Karena was asked to contribute to Total Food Service Online when they discovered that she has been helping those in the restaurant industry since 2004. Karena has been working with celebrity chefs and bartenders like Wylie DuFresne, Seamus Mullen, David Chang, Johnny Iuzzini and James Meehan. She treats them both in the office as well as onsite. Her contribution to this industry publication includes discussion on common ailments on the job and tips to reduce and treat them. Her first article in June 2013 talks about the knee joint.