search buttonmobile navigation expand button

Ortho Joint Program

The McLaren Oakland Joint Replacement Program offers an all-inclusive, planned course of treatment for individuals who undergo a total joint replacement with a strong focus on wellness, not sickness.

This comprehensive program focuses heavily on education and group support techniques for the joint replacement patient. This philosophy of care has been shown to increase patient satisfaction and safety, and return to daily activities is much quicker.

Joint Club at McLaren Oakland

Family Image

How Do You Know if it's Time for Surgery?

Deciding to have surgery is a big decision. How will you and your doctor know when it's time to consider joint replacement?

  • Are you unable to sleep because of the pain?
  • Have you tried a series of different medications that don't help alleviate the pain, or does the medication you have been taking no longer work?
  • Do you feel that the pain is keeping you from regular outings such as visiting friends, going shopping or taking a vacation?
  • Is your activity restricted to the point where you have trouble getting out of a chair, climbing stairs, getting off the toilet or getting up from the floor?

If you can answer yes to any of these questions, and especially if you are experiencing more than one of these scenarios, talk to your doctor. The two of you may decide that joint replacement surgery is an option to reduce pain and help your joints function the way they used to, so you can get back to doing the things you enjoy.



Joint replacement surgery is a procedure that seeks to relieve severe pain and improve the mobility of a painful or damaged joint, getting you back to living your independent, active life.

It's about the quality of your life.

Although it's certainly not the only cause, the most common reason for joint pain is arthritis, a condition that affects the structures that make up a joint, causing them to become inflamed or damaged. This damage and inflammation may lead to pain, stiffness and difficulty moving the joint. Therapies like pain medication work for a while, but often their effectiveness lessens over time. When this happens many doctors recommend surgery as the next step.

McLaren Oakland Joint Club can get you moving again.

Knee Replacement

Factoid: The most frequent reason cited for joint replacement surgery was to relieve the pain and disability caused by severe arthritis.*

Source: National Center for Health Statistics; Centers for Disease Control and Prevention; 2003 National Hospital Discharge Survey.

Hip Replacement

By replacing the painful parts of the hip with a series of metal and plastic parts designed to work like your hip joint, hip replacement surgery can give you back your freedom of movement without the pain. Hip Replacement: When pain interferes with your life Most people who develop pain in their hips find that they gradually stop doing the things they love as they adapt their lives to cope with reduced mobility. Some even begin to feel that they're losing their independence. If you are experiencing this kind of life-altering pain, you and your doctor may decide that hip replacement surgery is the next step. The most common type of hip replacement surgery is called "total hip arthroplasty." The Surgery Your hip joint resembles a ball that fits into a socket during surgery, the arthritic parts of the ball and socket joint are removed and replaced by the metal and plastic prosthesis. Increased movement and use of the hip with significantly less pain is usually experienced after six weeks, allowing people who have had hip replacement surgery to resume many of the activities they had to give up. Often they find that over the next year they still continue to improve. When the pain affects your ability to lead a full active life, knee replacement surgery can allow you to once again move free of the pain and resume many of the activities you enjoy.

Knee replacement: When something has to change

A painful knee can keep you from doing the things you enjoy. As the pain worsens over time and other treatments become less effective, many people feel that the quality of their life is affected to the point where something has to change.

If you are experiencing this kind of knee pain, you and your doctor may decide that knee replacement surgery is an option. The goal of knee replacement surgery, or "total knee anthroplasty," is to get your knee to function like it did before it was too painful to do everyday things like walking and climbing stairs. Knee replacement surgery is designed to remove the degenerated portions of bone in the knee and replace them with a new prosthetic system made of metal and plastic, allowing you to once again move free of pain and resume many of the activities you enjoy.

The Surgery

Your large thigh bone is called the femur, and the smaller bone in your calf is the tibia. Where the femur and tibia meet is your knee. In knee replacement surgery, the end of the femur is reshaped and capped with a metal implant. The upper portion of the tibia is then replaced with a metal surface and a plastic spacer. This spacer acts to replace to cartilage that has been worn away at the knee joint.

Most people find significantly less pain in standing and walking after six weeks, and often continue to improve for up to a year. Surgery can relieve pain that doesn't respond to other treatment options, allowing you to resume your normal daily activities.
Joint Club Experience

Joint Club Experience

Choosing joint replacement surgery can be the first step towards restoring your independence and improving your quality of living. Why is choosing a program that embraces a team philosophy of care and healing, like McLaren Oakland Joint Club, your next important step?

When you choose McLaren Oakland Joint Club, you won't be going through it alone.

At McLaren Oakland Joint Club, you'll benefit from having specialized care providers, staff assistance and recovery support throughout your stay. For every procedure, from individual pre-op and surgery prep to physical therapy and home recovery, you'll have dedicated caregivers: physicians, nurses, technicians, and therapists ... all working together in support of the most important patient in the world. You.

We also bring you together with other patients who are scheduled to have a similar surgery on the same day. Your fellow "club members" will be there to share your successes and if you need it, mutual understanding and encouragement. You'll share triumphs and concerns. And then, at "Joint Club Graduation" decide to reconnect again next year ... each of you eager to boast about your full and active life.

Succeeding together ... that's the McLaren Oakland Joint Club experience.

What to Expect

What to Expect

Preparing for surgery is never an easy time but knowing what to expect beforehand can help ease your concerns. So what should you expect when you choose the Joint Club at McLaren Oakland?

Pre-Admission: The Warm-up

You begin your pre-admissions testing and pre-surgery training with Valet parking "on the house," followed by a casual meet-and-greet session with some members of the McLaren Oakland Joint Club staff. Here, you and family member or friend "coaches" learn what to expect during your hospital stay, discharge, recovery and more. Meet each of your Team caregivers and our very own Joint Club Director, Jim Crean. Say hello to fellow club member patients. Chat. Learn. Then enjoy a special group lunch - with each of your new Team members already by your side.

Checking In: This Is A Hospital Room?

Check in for surgery, complete your brief registration, and you quickly see that our total coordination of care really does make you feel at ease - about everything. Your bright, spacious, private post-surgery room reflects your sense of renewed healthiness. There's even a sleeper sofa so that a visiting loved one can spend the night ... which is even more comforting. We also give you several complimentary parking passes, enough to share with your "coach" or other visitors.

Post-Surgery: Ready To Do Great Things

The moments you've waited for begin within 24 hours of completing surgery, starting with group exercise therapy and continuing with individual one-on-one physical therapy sessions with your Team therapists. Before you know it you're back into normal clothes, walking down the hall to group exercise. With fellow Joint Club members, friends and family coaches all supporting your "can-do" spirit. Physical therapists and other team members, lending a hand. Everyone at their own individual pace, making strides toward renewed ability and freedom.
And while you're getting back on your feet? Our case management staff are on the move too, making sure you're good to go home, or coordinating other arrangements in case extended care is necessary. We evaluate your home environment and recommend tools and equipment to help you manage while healing. You are scheduled for weekly home visits by an assigned registered nurse. You have access to hospital staff and answers every moment of recovery. No worries. No surprises. Just great things ahead.

Going Home: Getting Off On The Right Foot

Tomorrow's the big day ... you're going home. But before you do, we'll treat you to a gourmet dinner where you, your "coach" and all of your teammates can relax and celebrate. Then, after a good night's sleep and the OK from your orthopedic surgeon, you're ready to head home to continue on your journey to a more active and fulfilling life. You'll be sent home with a McLaren Oakland Joint Club t-shirt and shorts; perfect to wear for your therapy during recuperation and for the active lifestyle you'll return to shortly.

And even though you've left the medical center, you're not on your own. You'll be leaving with an out-patient rehab program designed specifically for you by your physician and therapist. And as you progress through your rehab, Joint Club staff will be there to support you and answer your questions every step of the way.

What should you expect? Expect everything extraordinary from the Joint Club at McLaren Oakland.

Joint Club Team

Joint Club Team

You will have the support of your personal McLaren Oakland Joint Club team, dedicated to making your time away from home a success, and your transition back home smooth.

The McLaren Oakland Joint Club Team: Embracing a team philosophy of care and healing.

Knowing what to expect gives you a feeling of ease, allowing you to relax and focus on your healing. At McLaren Oakland, we understand that and that's why we give you your own Joint Club Team: staff members who you can count on to care for you during your stay and in your transition back home. Throughout the whole process your team members stay the same. The same care providers, staff assistance and recovery support, working together to support your success in recovery.

Care, provided the way care should be.

Your McLaren Oakland Joint Club Team:

Preadmission Testing Nurse
Your preadmission testing nurse coordinates the testing you need prior to your surgical procedure. 

Preoperative Nurse<> Your preoperative nurse is there to prepare you for your surgery, as well as answer any questions that you or your loved ones have. 

Anesthesia Providers
The anesthesia providers are physicians and/or nurse- anesthetists who provide and carefully monitor your anesthesia during the surgery 

Circulating Nurse
You have a dedicated circulating nurse who ensures your safety and comfort during your surgery. 

Surgical Technician
The surgical technician assists in the operating room during your surgery, managing the equipment and instrumentation associated with the procedure. 

Joint Club Unit Nurse
You have the same unit nurse to care for you during your hospital stay, who will help you control pain and nausea, as well as assess your progress each day. 

Patient Care Assistant (PCA) 
The job of your patient care assistant throughout your stay is to assure your safety and comfort, plus assit you with daily activities. 

Case Management Specialist
A case management specialist helps arrange home care and other needs, including equipment and other medical supplies. 

Physical/Occupational Therapist
Your physical/occupational therapist will assess your individual therapy needs and tailors an individual plan for those specific needs. Therapists also lead the daily group therapy.  

The Same People With the Same Goal ... Your Comfort and Recovery

Request a Referral

Request a Referral

There is only one McLaren Oakland Joint Club. Be sure to ask for our care by name.

When you're ready for joint replacement surgery, make the most important step of all. Choose the Regional Medical Center with the specialized care, surgical expertise and Team philosophy that will return you to the activities you love as easily and quickly as possible.

Ask your primary care physician for a referral to one of our many Orthopedic Surgeon specialists. You may also call 248-338-5274 and request a referral from our McLaren Oakland referral center today.

Joint Club Surgeons

Participating Orthopedic Surgeons

Every McLaren Oakland Joint Club orthopedist is an experienced board-certified orthopedic surgeon who is trained in, and routinely performs, the latest techniques in hip and knee replacement surgery.

The directory below contains a list of surgeons who are currently associated with McLaren Oakland Joint Club. If your surgeon does not appear on this list or you have any questions about participating surgeons, please contact us at 248-338-5274 or mailto:info@McLaren

Shivajee Nailamothu, D.O.
Shivajee V. Nallamothu, D.O., Orthopedic Surgery  

5701 Bow Pointe, Suite 300
Clarkston, MI 48346
Phone: (248) 620-2325
Fax: (248) 620-2326

Board Certification: Orthopedic Surgery
  • Member of the American Academy of Orthopedic Surgeons
  • Earned his medical degree from Michigan State University College of Osteopathic Medicine in Lansing, Michigan
  • Completed his internship and residency at the Michigan State University/McLaren Oakland
  • Member of the American Osteopathic Association and an Honorary Fellow of the American Osteopathic Association of Orthopedics

Andrew Limber, D.O.
Andrew Limbert, D.O., Orthopedic Surgeon

44038 Woodward Avenue, Suite 100
Bloomfield Hills, MI 48302
(248) 334-4450
(248) 334-9570 fax
  • Attending Orthopedic Surgeon at McLaren Oakland
  • Earned his medical degree as a Doctor of Osteopathic Medicine from Kirksville College of Osteopathic Medicine in Kirksville, Missouri
  • Completed his internship at Flint Osteopathic Hospital and his residency at Mt. Clemens General Hospital
  • Member of and serves as an examiner for the American Osteopathic Academy of Orthopedics