• Hand and upper limb specialist, including complex hand injuries.
  • Upper limb amputations.
  • Soft tissue injuries including extensive scarring.
  • Joint replacements.
  • Nerve damage.
  • Brachial Plexus Lesions including Erb’s Palsy.
  • Complex poly-trauma orthopaedic injuries.
  • Pain (including Chronic Regional Pain Syndrome).
  • Associated burns.
  • Associated psychological issues.
  • Associated complicating medical conditions and chronic illnesses (eg diabetes).

Clinical Currency Statement

As at March 2022, I am engaged in the role of associate Occupational Therapist with Enable Therapy Services for around 50 hours per month.  I am also engaged as an independent Occupational Therapist for an average of 40 hours per month.


Specific Injuries Experience

Employment Profile

Qualifications and Membership

  • BSc (OT), Washington University, St Louis, Missouri, USA (1989).
  • BSc (Psychology), Nebraska Wesleyan University, Lincoln, Nebraska, USA (1987).
  • American Hand Therapy Certification (CHT), Hand Therapy Certification Commission (HTCC) (1998).
  • British Association Occupational Therapists (BAOT).
  • Member of the Health and Care Professions Council (HCPC).
  • British Association of Hand Therapists (BAHT).
  • The Case Management Society UK (CMSUK).
  • Royal College Occupational Therapists – Specialist Section – Independent Practice (RCOTSS-IP).
  • Royal College Occupational Therapists – Specialist Section – Rheumatology (RCOTSS-R).
  • Royal College Occupational Therapists – Specialist Section – Work (RCOTSS-W).

Career History


Karen has lectured twice.


  • Guest lecturer in hand kinesiology – OT Programme, Dominican University of California (1999).
  • Lecture on ‘Avoidance of Upper Extremity Injuries’ – local Radiographers Special Interest Group, San Francisco (1999).

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