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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.

Climber’s Elbow, Brachialis Pain and the Lumbrical Tear Nobody Diagnoses

17 September 202613 September 2026 by Hand Therapist Nigel Chua

Climber’s elbow is medial, not lateral. Plus the brachialis ache nobody names and the lumbrical tear routinely misdiagnosed as a pulley injury — and the loading that fixes all three.

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Boxing and MMA Hand Injuries: The Wrap Is for the Wrist, Not the Knuckles

17 September 202613 September 2026 by Hand Therapist Nigel Chua

Repeated impact through a closed fist produces a specific injury pattern. The fractures, the sagittal band tear that ends careers, fight bite, and why the wrap is for the wrist.

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Basketball and Volleyball Finger Injuries: “Just Jammed It” Is Where the Trouble Starts

17 September 202613 September 2026 by Hand Therapist Nigel Chua

Basketball, volleyball and netball fingers get taped and forgotten. The four serious injuries that look exactly like a jam, the 60-second sideline check, and how to tape properly.

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Golf Hand, Wrist and Elbow Injuries: The Lead Wrist Takes the Damage

16 September 202613 September 2026 by Hand Therapist Nigel Chua

The lead wrist takes most of it. Where golf hurts hands and elbows, why the hook of hamate fracture gets missed, and what actually changes the load on your swing.

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Yoga Wrist Pain: Your Wrist Isn’t Injured, It’s Out of Range

17 September 202613 September 2026 by Hand Therapist Nigel Chua

Down dog, plank and chaturanga all ask for 90 degrees of wrist extension most people don’t have. The ten-second test, what each pain location means, and what to change in class.

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Gym and Weightlifting Wrist Pain: Three Positions, Not Three Exercises

13 September 2026 by Hand Therapist Nigel Chua

Front rack, bench, curls, deadlifts. Gym wrist pain comes from three loaded positions, and which one hurts tells you which structure is complaining.

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Pickleball Hand, Wrist and Elbow Injuries: The Short Paddle Problem

17 September 202613 September 2026 by Hand Therapist Nigel Chua

A short stiff paddle puts the work through your wrist. The falls that fracture wrists, the overuse problems that build slowly, and the five changes that prevent most of them.

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General Overuse Hand Pain: A Real Diagnosis, and a Lazy One

13 September 2026 by Hand Therapist Nigel Chua

Aching hands with no swelling, no locking and no single sore spot. What general overuse pain actually is, the specific conditions it hides, and why rest is the wrong treatment.

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Enchondroma of the Hand: The Hollow in the Bone You Didn’t Know Was There

17 September 202613 September 2026 by Hand Therapist Nigel Chua

The commonest bone tumor in the hand, and usually harmless. Why it’s often found by a finger that breaks too easily, what gets done about it, and the warning signs that change things.

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Giant Cell Tumor of the Tendon Sheath: The Lump With the Frightening Name

17 September 202613 September 2026 by Hand Therapist Nigel Chua

Benign, despite the name — the second commonest hand lump after a ganglion. How to tell it apart, why it recurs after surgery, and when a firm painless lump needs imaging.

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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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