Richard Battista, MD - OAA Hand/Upper Extremity Surgery

Richard Battista, MD - OAA Hand/Upper Extremity Surgery This is a personal web site, run in my spare time and only reflects my personal views. Information i Dr. Battista is President of OAA Orthopaedic Specialists.

Prior to joining the practice as a premier hand surgeon in 2004, he served with distinction achieved by the rank of Lieutenant Commander in the U.S. Navy. His career was marked by numerous personal, as well as unit awards & medals for meritorious service. He served as the Chief of Orthopaedics/General Surgery while stationed at the Naval Hospital Roosevelt Roads, Puerto Rico. Most recently, he ser

ved as the Assistant Chairman of Orthopaedic Surgery at the National Naval Medical Center in Bethesda, MD – The President’s Hospital. Dr. Battista's experience in caring for members of the Congress/Senate and military leadership, as well as combat casualties during Operation Iraqi Freedom, augmented his sincere appreciation for how precious and vital our arms and hands are in everyday life. Now, his practice focuses exclusively on the treatment of hand, finger, wrist and upper extremity conditions. Born and raised in the Philadelphia area, Dr. Battista attended Jefferson Medical College and completed his orthopaedic surgery residency at Albert Einstein Medical Center in Philadelphia. He completed a Hand and Upper Extremity Surgery Fellowship at the University of Pittsburgh in 2001. He holds academic appointments as an Assistant Professor of Surgery at the Uniformed Services University of the Health Sciences and as Clinical Assistant Professor of Orthopaedics and Rehabilitation at the Penn State College of Medicine. He is Board Certified in Orthopaedic Surgery and holds a Certificate of Added Qualifications in Hand Surgery. Dr. Battista maintains a variety of memberships in related professional organizations.

I am humbled to have reached the 500 review milestone on Google!
04/21/2026

I am humbled to have reached the 500 review milestone on Google!

★★★★★ · Hand surgeon

We are all really good at this!
04/19/2026

We are all really good at this!

🛑 STOP SHAKING YOUR HANDS TO "WAKE THEM UP" AT 3 AM. Why wearing a tight wrist brace is actually choking your hand's master electrical cable, and why your numb fingers aren't a circulation problem.

If you wake up in the middle of the night with your thumb, index, and middle fingers completely numb, tingling, or burning—and you have to aggressively shake your hand to get the feeling back—you are not dealing with "bad blood flow." You are trapped in a catastrophic Leverage Failure directly inside your wrist joint. Clinically, this is diagnosed as Carpal Tunnel Syndrome. However, at MedicMechanics, we analyze the human nervous system as a high-tension electrical grid. We call this highly destructive breakdown The Median Crush.

To permanently stop the numbness and save your grip strength before your hand muscles physically waste away, you must understand the violent physics happening inside your wrist.

The Engineering Breakdown: The Biological Bottleneck

Your hand is powered by a massive master cable called the Median Nerve. To get from your forearm into your fingers, this glowing yellow cable (along with 9 different muscle tendons) must pass through a rigid, microscopic bottleneck in your wrist called the Carpal Tunnel.

The "floor" of this tunnel is made of hard bone. The "roof" is a thick, seatbelt-like band of tissue called the Transverse Carpal Ligament.

The Mechanical Failure: The Desk Vise

As visualized in our latest 3D anatomical breakdown, modern desk habits and repetitive typing turn this structural bottleneck into a biological meat grinder.

The Extension Overload (The Root Cause): When you type on a keyboard or hold a mouse, your wrist is bent constantly upward (extension). This forces all 9 tendons inside the tunnel to rub aggressively against each other for hours, causing them to physically swell from the friction.

The External Crush: Simultaneously, you rest the bottom of your wrist directly onto the hard, sharp edge of your desk or laptop pad (visualized by the upward green compression arrow).

The Median Crush: You have now created a devastating biological vise grip. The tendons are swelling from the inside, the ligament is clamping down from the top, and the desk is crushing up from the bottom.

The Friction Zone: The incredibly sensitive, glowing yellow Median Nerve is trapped directly in the middle. The compression violently chokes off the microscopic blood supply to the nerve itself. This creates the blazing red Friction Zone. Your brain registers this suffocation as searing electrical pain, numbness, and "pins and needles" in your fingers.

Why Your Tight Wrist Brace is Failing You:
Strapping a tight, elastic compression brace around your wrist to "support" it is literally wrapping a tourniquet around a nerve that is already suffocating. You are increasing the crush force.

The MedicMechanics 3-Step Mechanical Fix

We must remove the external crush, open the bottleneck, and restore the cable glide.

Step 1: Eliminate the External Crush (The Float). Stop resting your wrist bone on the desk! Adjust your chair height so your forearms float, resting only the fleshy part of your arm on the desk. Your wrist joint must never make contact with a hard surface while typing.

Step 2: Splint the Hinge (Nighttime Neutral). The most massive nerve damage happens while you sleep because your wrists naturally curl inward. Wear a rigid (not elastic) wrist splint loosely to bed. This physically prevents the wrist from bending, instantly cutting the stretch tension on the nerve while you sleep.

Step 3: Floss the Cable (Median Nerve Glides). Nerves do not heal by being stretched; they heal by gliding. Stand against a wall, hold your arm straight out to the side with your palm facing the wall (fingers pointing behind you). Slowly tilt your head toward your arm, then away from it. This safely "flosses" the yellow cable back and forth through the tight tunnel, breaking up internal scar tissue without triggering the pain response.

Stop crushing the cable. Stop the tight braces. Rebuild the leverage.

Sources: Journal of Orthopaedic & Sports Physical Therapy (JOSPT), Mayo Clinic, NASM.
👉 SAVE this analysis to fix your desk ergonomics and stop the nerve damage.

Address

250 Cetronia Road
Allentown, PA
18104

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