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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.

Burned Hand Recovery: Healing Time by Depth and How to Stop Scar Contracture

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Burns to the Hand: The Scar Is the Injury That Lasts

A superficial hand burn heals in about a week, a blistering one in about two, and a deep one takes three weeks or more and scars. The first 6 months of splinting, stretching and pressure decide how much movement you keep.

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Ring Avulsion Injury: What to Do Now, Can the Finger Be Saved, and Recovery Time

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Ring Avulsion Injury: The Wound Looks Small and Isn’t

If a ring catches and pulls your finger, go to the ER now, even if it only looks like a graze: the hidden arteries fail first. Recovery runs from 2 to 3 weeks for skin-only injuries to 6 to 12 months or more after microsurgery.

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Red, Swollen Finger or Hand: Cellulitis or Septic Arthritis? When to Go to the ER

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Cellulitis or Septic Arthritis in a Finger? How to Tell

If one finger joint is hot, swollen and too painful to move, a whole finger is swollen and held bent, or red streaks run up your arm, go to the ER now. Cellulitis with a finger that still bends needs a doctor and antibiotics today.

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Hypermobile Fingers and Hand Pain: Why It Hurts and the Exercises That Help

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Hypermobility and Hand Pain: You Don’t Need More Stretching

Hypermobile hands hurt because the joints rest at end range on ligament instead of muscle. The fix is strength in mid-range, fatter tools, ring splints and pacing, not more stretching.

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Psoriatic Arthritis in the Hands: Sausage Finger, Nails and Treatment

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Psoriatic Arthritis in the Hands: Sausage Fingers & Nails

Psoriatic arthritis in the hands shows up as a sausage-swollen finger, swollen end joints and pitted or lifting nails, often with negative bloods. How it’s diagnosed, how it differs from rheumatoid and osteoarthritis, and what splints and exercises help.

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Peripheral Neuropathy vs Carpal Tunnel: How to Tell (Ask About Your Feet)

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Peripheral Neuropathy or Carpal Tunnel? Ask About the Feet

Carpal tunnel numbs the thumb side of one hand and wakes you at night. Neuropathy numbs both hands in a glove pattern and usually started in the feet. Here is how to tell, and why it matters before surgery.

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Thoracic Outlet Syndrome Hand Symptoms: Why Arms Overhead Make It Worse

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Thoracic Outlet Syndrome: When Arms Overhead Make It Worse

Thoracic outlet syndrome squeezes nerves or vessels under the collarbone, giving ring and little finger tingling and a heavy arm that worsens with arms overhead. Most nerve-type cases settle in 3 to 6 months; a swollen, blue or cold arm needs the ER today.

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MCP, PIP and DIP Joints: Finger Joint Names Explained

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Finger Joints: MCP, PIP, DIP and Why the Middle One Matters

Each finger has three joints: the MCP knuckle, the PIP middle joint and the DIP fingertip joint. The thumb has two plus its base. What each does, what injures it, and why the middle one is the one to protect.

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Elbow Anatomy Explained: Three Joints in One, and Why It Stiffens

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Elbow Anatomy: Three Joints in One, and Why It Stiffens

Your elbow is three joints inside one capsule, where the humerus, ulna and radius meet. Here is what each joint, ligament, tendon and nerve does, why the elbow stiffens so fast, and how much movement you actually need.

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Thumb Anatomy: Bones, Joints, Muscles, Nerves and Why the Thumb Is 40% of Your Hand

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Thumb Anatomy: Why One Digit Is 40% of Your Hand

Your thumb has 3 bones, 3 joints and 9 muscles, and impairment guides rate it at about 40% of hand function. How it works, what goes wrong where, and which thumb injuries can’t wait.

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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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