Those who talk about pain during PT must have "old school" therapists. The newer ones don't push things farther than they should. After two total reverse replacements, I'd just need an occasional Advil after PT. The key is to do what the therapist tells you to, without overdoing it. Also, all orthopedic surgeons are created equal. I asked a few doctors who they'd go to. When they gave me the same answer, I knew who to use.