Sacramento Office
2825 J Street,#440
Sacramento, CA 95816  
(916) 492-2110
Walnut Creek Office
130 La Casa Via, Bldg 2, Suite110
Walnut Creek, CA  94598
(925) 322-2908
July 18, 2014
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April 29, 2017

On Customized Treatment.

A conversation with the dentist.

Dentist, "Mr. Johnson, you have 3 teeth that have severe decay and we need to extract them.  I am most comfortable with dentures rather than implants.  I am going to extract all your teeth and give you some really great dentures that should last 20 years."

Mr. Johnson. "Doctor, is that really necessary.... can't you just replace the damaged ones"

This conversation sounds very amusing but the analogue is happening thousands of times every day in the US on the topic of knee replacement.  Many surgeons are not comfortable with all the biological and less invasive treatments for arthritis.  If a knee has arthritis in one part, the reflex response is to replace the whole knee.  Total knee replacement is great but there are issues with it for the younger and more active patient.  It should be reserved for the most severe cases with arthritis involving at least two out of three of the knee compartments.  If you do not have arthritis in all three compartments, then simply ask your doctor about biological joint replacement or partial knee replacement.  If they want to only do a total knee replacement, it may be worthwhile to get some other opinions.

Here is a review on the topic.  It is a bit dated since it does not discuss robotic partial knee replacement which is a major advance.


July 20, 2015

Introductory Blogpost

Welcome to my introductory blog post.  We live in an amazing time where the barriers to communication are largely disappearing.   The goal of this blog is to highlight and simplify some interesting topics in the world of arthritis, joint preservation, and replacement. 

The blog will be composed of commentary by me and our office staff on specific questions brought up by patients, new technology and procedures, patient stories and experiences, and guest blog posts by leaders in the field.

We welcome your comments and questions.  If you have a question that you would like answered on the post, please let us know. 

Please forward all comments to our email address:

Amir Jamali, MD

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