@robg welcome to BoneSmart! I can only speak for myself. I am an active, athletic, driven type and have always thought that if you’re motivated and you work hard you will improve faster. That was somewhat the case with other surgeries I have had. This one has been a whole different animal. I am a believer in pt, and at the beginning, I did what my pt and my surgeon told me to do. I worked hard, and when they started pushing me to do more and push through the pain, my progress stalled and then I had a big setback from doing too much in general. The more I pushed, the worse it got. The surgeon and pt were pressuring me to hit certain milestones and shaming me for not trying hard enough. I am not a wimp. I do endurance sports and climb mountains and run a farm. I can deal with things that are hard. But my knee was not having it. Maybe the aggressive approach works for some people, but I didn’t start seeing any consistent progress until I slowed it way down and stopped trying to force it.