Specialties
Sports Medicine
Dr. Davis evaluates a wide variety of sports injuries, including but not limited to treatment of ligament tears of the shoulder or knee, meniscal tears, rotator cuff injuries or of training errors for most sports. He may prescribe physical therapy, mobilization techniques (osteopathic/chiropractic), medications (either by mouth or by injection), sports biomechanics modifications or possibly surgical intervention.
Dr. Davis works with an outstanding team of Sports physicians and therapists to acquire optimal outcome for all sports injuries
Dr. Davis evaluates athletes from ALL levels of competition and has provided medical coverage locally, regionally, nationally and internationally. If you would like to have Dr. Davis provide medical coverage at your sporting event, please contact 916-734-5292.
Nonsurgical Spine Care
Dr. Davis evaluates and manages injuries to the spine including, but not limited to disc herniations, radiculopathies (pinched nerves), arthritis and post-surgical conditions. Chronic spine pain cases are reviewed on a case-by-case basis.
Dr. Davis works with the world-renowned University of California, Davis Spine Program, a group that offers care from Physiatrists, Orthopedic Spine Surgeons, Neurosurgeons, Pain Management specialists, Physical and Occupational Therapists and Orthotists.
Adaptive Sports Medicine
Dr. Davis evaluates athletes with any form of disability. As a Physiatrist, he has worked extensively with individuals with physical limitations and can transfer that knowledge to athletes with special needs.
Dr. Davis works with an exceptional staff of Orthopedic Surgeons, Family Practice Sports Medicine physicians, Orthotists and Prosthetists to achieve the optimal outcome for all adaptive athletes.
Occupational Medicine
Injured workers require special care that often goes beyond the diagnosis. These individuals require constant monitoring by case management staff, frequent changes in work capacity and careful guidance of post-injury return to work and case closure.
Dr. Davis has worked extensively in California, Utah and New Jersey helping injured workers. Cases are reviewed individually to determine if assistance can be provided. Qualified Medical Examinations (QMEs) are NOT performed by Dr. Davis.
Electrodiagnostic Medicine (EMG/ NCS/ SSEP)
Dr. Davis is Board Certified in performing Electrodiagnostic studies by the American Board of Neuromuscular and Electrodiagnostic Medicine (non-ABMS). He is also well-published in the area and is internationally regarded as an expert in this area.
Dr. Davis and his colleagues at the University of California, Davis Medical Center Department of PM&R evaluate cases from the minor carpal tunnel syndrome to the most complex of polytrauma involving multiple nerve injuries.
Expert Testimony
As a highly respected academic clinician at the University of California, Davis Medical Center, Dr. Davis has been asked to evaluate medical-legal cases from all over the country. He has assisted the U.S. District Attorney, the U.S. Department of Judicial Review, the Tahoe Conservancy, and numerous other regional and local hospitals and attorneys with difficult cases. He has served equally for plaintiffs and defendants. Each case is reviewed by Dr. Davis to determine if it fits within his expertise; he may recommend a colleague to assist with cases outside of his expertise. Cases are reviewed and charged on an hourly basis. Please contact his assistant, Pat Settje, at 916-734-5292, if you would like Dr. Davis to provide medical consultation to a legal case.
Procedure Description:
Joint/ Bursa Injection
What To Expect:
Joint and bursa injections are reserved for individuals that have often failed other conservative therapies, or may not be able to start therapy secondary to pain and inflammation. Often times, a steroid medication such as triamcinalone or dexamethasone is injected into a joint or bursa with a local anesthetic to help reduce pain and inflammation to help an individual return to a therpay program.
Viscosupplementation (VS) is a treatment offered to help patients with knee arthritis. Typically, the injections span three weeks, with the patient receiving one injection into the affected knee per week. Both knees can be injected on the same day. The FDA has only approved this treatment for knee arthritis, but data seems to be pointing towards success with injecting other joints, as well. Dr. Davis can help decide if VS indicated for a patient with knee arthritis or arthritis in other joints. As VS is only approved by the FDA for knee injection, other joint injections will usually not be covered by insurance.
Preprocedure:
After obtaining informed consent - the patient is explained the procedure in detail and ALL questions answered, the area to be injected is cleaned with betadine, alcohol or both. A cold spray is used to numb the skin surface (as opposed to injecting the skin with a topical anesthetic). Sterile gloves are donned and the injection proceeds. Each joint has its own difficulty level based on the size of the joint, the degree of deformity of the joint and the size and relaxation of the patient. Most injections can be performed with minimal discomfort and often are completed in less than one minute.
Postprocedure:
Patients are sent home with a list of instructions what to be on the look-out for. All injections have a risk of infection, local bleeding, allergic reaction and lack of improvement. Steroids injected into joints slightly increase risk of developing arthritis (if not already present) and when injected near muscle have a slight risk of leading to muscle weakness or tear. Patients with diabetes are at higher risks for all complications, and can lose control of their blood sugars for up to one week. These should be monitored closely after injection. In rare instances, injections done near the skin can cause loss of the fat tissue or the skin color. Patients should inform the physician or a local urgent/ emergent care center if any serious reaction is noted. |
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Procedure Description:
EMG and Nerve Conduction Studies
What To Expect:
'EMGs' as they are classically called, are not as bad as you may have heard. Most people describe them as being mildly annoying, with only a rare percent having to stop the test due to excessive discomfort. Most tests are separated into the electrical Nerve Conduction Study (NCS) portion and the needle Electromyography (EMG) portion. Those who find the test disagreeable will usually state that the needle part of the test is the more uncomfortable, as will be explained. The NCS uses small electric shocks; similar to feeling static electricity, to stimulate nerves in the body. Electrodes monitor the speed and height of the response to determine if there is normal or abnormal function. The EMG portion requires that a small needle; between 26 and 28G, is placed into the muscle to listen for abnormal signals. Each patient needs different nerves and muscles studied based upon his/ her symptoms and the referring practitioner's questions that need to be answered.
Preprocedure:
Before the procedure, make certain that the patient has cleaned the area thouroughly, and does not apply lotions to the skin on either the arms or legs, as sometimes, the examiner may need to test a nerve or muscle outside of the area requested for comparison. If the patient has severe anxiety, then medication may be prescribed at the discretion of the patient's primary physician, but the patient MUST BE AWAKE AND ABLE TO FOLLOW INSTRUCTIONS THROUGHOUT THE DURATION OF THE TEST.
Patients will be brought into a quiet room, where the physician will take a brief history, perform a brief physical exam, and will then proceed with the test.
Postprocedure:
Most patients will state that the needle sites remain mildly sore for 24-72 hours, but only rare instances of problems have ever occurred in conjuction with needle EMG study in qualified hands. Anti-inflammatory medication or acetominophen usually controls the minor discomfort, and should be taken at the discretion of the patient and his/ her primary physician. Most individuals can return to all of their normal activities immediately after the test.
Dr. Davis is a Board-certified Sports Medicine physician. He has provided sideline medical care at many prestigious events, including the 2004 Athens Paralympic Games, 2002 Salt Lake City Olympic and Paralympic Games, the 2003 Junior Olympic Track and Field Pan Am Championships, the USA Track and Field Trials (2000 and 2004), the USA Boxing National Championships, as well as numerous other local, regional, national and international sporting events. He has provided medical care for professional baseball and soccer teams, and all collegiate and high school sports programs. He has also worked extensively with gymnastics and dance programs.
SPORTING EVENT MEDICAL COVERAGE/ APPOINTMENTS
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February 2008 and 2009: Amgen Cycling Tour of California, Anti-Doping Official
June 2007: NCAA Division I Men's and Women's Outdoor Track and Field Championships
June 2007: Amateur Athletic Union West Coast Games, Medical Director
June 2006: NCAA Division I Men's and Women's Outdoor Track and Field Championships
June 2006: Amateur Athletic Union West Coast Games, Medical Director
June 2005: NCAA Division I Men's and Women's Outdoor Track and Field Championships
June 2005: Golden West Invitational Track and Field Tournament, Medical Director
September 2004: Physician to US Paralympic Team, Athens, Greece
July 2004: US Track and Field Olympic Trials, Medical Supervisor and Medical Staff
7/13/03-7/22/03: US Track and Field Junior Olympics Pan American Games, Bridgetown, Barbados, Team Physician
6/21/02-6/23/02: US Track and Field National Championships, Palo Alto, CA, Medical Staff
6/8/02 and 6/15/03: Golden West Invitational Track & Field Tournament, Sacramento, CA, Medical Director
3/7/02-3/16/02: Salt Lake Organizing Committee, 2002 Winter Paralympic Games, Salt Lake City, UT, Medical Staff (Spectator Medical Mobile)
2/7/02-2/14/02: Salt Lake Organizing Committee, 2002 Winter Olympic Games, Salt Lake City, UT, Medical Staff (Hockey Venues)
12/11/01-12/19/01: USA Swimming, 2001 Swimming International Tournament in Pool and Open Sea, Mar del Plata, Argentina, Team Physician
7/24/01-7/29/01: US Junior Olympics Track and Field National Championships, Medical Staff
6/22/01-6/30-01: Sacramento Volleyball Festival, Medical Staff
6/21/01-6/24/01: US Track and Field National Championships, Eugene, OR, Medical Staff
1999, 2000, 2001, 2002 and 2004: USA Boxing, National Championships, Colorado Springs, CO, Medical Staff
7/14/00-7/23/00: US Track & Field Olympic Trials, Medical Staff
4/00-4/02: Sacramento Rivercats Baseball game coverage
11/01/99-present: California Professional Ringside Physician
-North American Boxing Federation Title Bout, 10/29/00
-Strikeforce Kickboxing Tournament, Medical Staff, 5/13/00
4/29/00: Sacramento Police Athletic League Boxing Tournament, Medical Director
2/14/00-2/29/00: Head Physician (Volunteer), United States Olympic Training Center, Chula Vista, CA
6/26/99 & 9/17/99: Salt Lake Amateur Boxing Invitational, Medical Director
4/2/99-4/3/99: Golden Gloves Boxing, Utah Championships, Medical Director
3/7/99: Professional Boxing, St. George, UT, Medical Director
2/5/99-2/13/99: USA Boxing, Utah and Regional Amateur Boxing Championships, Medical Director
10/12/98-10/27/98: USA Swimming, 1998 IPC World Disabled Swimming Championships, New Zealand, Team Physician
1998-1999: Hunter High School Football Games
11/15/97-11/16/97: Wheelin? Jazz Wheelchair Basketball Invitational, Medical Director
1993-1997: Team Physician Associate to Joseph Feinberg, MD ? coverage provided for:
A. Jersey Dragons Professional Soccer Team, United States Interregional Soccer League, Hoboken, NJ
B. Seton Hall University, Big East Athletic Conference, Division I NCAA, South Orange, NJ
C. St. Peter's College, Metro Atlantic Athletic Conference, Division I NCAA, Jersey City, NJ
D. Jersey City State College, New Jersey Athletic Conference, Division III NCAA, Jersey City, NJ
E. Numerous High Schools in New Jersey
8/96: Maccabi Games, Medical Staff and Medical Coverage Assistant Coordinator
3/96: U.S. Olympic Trials/ New Jersey State Tae Kwon Do Championships, Medical Staff
1996: American Open and Garden State Cup Tae Kwon Do Championships, Medical Staff
1995-1996: NJSIA New Jersey State High School All Star Game, Medical Director | |
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Sports Medicine Fellowship
Founded in 2008, the UC Davis Dept. of PM&R began offering one of the nation's first ACGME-accredited Sports Medicine Fellowships for PM&R physicians. The program is directed by two Sports Medicine Board Certified physiatrists (Dr. Davis and Dr. Brandee Waite). The Fellow works closely with other nationally-recognized faculty in a variety of related fields.
The fellowhip offers exposure to:
--Family Practice Sports Medicine - Drs. Jeff Tanji and David Cosca
--Orthopedic Sports Medicine - Drs. Richard Marder, Kirk Lewis and Alan Hirahara
--Orthopedic Hand Surgery - Drs. Robert Szabo and Robert Allen
--Musculoskeletal Radiology - Drs. John Hunterd, Eva Escobedo and Walt Mak
--Orthopedic Spine Surgery - Drs. Munish Gupta, Rolando Roberto, Eric Kleinberg and Daniel Benson
--Orthopedic Joint Replacement - Drs. Paul DiCesare, Amir Jamali and John Meehan
--Foot and Ankle Surgery - Dr. Eric Giza
--Pediatric Fracture Care - Drs. Michelle James and Debra Popejoy
--Exercise Physiology and Bicycle Fitting
--Spinal Injection - Dr. Martin Hoffman
--Electrodiagnosis - Drs. Jay Han, Brian Davis and David Kilmer (all are AANEM-certified)
--PM&R Spine Care - Drs. Carol Vandenakker-Albanese and Brian Davis
The Fellow will also spend one month working with the Tahoe-Truckee Medical Group during the
winter months. This group works on the slopes of several world-famous ski resorts and treats acute skiing and snowboading injuries.
Elective time is available for up to one month within the scope of practice of Sports Medicine. This
may include acupuncture or other related fields. The Fellow can discuss this with the Fellowship
Directors.
The Fellow will be eligible for event coverage to include a variety of sporting events, including
professional basketball, local collegiate sports, national and collegiate track and field, boxing,
tae kwon do, endurance events and others as they become available.
Fellows are expected to work on a research project during their year and are expected to have a
publication-worthy project by the end of the fellowship. Fellows are heavily mentored where necessary, and ample research staff is available in all areas of research design, statistics and
implementation. Some research seed money is available to assist with funding projects or paying for
travel/ textbooks, etc.
As the fellowship is based out of the University of California, Davis Medical Center Department of PM&R, the Fellow will have ample opportunity to 'brush up' on his/her skills in the field of PM&R to
be ready for the ABPMR Part II examination. The Fellow will complete approximatley 100-150
electrodiagnostic studies toward future AANEM certification.
For further information concerning the Sports Medicine Fellowship, please contact Patricia Settje at
(916) 734-5292. You may also go to the official UC Davis Department of PM&R for more information
(http://www.ucdmc.ucdavis.edu/pmr/education/fellowshipsports.html)
