Sep 9, 2026 · 18 min · 10 segments
https://www.buzzsprout.com/1368397/fan_mail/new In this episode with Dr Michael Mansfield, we discuss all the differing aspects and outcomes of hip and knee surgery. We explore: - What is a…
Michael MansfieldGuestJames ArmstrongHost
pre-cad seems to be better at proving I suppose the preparedness for surgery and then how that can influence those short-term outcomes moving towards long-term outcomes following surgery and that distinction is important and that is recognized by some of our NICE guidelines as well.
Is prehabilitation before a total hip or knee replacement really as effective as we might think? And what actually determines whether a patient has a good outcome after surgery? We explore this and much more in today's episode of Physio Explained with Dr.
Mike is an assistant professor in musculoskeletal physiotherapy at the University of Birmingham.
His research focuses on improving outcomes in musculoskeletal and orthopaedic care, rehabilitation and health inequalities.
He also leads the Align Network, an interdisciplinary programme working with the Royal Orthopaedic Hospital NHS Trust to understand how orthopaedic care pathways can better meet patients' needs.
In this episode, we explore the difference between technically successful operations and a successful outcome for the patient.
An implant may well be positioned and the x-ray may well look excellent, but the person may still be experiencing pain, weakness, difficulty walking or an inability to return to the life that they expected.
We discuss why good outcomes need to be considered across several dimensions, including pain, physical function, activity, participation, quality of life and crucially the patient's own goals and expectations.
Michael also explains why the period before surgery is not simply a neutral waiting phase.
We examine the role of prehabilitation including why it may improve strength, function and pain around the time of surgery but doesn't necessarily guarantee better long-term post-operative outcomes.
Most importantly, we discuss why better care is not simply about providing more rehabilitation, but about selecting the right strategies for the individual and understanding what a successful recovery actually looks like for them.
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pre-cad seems to be better at proving I suppose the preparedness for surgery and then how that can influence those short-term outcomes moving towards long-term outcomes following surgery and that distinction is important and that is recognized by some of our NICE guidelines as well.
Is prehabilitation before a total hip or knee replacement really as effective as we might think? And what actually determines whether a patient has a good outcome after surgery? We explore this and much more in today's episode of Physio Explained with Dr.
Mike is an assistant professor in musculoskeletal physiotherapy at the University of Birmingham.
His research focuses on improving outcomes in musculoskeletal and orthopaedic care, rehabilitation and health inequalities.
He also leads the Align Network, an interdisciplinary programme working with the Royal Orthopaedic Hospital NHS Trust to understand how orthopaedic care pathways can better meet patients' needs.
In this episode, we explore the difference between technically successful operations and a successful outcome for the patient.
An implant may well be positioned and the x-ray may well look excellent, but the person may still be experiencing pain, weakness, difficulty walking or an inability to return to the life that they expected.
We discuss why good outcomes need to be considered across several dimensions, including pain, physical function, activity, participation, quality of life and crucially the patient's own goals and expectations.
Michael also explains why the period before surgery is not simply a neutral waiting phase.
We examine the role of prehabilitation including why it may improve strength, function and pain around the time of surgery but doesn't necessarily guarantee better long-term post-operative outcomes.
Most importantly, we discuss why better care is not simply about providing more rehabilitation, but about selecting the right strategies for the individual and understanding what a successful recovery actually looks like for them.
