• 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 2021, I am engaged in the role of associate Occupational Therapist with Enable Therapy Services and also as an independent Occupational Therapist for an average of 70 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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