Knee Replacement

Most knee pain is managed without surgery, and our care always starts there. When arthritis has worn the joint beyond repair, minimally invasive knee replacement can restore comfortable, confident movement, with smaller incisions, less pain, and a faster recovery than traditional surgery.

Senior woman on a sofa holding her painful arthritic knee

What Is Knee Replacement?

A knee replacement (total knee arthroplasty) resurfaces the worn ends of the thigh bone and shin bone, and often the back of the kneecap, with durable implants. It relieves the bone-on-bone pain of advanced arthritis and restores smooth motion.
 
Our surgeons perform minimally invasive total knee replacement: smaller incisions and less disruption of muscle and soft tissue, which can mean significantly reduced pain and a faster recovery. Same-day, outpatient surgery is available for select candidates. Because surgery is not the first step, see knee pain for non-surgical options.

Knee Pain: Causes And First-Line Care

Knee pain has many causes, from sports injuries to arthritis. The right treatment depends on the diagnosis, and most knee pain is managed without surgery. Care begins with the least invasive option that works.

Common causes

  • Osteoarthritis and arthritis. Gradual joint wear, plus rheumatoid arthritis or gout.
  • Cartilage and meniscus tears. Common injuries that can cause moderate to severe pain.
  • Ligament sprains and strains. Often from sports or a twisting injury.
  • Tendonitis and overuse. Including runner's knee and strained muscles.

Tried first, when appropriate

  • Anti-inflammatory medication. To reduce pain and swelling.
  • Physical therapy. Strengthening the muscles that support the knee.
  • Joint injections. Minimally invasive, for targeted relief.
  • Activity changes. Reducing the load on the joint.

When knee pain does not respond to conservative care, or imaging shows advanced joint damage, surgical options including knee replacement can restore comfortable movement. Our team includes physicians specializing in both minimally invasive treatment and orthopedic surgery.

The Benefits Of Minimally Invasive Knee Replacement

When knee replacement is the right step, our team uses minimally invasive technique: smaller incisions and less disruption to the muscles and tissues around the knee. For the right candidate, that changes the experience of surgery and recovery.

Significantly less pain

Less disruption to muscle and tissue around the knee means notably less postoperative pain.

Smaller incisions

An advanced technique uses smaller incisions in place of a larger traditional one.

Faster recovery

Less trauma to the body helps speed the return to the activities you love.

Same-day, outpatient option

For select candidates, knee replacement may be performed on a same-day, outpatient basis.

Relief from arthritis pain

Resurfacing the worn joint addresses the bone-on-bone pain at its source.

Back to moving freely

Walking, stairs, and everyday movement that arthritis had made painful become possible again.

Not every patient is a candidate for every technique. Your surgeon will recommend the approach that fits your knee and your health.

Is Knee Replacement Right For You?

Knee replacement is considered when arthritis causes pain that limits daily life, such as walking, climbing stairs, or sleeping, despite injections, medication, physical therapy, and activity changes.
 
An examination and standing X-rays show how much the joint has worn and help determine whether you are a candidate.
Illustration of a total knee replacement implant on the femur and tibia

How Knee Replacement Works

A knee replacement resurfaces the worn joint with a durable implant. Our team uses minimally invasive technique throughout. Here is what the procedure involves.

  1. 1
    Anesthesia
    What happens

    You are placed under anesthesia and monitored throughout, so the procedure itself is painless.

    Why it matters

    Your comfort and safety are managed by the care team from start to finish.

  2. 2
    A minimally invasive incision
    What happens

    The surgeon works through a smaller incision with less disruption to the muscles and tissues around the knee.

    Why it matters

    Less disruption is what drives the reduced pain and faster recovery of this approach.

  3. 3
    Resurfacing the joint
    What happens

    The damaged, arthritic surfaces of the knee are removed and prepared for the implant.

    Why it matters

    Removing the worn surfaces is what ends the bone-on-bone pain you have been living with.

  4. 4
    Placing the implant
    What happens

    A durable implant is fitted precisely, recreating a smooth, natural-feeling joint.

    Why it matters

    The new joint is designed to move smoothly and restore comfortable function.

  5. 5
    Closing and beginning recovery
    What happens

    The incision is closed, and a guided recovery plan with physical therapy begins.

    Why it matters

    A structured recovery is central to a strong, lasting result.

Your surgeon will confirm the details of your procedure, including whether a same-day discharge is right for you.

Are You A Candidate?

Knee replacement may be right for you when these ring true, and when less invasive care can no longer keep you comfortable. The surest way to know is a conversation with an orthopedic specialist.

Deep, persistent knee pain

Aching that lingers with walking, stairs, or at rest, and often disturbs your sleep.

Conservative care isn't enough

Medication, injections, and physical therapy no longer control your symptoms.

Imaging shows joint damage

X-rays reveal advanced arthritis or bone-on-bone wear in the knee.

Stiffness and instability

Trouble straightening or bending the knee, or a sense that it may give way.

Your life has shrunk around it

You have given up activities, hobbies, or travel you love because of your knee.

You are in good general health

Overall health supports surgery and healing, something we assess together during your evaluation.

Recognize yourself here? Schedule a consultation and we will review your imaging and every option with you.

Frequently Asked Questions

What causes knee pain?

Knee pain has many causes, including injury to the knee or surrounding muscles, sports injuries, cartilage tears, sprained or strained ligaments, meniscus tears, and medical conditions such as osteoarthritis, rheumatoid arthritis, gout, or tendonitis. The best way to know the cause is an evaluation with an orthopedic specialist.

Do I need surgery for knee pain?

Usually not. In many cases knee pain is treated with minimally invasive options such as injections, anti-inflammatory medication, and physical therapy. Surgery is considered only when the knee no longer responds to conservative care. At Total Spine, care always begins with the least invasive option appropriate for you.

When is knee replacement recommended?

Knee replacement is considered when arthritis or joint damage causes pain that limits daily life and sleep, imaging shows advanced wear, and conservative care is no longer enough. Your surgeon will review your imaging and options with you before recommending surgery.

What is minimally invasive knee replacement?

Minimally invasive total knee replacement is an advanced surgical technique that uses smaller incisions and less disruption to the muscles and tissues around the knee, which significantly reduces postoperative pain and speeds recovery compared with traditional surgery.

Is knee replacement a same-day or outpatient procedure?

Sometimes. For select candidates, knee replacement may be performed on a same-day, outpatient basis, and a minimally invasive approach typically means a shorter hospital stay overall. Your surgeon will confirm what is appropriate for your health and your procedure.

How long is recovery after knee replacement?

A minimally invasive knee replacement generally means less pain and a faster recovery than traditional surgery. Guided movement and physical therapy begin soon after surgery, everyday activities return over the following weeks, and the knee continues to strengthen over the following months. Your surgeon and physical therapist will guide your individual timeline.

What other knee procedures does Total Spine offer?

Beyond knee replacement, our team offers knee arthroscopy, knee ligament reconstruction, and meniscectomy, along with non-surgical care such as injections, medication, and physical therapy. The right option depends on your diagnosis.

Is It Time? Signs To Watch For

Knee arthritis tends to build slowly, so it is easy to adapt to the pain without realizing how much it has taken. These are the signs it may be time to talk to a specialist:

  • Pain with walking or stairs that flares with activity and lingers afterward.
  • Stiffness that makes it hard to fully straighten or bend the knee.
  • Swelling that keeps coming back after activity.
  • Grinding, catching, or a knee that gives way when you put weight on it.
  • Pain at night or aching that keeps you from a full night's sleep.
  • Relief that keeps fading as medication and injections stop lasting like they used to.

Your Recovery, Step By Step

A minimally invasive knee replacement generally means less pain and a faster recovery than traditional surgery. Every recovery is individual, and your surgeon and physical therapist will tailor the plan to you.

  1. 1
    After surgery
    What to expect

    Guided movement and physical therapy begin soon after surgery. Depending on your case, you may go home the same day or after a shorter stay than traditional surgery requires.

    Your part

    Begin gentle, guided activity as directed.

  2. 2
    The first weeks
    What to expect

    You move around with support while the knee heals, and the arthritis pain you had before often begins to ease.

    Your part

    Attend physical therapy and follow your activity guidance closely.

  3. 3
    Over the following weeks
    What to expect

    Walking aids are gradually set aside and many everyday activities return, at a pace your surgeon confirms.

    Your part

    Keep building strength and range of motion steadily through therapy.

  4. 4
    Several months out
    What to expect

    The knee keeps getting stronger, and the full benefits of the surgery are typically felt over the following months.

    Your part

    Stay active and keep your follow-up visits so we can confirm you are on track.

Contact your care team promptly about fever, increasing redness or drainage, calf pain or swelling, or pain that is not improving.

Related Treatments

Minimally Invasive Vs. Traditional Surgery

The Minimally Invasive Advantage

Traditional knee replacement has long been effective, but advances in technique have made a minimally invasive version an excellent option. Both use the same durable implant. The difference is how the joint is reached, and how that shapes recovery.

TraditionalMinimally invasiveOur approach at Total Spine
IncisionA single larger incision.Smaller incisions and specialized technique.
Muscle & tissueMore disruption of the muscle and tissue around the knee.Less disruption to the muscles and tissues around the knee.
Postoperative painMore pain in the early recovery period.Significantly reduced postoperative pain.
Hospital stayA longer hospital stay is typical.A shorter stay, with a same-day, outpatient option for select candidates.
RecoveryA longer, more gradual return to activity.Speedier recovery and a quicker return to normal activities.

For the right candidate, the minimally invasive approach means less pain, a shorter stay, and a faster return to the life you have been missing.

Not every patient is a candidate for every technique. Your surgeon will recommend the approach that fits your knee and health.

Our Patients Stories

Hear our patients share their experience with us, All in their own words.

Why Choose Total Spine and Orthopedics

Expert, ultra-minimally invasive spine and orthopedic care, close to home.

  • Ultra-minimally invasive and endoscopic techniques

    We specialize in procedures performed through incisions smaller than a dime, sparing muscle and supporting a faster recovery.

  • Same-day, outpatient procedures

    Most patients walk in and return home within hours, rather than facing an overnight hospital stay.

  • Board-certified, fellowship-trained surgeons

    Our team includes early leaders in endoscopic spine surgery.

  • A complimentary MRI review

    Understand your diagnosis and options from a board-certified specialist before committing to any treatment.

  • Trusted by our community

    More than 1,100 patient reviews at a 4.6-star average, and over 50,000 patients treated.

  • Minimally invasive knee replacement

    Smaller incisions and less tissue disruption, with same-day surgery for select candidates.

  • Comprehensive spine and orthopedic care

    From injections to advanced procedures, your full continuum of care is handled in one place.

  • Convenient locations across the Space Coast and Orlando

    Care close to home in Melbourne, Orlando (Lake Nona), and Titusville.

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