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.

Come see us at OAA!
04/18/2026

Come see us at OAA!

🛑 STOP SHAKING YOUR HAND TO FIX THAT NUMB PINKY FINGER. Why leaning on your desk is physically suffocating your master grip cable, and why your hand weakness isn't a "blood circulation" problem.

If you spend hours gaming or working at a desk, and you start experiencing a cold numbness, tingling, or a "dead" feeling specifically in your pinky and ring fingers—often accompanied by a sudden weakness in your grip—you are not just dealing with poor circulation. You are caught in a catastrophic Leverage Failure directly at your elbow joint. Clinically, this is diagnosed as Cubital Tunnel Syndrome. However, at MedicMechanics, we analyze the nervous system as a highly vulnerable electrical grid. We call this destructive breakdown The Ulnar Crush.

To permanently get the feeling back in your hand and save your grip strength before the muscles permanently waste away, you must understand a terrifying mechanical truth: you are physically clamping your master nerve inside a biological vise.
The Engineering Breakdown: The Unprotected Cable

To power the muscles that control your fine grip and finger dexterity, a massive master cable called the Ulnar Nerve travels all the way from your neck down to your hand.

However, there is a critical design flaw in human engineering. When this glowing yellow cable passes through the inside of your elbow (right behind the "funny bone"), it has absolutely zero muscle or fat protecting it. It sits perfectly exposed, running directly over the hard white bone (the Medial Epicondyle).

The Mechanical Failure: The Biological Vise

As visualized in our hyper-realistic 3D breakdown, modern desk posture turns this unprotected pathway into a catastrophic crush zone.

The Anvil (The Root Cause): When you lean forward and rest your elbows on a hard desk or armrest for hours, you turn your desk into a physical anvil.

The Hammer: The heavy white bone of your inner elbow acts as the hammer, driven down by the weight of your upper body.

The Ulnar Crush: You have now created a devastating biological vise grip. The unprotected, glowing yellow master nerve is caught completely trapped in the middle.

The Friction Zone: The massive upward compression (green arrows) brutally crushes the nerve between the hard desk and the hard bone. This mechanical suffocation creates the blazing red Friction Zone, instantly cutting off the microscopic blood flow to the nerve itself. Your brain registers this suffocation as a dead, numb, tingling pinky finger.
Why Shaking Your Hand is Failing You:
Shaking your wrist to "wake it up" does absolutely nothing to stop the crushing force happening all the way up at your elbow.

The MedicMechanics 3-Step Mechanical Fix

We must remove the anvil, stop the nighttime stretch, and restore the cable glide.

Step 1: Eliminate the Anvil (The Floating Elbow). Stop resting your joints on hard surfaces! Adjust your chair height so your forearms float, resting only the fleshy, muscular part of your forearm on the desk edge. Your actual elbow joint must never bear weight or make contact with the desk.

Step 2: Splint the Hinge (Nighttime Extension). The most massive nerve damage often happens while you sleep because you naturally curl your arms up tight to your chest. This pulls the trapped nerve violently tight over the bone. Wrap a towel loosely around your elbow, or wear a rigid elbow splint to bed. This physically prevents the elbow from bending past 45 degrees, instantly cutting the stretch tension on the nerve while you heal.

Step 3: Floss the Cable (Ulnar Nerve Glides). Nerves do not heal by being stretched; they heal by gliding. Make a circle with your thumb and index finger (like an "OK" sign). Flip your hand upside down and place that circle over your eye (like wearing a monocle). Hold for 2 seconds, then return your hand to your side. Repeat 10 times. This safely "flosses" the yellow cable back and forth through the elbow tunnel, breaking up internal scar tissue without triggering the pain response.

Stop crushing the cable. Stop the suffocation. Rebuild the leverage.

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

Great anatomy!
04/16/2026

Great anatomy!

VALUE = High quality/Low cost
03/25/2026

VALUE = High quality/Low cost

OAA Orthopaedic Specialists, in partnership with Surgery Center of Allentown, will remain IN NETWORK for ALL United Healthcare patients!
Keep your care LOCAL and make an appointment with one of our Providers today!

Come to OAA for all your orthopedic, physical therapy, and occupational therapy needs!

🩺👩‍⚕️👨‍⚕️🥼🩻🩵

If you have United Healthcare, come have your surgery at the Surgery Center of Allentown where the quality is HIGH and t...
03/15/2026

If you have United Healthcare, come have your surgery at the Surgery Center of Allentown where the quality is HIGH and the cost is LOW!

Details surrounding the network negotiations with LVHN.

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250 Cetronia Road
Allentown, PA
18104

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