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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.

Thumb Anatomy: Why One Digit Is 40% of Your Hand

13 September 2026 by Hand Therapist Nigel Chua

Surgeons rate the thumb at around 40% of hand function. Why opposition is the move nothing else can do, why the base joint wears out, and what that number changes about treatment.

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Wrist Anatomy: The Eight Carpal Bones, and the Four That Matter

13 September 2026 by Hand Therapist Nigel Chua

Eight small bones in two rows, held by ligaments rather than muscles. The four that matter clinically, the ligament that fails most, and why pointing beats describing.

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Returning to Work After a Hand Injury: Tasks, Not a Verdict

17 September 202613 September 2026 by Hand Therapist Nigel Chua

Returning to work is a dosing problem, not a fitness verdict. Sort your job into four demands, climb a four-stage ladder, and ask for accommodations specific enough to be granted.

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The Nerve Map of Your Hand: Which Finger Belongs to Which Nerve

17 September 202613 September 2026 by Hand Therapist Nigel Chua

Median, ulnar, radial — each owns specific fingers and muscles. Which fingers go numb is the most useful fact you can bring to an appointment, and which half of the ring finger matters.

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The Diabetic Hand: Why It’s Four Problems With One Cause

13 September 2026 by Hand Therapist Nigel Chua

Trigger finger, Dupuytren’s, carpal tunnel and a stiff painless hand aren’t four unlucky coincidences in diabetes. They’re one collagen process — and the prayer sign finds it.

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Hand Exercises After an Injury: The Four That Actually Matter

17 September 202613 September 2026 by Hand Therapist Nigel Chua

Four movements, not a page of twenty. Tendon glides, blocked bending, intrinsic stretch and rotation — plus the dosing rule that matters more than the exercise choice.

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Wrist Splints: Which Type, When to Wear It, and When to Stop

17 September 202613 September 2026 by Hand Therapist Nigel Chua

The wrong splint does nothing; the right one worn too long costs you strength. Which of the four types fits your problem, when to wear it, and the stopping rule nobody gives you.

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When Hand Numbness Comes From Your Neck: Cervical Radiculopathy

13 September 2026 by Hand Therapist Nigel Chua

A lot of “carpal tunnel” is a nerve root in the neck. The pattern that tells them apart, which finger maps to which level, and why double crush makes wrist surgery fail.

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Musicians’ Hand and Wrist Pain: And the One That Doesn’t Hurt at All

17 September 202613 September 2026 by Hand Therapist Nigel Chua

Most musicians’ hand pain is a practice-volume problem. But a finger that curls only at the instrument and never hurts is focal dystonia, and it needs entirely different help.

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Gaming and Esports Hand Pain: Your Tissue Doesn’t Know It’s a Game

13 September 2026 by Hand Therapist Nigel Chua

Gaming hand pain isn’t mysterious — it’s volume and position. Which symptom means a nerve, which means a tendon, and the three setup changes that actually reduce the load.

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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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