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Hand Therapist Nigel Chua

Nigel Chua is a hand occupational therapist who has treated finger, hand, wrist, forearm and elbow injuries since 2005. He helps people with hand pain or post-surgery recovery go from confused, scared and googling at 2am to understanding their condition and their recovery timeline, using the Closing Window Method: name the window your condition runs on, find where you are in it, and act while it is still open.

Mechanic Hand Injuries: Grease Gun Injection, Knuckle Cuts and Time Off Work

9 October 202616 September 2026 by Hand Therapist Nigel Chua
Mechanics: Hand Injuries From Tools and Grease Guns

A pinhole from a grease gun or hydraulic line is a high-pressure injection injury and needs a hand surgeon the same day. Plus knuckle cuts, crush, burns, rings, vibration, and how long each keeps you off the tools.

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Pipetting Thumb and Wrist Pain: What It Is, How to Fix It and How Long It Takes

9 October 202616 September 2026 by Hand Therapist Nigel Chua
Lab Scientists: Pipetting Thumb and Wrist Pain

Pipetting pain at the base of the thumb or thumb side of the wrist is usually thumb base overload, De Quervain’s or trigger thumb. Most early cases settle in 4 to 6 weeks once electronic pipettes, splinting and exercises cut the press count.

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When Can I Play Golf After Hand or Wrist Surgery?

9 October 202616 September 2026 by Hand Therapist Nigel Chua
Golf After Hand or Wrist Surgery: When and How

Most golfers can putt 2 to 3 weeks after trigger finger or carpal tunnel release and swing a driver at 6 to 8 weeks. Wrist plates, scaphoid screws, TFCC repairs and trapeziectomy take 3 to 6 months. Here’s the club-by-club order that gets you there.

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Padel Tennis Elbow and Wrist Pain: Causes, Fixes and When to Play Again

9 October 202616 September 2026 by Hand Therapist Nigel Chua
Padel: Elbow, Wrist and Hand Injuries

Tennis elbow is padel’s most common arm injury. Most players can keep playing on a reduced load, grip pain eases over 6 to 12 weeks of the right exercises, and the bat, grip and hours matter more than rest.

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Bakers and Pastry Chefs: Why Your Wrists and Thumbs Hurt, and What Fixes It

9 October 202616 September 2026 by Hand Therapist Nigel Chua
Bakers and Pastry Chefs: Hand and Wrist Pain

Kneading loads a bent-back wrist, piping squeezes the thumb base for hours, and hot trays load the elbow. Most early cases ease in 2 to 6 weeks with bench, bag and tray changes. Splints, exercises and return-to-work times inside.

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Surgeons’ Hand, Thumb and Wrist Pain: Causes, Fixes and When to Operate Again

9 October 202616 September 2026 by Hand Therapist Nigel Chua
Surgeons: Hand, Thumb and Wrist Pain From Operating

Surgeons’ hand pain is usually thumb base overload, carpal tunnel, trigger finger, a pressed digital nerve or tennis elbow. Most settles in 6 to 12 weeks with night splinting and OR changes; after a release, expect about 2 weeks before scrubbing and 4 to 6 before full lists.

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Flute, Sax and Brass Players: Hand, Thumb and Wrist Pain (and When to Play Again)

9 October 202616 September 2026 by Hand Therapist Nigel Chua
Flute, Sax and Brass: Hand and Wrist Pain

Wind and brass players get hand pain from holding the instrument’s weight and squeezing harder than the keys need. Most cases settle in 6 to 12 weeks with a strap, rest or support change and a graded return to practice.

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Dog Walking Hand Injuries: Leash Wrapped Around Finger, Thumb Sprains and Healing Times

9 October 202616 September 2026 by Hand Therapist Nigel Chua
Dog Walking Injuries: Leash, Finger and Thumb

A leash wrapped around your fingers can break or dislocate a finger or tear a thumb ligament in one lunge. A sprain settles in 2 to 3 weeks, a broken finger takes 6 to 12 weeks, and a rotated finger or wobbly thumb pinch needs checking the same day.

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Sonographer Thumb, Wrist and Elbow Pain: Causes, Fixes and Return-to-Scanning Timelines

9 October 202616 September 2026 by Hand Therapist Nigel Chua
Sonographers: Scanning Hand, Wrist and Elbow Pain

Sonographers’ thumb, wrist and elbow pain comes from a pressured pinch grip held all day. Most early cases settle in 2 to 6 weeks of grip and setup changes; here is what each pain is and when you can get back to full lists.

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Wrist Pain From Carrying Trays: Waiters and Bartenders

9 October 202616 September 2026 by Hand Therapist Nigel Chua
Waiters and Bar Staff: Wrist Pain From Carrying Trays

Wrist pain from carrying trays usually comes from a loaded, bent-back wrist and heavy glasses at the rim. Where it hurts points to the condition, and most settle in 2 to 12 weeks once the carry, plate and bar technique change.

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Nigel Chua
Hand occupational therapist since 2005. Twenty-one years on fingers, hands, wrists, forearms and elbows. Thousands of them. Nothing else — no necks, no shoulders, no knees. Most hand conditions run on a window. Knowing where you are in yours decides almost everything about how this ends. Read my credentials →

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