Karen Ayala, OT, CHT is originally from east Tennessee. Karen relocated to Austin in 2007 to be closer to family then joined the team at CTPO in March, 2015 after working for two years at Dell Children’s Medical Center of Central Texas. Karen has nearly 20 years of experience working in a variety of hand therapy settings with patients of all ages. Karen is skilled in the evaluation of the upper extremity, splinting and casting, activity modification, therapeutic exercise and activities, and administration of the Handwriting Without Tears program. As a former collegiate gymnast, Karen appreciates the challenge of working with young athletes at CTPO. Karen is a member of the American Society of Hand Therapists, The Pediatric Hand Study Group, and the Central Texas Hand Society. Outside of work, Karen enjoys spending time with her husband and three children and long distance running.