• Better prepared and more realistic expectations
• No differences in functioning, pain, kinesiophobia or catastrophising
• Pain neuroscience education programme poorly described

Neurophysiological pain education, when added to standard preoperative education, does not result in an extra positive effect on healthcare utilisation and daily functioning of patients undergoing total knee arthroplasty. Patients who receive additional pain neuroscience education do have more realistic expectations, resulting in increased satisfaction with the rehabilitation process. This conclusion can be drawn from a study conducted by an American research group, in which 54 patients received standard preoperative information only, and 49 patients in addition also received a neurophysiological pain science programme.