|
950 KJR House Doctor - Dr. Brett Daniel, MD

Who is this House Doc?
When the injury reports arrive, there are plenty of confused looks in the studio. Our franchise player suffers from "De Quervain Tenosynovitis?" What does that mean? Is our season lost?

Rather than crack open his high school health book, Gas goes to the experts. As our consultant to all things medical, from dubious performance enhancers to Tommy John surgery, Dr. Brett Daniel is on call as our 950 KJR House Doctor. And he can clarify the ramifications of inflamed thumb tendons -- De Quervain Tenosynovitis.

Submit a general heath or sports medicine question for Dr. Daniel to answer on-air by clicking here. If you would like your name used on-air, please include it with your city as part of the email. Unfortunately, he is unable to provide specific medical advice through email, but would be happy to see you in clinic for any of your health needs.
Dr. Brett Daniel is a board-certified family physician who currently practices in Seattle at the Pacific Medical Centers Northgate Clinic.

Our "House Doc" enjoys all aspects of family medicine, but has added interest and expertise in sports medicine and men's health.

Education
:
  • B.A. with honors from Johns Hopkins University in 1997
  • M.D. from the University of Washington in 2002
  • Completed Family Medicine Residency at Valley Medical Center in Renton 2002-2005

    Bio/Interesting Tidbits:
    • Born and raised in Montana
    • Currently lives in Ballard with his wife and son
    • Cardiac arrest survivor thanks to his wife giving him CPR and the medics giving him 4 shocks to his heart. You can read his story here
    • Avid fantasy football and baseball player.
    • Lifelong Steelers fan… but likes the Seahawks, too.  

















    Contact The House Doc:
    Tuesday 08-05-2008 10:07pm PT
    Seattle WR: Help Wanted
    Saturday 08-30-2008 7:10am PT
    Ben Obomanu is the latest in the line of Seahawk WR injuries. He broke his clavicle (collarbone) during the last preseason game against the Raiders. He likely has two options: surgery to repair it in hopes of returning before the end of the season, or go on the IR and let it heal with or without surgery. Depending on the severity and location, it is hard to know which is the better option. My "duh" suggestion, don't draft him in your fantasy league.

    Bobby Engram continues to be out with a fractured shoulder. I have been unable to track down any further details about which part of the shoulder, but I suspect he might have a small humeral head (upper arm bone where it inserts into the shoulder socket) fracture since there have been no further details. These take time to heal, but he might be a guy you could grab and stash on your injured list until he returns after the bye week. He wants a big contract upgrade and there is only one way to do that... play, and play well.

    Deion Branch continues to rehab from his torn ACL from last season's playoffs. It sounds like his rehab is going well, and with the lack of depth at WR, they will probably bring him back after about 6 weeks and hope for the best. His agility and quickness won't be back to normal until the end of the season though, so temper your expectations for this season and grab him off the waiver wire when he comes back.

    All of this is going to put more pressure on Matt Hassled-by-my-back as well. The west coast offense relies on timing between the QB and his receivers. With all of these injuries, it might take awhile for the passing game to reach its full potential, and Matt has been known to get a little frustrated at times which affects his decision-making. He is a risky fantasy pick this season.

    On with the season... (cue Monday Night Football music here)
    J.J. Putz has Ulnar Neuritis
    Monday 06-16-2008 10:55am PT
    A couple quick things about J.J.'s elbow injury that has put him back on the DL:
    - Basically, the nerve that runs on the inside of the elbow (ulnar nerve) has been rubbing over the bone on the inside of the elbow (aka, the "funny bone") and is now irritated (irritated and inflamed nerve = neuritis). The Mariners' doc mentioned that this was because of hyperextension... meaning that when his arm is coming through, his elbow is going back, or giving way, more than it should. The nerve can then slide more, or get pinched more as the arm comes back forward. 

    - I see a lot of patients with similar symptoms, but usually because of leaning on the inside of their elbows while typing on the computer or putting their arm on the door or armrest while driving.

    - The key is to rest the elbow, let the inflammation calm down, and avoid re-injury. In J.J.'s case, he will rest until the pain subsides, then begin some stretching and rehab. He may get to wear a splint that keeps his elbow straight at night. Sometimes a cortisone injection can help decrease the inflammation if needed.

    - As with any pitching injury, the question is why did this happen now? Could it be that he has a little more laxity (looseness) in his UCL as he has used his elbow to compensate for other probelms in his mechanics? (This is why pitchers may tingle before they "pop" their UCL... the UCL gets looser and looser until "pop"). Could it be that his rib injury threw off his mechanics and has thus put more strain on his elbow? His location has not been as great since the rib injury, so a very strong possibility.
    Let's hope a little rest, strengthening and attention to his mechanics will help get J.J. back on the mound. 
    Here is a link where you can learn more: http://orthoinfo.aaos.org/topic.cfm?topic=a00069