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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.

Wrist Fracture Exercises: The Weeks After the Cast Comes Off

17 September 202615 September 2026 by Hand Therapist Nigel Chua

The bone heals in six weeks regardless. Weeks 6 to 12 decide whether the wrist works. What to do in the cast, what to start the day it comes off, and the late signs worth acting on.

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Thumb Base Arthritis Exercises and Joint Protection

17 September 202615 September 2026 by Hand Therapist Nigel Chua

Exercises for thumb base arthritis build the muscles that stabilize the joint during pinch. The two that matter, the joint protection that does more than any of them, and what to expect.

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Wrist Clicking and Popping: When It Matters

17 September 202615 September 2026 by Hand Therapist Nigel Chua

A wrist that clicks without pain is almost always nothing. A click with pain, swelling, weakness or a shift under the skin is a structure moving. Which sounds matter, where they come from, and when to get it assessed.

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Thumb Pain from Phone Use: What It Actually Is

15 September 2026 by Hand Therapist Nigel Chua

Texting thumb is a load problem, not a diagnosis. Where the pain sits tells you which structure is involved, and four specific changes settle most cases within a fortnight.

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Trigger Finger Splint and Exercises: Getting It Right

15 September 2026 by Hand Therapist Nigel Chua

The trigger finger splint holds the big knuckle straight, not the finger joints — and that detail is the whole mechanism. How to wear it, the exercises that go alongside, and when splinting stops being the answer.

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Ganglion Cyst: Should You Treat It or Leave It?

17 September 202615 September 2026 by Hand Therapist Nigel Chua

Don’t hit it with a book and don’t put a needle in it. Which ganglions can be left alone, which ones are worth treating, and the features that mean the lump is something else.

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Tennis Elbow Exercises: What Actually Rebuilds the Tendon

17 September 202615 September 2026 by Hand Therapist Nigel Chua

Tennis elbow does not settle with rest — degenerated tendon rebuilds under load. The four exercises that matter, the 24-hour rule that tells you the dose is right, and a realistic timeline.

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Carpal Tunnel Exercises: Which Ones Help, Which Make It Worse

17 September 202615 September 2026 by Hand Therapist Nigel Chua

Nerve and tendon glides help some people with carpal tunnel and do nothing for others. Which exercises are worth doing, which ones aggravate it, and the point at which exercises stop being the answer.

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Can Trigger Finger Be Cured Without Surgery?

15 September 2026 by Hand Therapist Nigel Chua

Often yes, and the odds depend almost entirely on how long it has been catching and whether the finger still straightens. What works without surgery, what doesn’t, and the point where the window closes.

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Hands Numb at Night: What the Pattern Tells You

17 September 202615 September 2026 by Hand Therapist Nigel Chua

Hands numb at night are almost always a compressed nerve. Which fingers go numb, whether the back of the hand or the feet are involved, and how often it happens tell you which nerve, where, and what to do tonight.

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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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