Introduction Rehabilitation requires coordinated effort from orthopaedic surgeon physical therapist occupational therapist case manager nursing staff patient and patient's family Care can be broken down into different phases including inpatient extended care (rehab/SNF) outpatient care Inpatient Extended Care (Rehab) Earlier discharge to rehab from hospital associated with improved outcomes Discharge criteria to home similar to those in hospital Outpatient Care Physical therapy 2-3 times per week for at least 2 weeks focused on closed-chain concentric exercises gradually advance from crutches to cane to unassisted other modalities include but not limited to aquatic therapy buoyancy attenuates gravity/compressive forces in joint; provides resistance balance training proprioception and postural control cryotherapy correlation between local temp and synovial PGE2 neuromuscular electrical stimulation (NMES) may override deficits in muscle activation caused by CNS impairments Medications preoperative opioid use associated with elevated risk of chronic postoperative opioid use Return to activities low-impact closed chain exercises preferred eliptical biking golf slight increase in handicap following TKA and THA drive distance may slightly increase after THA, but reduced following TKA impact activities may decrease longevity of implant running is discouraged Driving recommendations 4 weeks after a right total knee < 4 weeks after a left total knee