This session explores innovative rehabilitation strategies for managing severe stiffness and pain following total knee replacement (TKR), with a focus on arthrofibrosis. Dr Sara Aspinall, a leading expert in knee arthrofibrosis, and Liz Jacobs, Advanced Physiotherapy Practitioner, will share insights into the causes and impact of post-surgical stiffness, as well as effective treatment approaches. **Learning Outcomes:** - Gain an understanding of the causes, risk factors, and effects of arthrofibrosis post-TKR. - Learn about innovative tools like the STAK device, designed for high-intensity, controlled stretching to reduce stiffness. - Engage in hands-on demonstrations of the STAK device and discuss its practical application. - Review case studies and service evaluation data on the use of the STAK tool in clinical practice. - Collaborate with peers to develop actionable recommendations for improving rehabilitation protocols and patient outcomes.