and have been developing this system along the way. I ask you to review the principles upon which this system is based, and I believe you will find them irrefutable. They simply make sense. They can be found Here

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If you find the principles compelling, begin to use them in aggregate and you will see their power. If you have any questions or have valuable feedback feel free to contact me personally at to discuss things further.

I take a focused minimalist approach to gaining range first and foremost. You can work with your patient and not against them by limiting the number of exercises prescribed within the first two -three week period. Patients love to be distracted by other easier exercises than range development because, as humans, we are generally motivated to avoid pain in the total knee recovery process. Less really is more at the beginning. The more focused the patient is on range building, the easier and easier it gets. Once your patient has gained 120 degrees range of motion and has achieved a base level of strength more can be added. It really does work.

Yours in Therapy,
Michelle Stiles

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Michelle Stiles called "the no nonsense" therapist, by her patients, created a company called Cowboy Up Recovery after recognizing the bankruptcy of the present medical model. Too many people regard conventional medical wisdom as gospel, ignoring the subversive influences of Big Pharma and Big Medicine. She believes, Americans in general are being trained from an early age to defer to experts in numerous areas of life and losing the impulses for self-responsibility and self-reliance in the process. Over-diagnosis and over-medicating has become endemic. While thankful for the best miracles of modern medicine, she encourages people of all persuasions to listen to their bodies and seek out answers to maintain not just an absence of disease but optimal health. Her advice is: Cowboy Up, no one cares more about your health than you do.