
With more than 30 years of licensed occupational therapy experience, Upper Extremity MedLegal Consulting provides objective, evidence-based evaluations and expert witness services focused on the functional consequences of upper extremity injuries, disability, and long-term impairment.

Upper Extremity MedLegal Consulting was founded to bridge the gap between clinical rehabilitation expertise and the legal need for clear, defensible analysis of functional loss.
For more than three decades, Myriam has focused on evaluating, treating, and documenting upper extremity conditions involving the hand, wrist, elbow, forearm, and shoulder. This long-standing clinical background provides a unique understanding of how injury affects daily activities, work performance, independence, and long-term quality of life.
Every medico-legal opinion is grounded in practical clinical knowledge, accepted occupational therapy standards, and objective evidence-based review.
Every case is reviewed independently with a focus on evidence, documentation, and measurable function.
Reports and testimony are written to be understandable, organized, and legally useful.
Responsive communication, confidentiality, and commitment to deadlines throughout the litigation process.
Independent Contractor
San Antonio, Texas
2025 - Present
Provides expert witness services for personal injury litigation, specializing in upper extremity injuries and traumatic conditions.
Supervising Occupational Therapist
2017 - Present
Provides clinical evaluation and consultative services for pediatric populations across multiple campuses.
Team Leader
2013 - 2017
Led multidisciplinary rehabilitation services in a skilled nursing environment.
Supervising Occupational Therapist
2007 - 2013
Managed occupational therapy services within a high-capacity healthcare facility.
Senior Occupational Therapist
2005 - 2007
Provided therapy services across outpatient and skilled nursing settings.
Special Education OT Consultant
2003 - 2005
Delivered consultative occupational therapy services within educational systems.
Team Leader
2002 - 2003
Developed OT programs, managed PPS and MDS, participated in Medicare meetings.
Occupational Therapist
2000 - 2002
Developed OT programs at two nursing centers, served as Rehab Liaison.
Therapist Lead
1998 - 2000
Supervised COTAs and OTRs in long-term care hospitals.
Director of OT Department
1997 - 1998
Marketing and development of OT Home Health services.
Staff Occupational Therapist
1996 - 1997
Specialized in neurological disorders including TBI and stroke unit.
Active since 1996, Texas Certified
University of Texas Health Science Center at San Antonio
Graduated Summa Cum Laude
When upper extremity injuries involve disputed function, long-term limitations, independence loss, or return-to-work concerns, objective occupational therapy analysis can provide the clarity your case needs.
Services are provided within the scope of clinical expertise and professional qualifications.
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