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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.

Sudden Hand or Wrist Pain: What to Do in the First 72 Hours

9 October 202615 September 2026 by Hand Therapist Nigel Chua
Hand Pain: What to Do in the First 72 Hours

For new hand or wrist pain with no red flags: elevate, keep the fingers moving, ice for swelling, cut the activity that caused it, and mark day 7. Not clearly better by then? Get it assessed.

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Life With One Hand After Hand Surgery: Showering, Dressing, Eating and the Toilet

9 October 202615 September 2026 by Hand Therapist Nigel Chua
Life With One Hand After Hand Surgery

After a small release, most people use the hand for light tasks within 2 weeks; after tendon, fracture or thumb-base surgery, plan on 6 to 12 weeks of restricted use. Here’s how to shower, dress, eat and use the toilet one-handed, and what to set up before you go in.

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Questions to Ask Before Hand Surgery (and the Two Most People Skip)

9 October 202615 September 2026 by Hand Therapist Nigel Chua
What to Ask Before Hand Surgery

Before hand surgery, ask what a realistic good result looks like, what you’ll lose, what happens if you wait, exactly what you can move and when, and whether hand therapy is booked. Here’s the full list and how to ask it.

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Best Wrist Brace for Carpal Tunnel, Tendonitis, Sprain or Arthritis: Which to Buy

9 October 202615 September 2026 by Hand Therapist Nigel Chua
Wrist Braces: What to Buy and What to Skip

The right wrist brace depends on the diagnosis: a flat night splint for carpal tunnel, a thumb spica for de Quervain’s, an ulnar wrap for TFCC. What to look for, when to wear it, and what to skip.

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WALANT Wide-Awake Hand Surgery: What It Is, What It Feels Like and Recovery

9 October 202615 September 2026 by Hand Therapist Nigel Chua
WALANT: Wide-Awake Hand Surgery, Explained

WALANT is hand surgery done wide awake, with a numbing injection, no tourniquet and usually no fasting. Here’s why moving your fingers during the operation improves the result, what it feels like, and how long the numbness lasts.

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Hand or Wrist MRI Report Explained: What the Scary Words Actually Mean

9 October 202615 September 2026 by Hand Therapist Nigel Chua
Your Hand MRI Report, Translated

Your hand or wrist MRI report describes what the scanner saw, not what’s causing your pain. What each common phrase means, and how to tell if a finding is actually yours.

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How Many Steroid Injections Can You Have in Your Hand? (And How Long They Last)

9 October 202615 September 2026 by Hand Therapist Nigel Chua
Steroid Injections for Hand Pain: How Many?

Most hand surgeons get cautious after 2 to 3 steroid injections in the same spot, at least 3 months apart. Where they work, where they backfire, and how to use the good weeks.

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Can’t Make a Fist? Stiffness, Tendon or Nerve, and How to Tell

9 October 202615 September 2026 by Hand Therapist Nigel Chua
Can’t Make a Fist: Stiff, Tendon or Nerve?

If you can’t make a full fist, it’s stiffness, a tendon that’s stopped pulling, or a nerve that’s stopped signaling. Bend the fingers with your other hand: if they close, the joints are fine.

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Pins and Needles in Fingers: Which Nerve Is It, and When to Worry

9 October 202615 September 2026 by Hand Therapist Nigel Chua
Pins and Needles in Fingers: Which Nerve?

Which fingers tingle tells you which nerve: thumb to half the ring finger is the median nerve, the little finger side is the ulnar. Sudden one-sided tingling with weakness is a possible stroke.

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Weak Grip: Is It Pain, a Nerve or a Tendon? How to Tell

9 October 202615 September 2026 by Hand Therapist Nigel Chua
Weak Grip: Is It Pain, Nerve or Tendon?

A weak grip is pain switching the muscles off, a nerve not delivering the signal, or a torn tendon. Painful weakness usually recovers as the pain settles; painless weakness needs checking within weeks.

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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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