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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 Bones Explained: The 8 Carpal Bones, Names, Mnemonic and What Goes Wrong Where

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Wrist Anatomy: The 8 Carpal Bones and the 4 That Matter

Your wrist has 8 carpal bones in two rows: scaphoid, lunate, triquetrum, pisiform, then trapezium, trapezoid, capitate, hamate. Here is where each sits, how to find them, and what goes wrong in each part of the wrist.

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How Long Off Work After a Hand Injury? Returning Task by Task

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Returning to Work After a Hand Injury: Tasks, Not a Verdict

Desk work often returns within days to 2 weeks of a hand injury; heavy gripping usually takes 6 to 12 weeks, and 3 months or more after a tendon repair. Go back task by task, with specific restrictions, not all at once.

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Hand Nerve Map: Which Nerve Supplies Which Finger (Median, Ulnar, Radial)

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Hand Nerve Map: Which Finger Belongs to Which Nerve

Thumb, index and middle finger belong to the median nerve, ring and little to the ulnar, the back of the thumb web to the radial. Which fingers go numb is the most useful clue you can bring to an appointment.

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Diabetes and Your Hands: Trigger Finger, Stiff Fingers, Carpal Tunnel and the Prayer Sign

9 October 202613 September 2026 by Hand Therapist Nigel Chua
The Diabetic Hand: Why It’s Four Problems With One Cause

Yes, diabetes affects the hands: trigger finger, Dupuytren’s, carpal tunnel and stiff, tight fingers all come from sugar stiffening collagen. The prayer sign checks for it in 10 seconds, and daily stretching keeps the range you have.

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Hand Exercises After an Injury: Tendon Glides and the 3 Others That Matter

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Hand Exercises After an Injury: The Four That Matter

After a hand injury, four exercises do most of the work: tendon glides, blocked bending, an intrinsic stretch and forearm rotation. Do about 10 slow rounds with 5-second holds, every 2 to 3 hours while awake.

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Which Wrist Splint Do I Need, and How Long Should I Wear It?

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Wrist Splint: Which Type, When to Wear It & When to Stop

Neutral wrist splint at night for carpal tunnel, a cock-up for sprains and tendon pain, a thumb spica for De Quervain’s and thumb arthritis. Most people need one for 3 to 6 weeks, not months.

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Can a Pinched Nerve in Your Neck Cause Hand Numbness? How to Tell

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Hand Numbness From Your Neck: Cervical Radiculopathy

Yes. A pinched nerve root in the neck (cervical radiculopathy) can numb the hand. Pain down the arm, symptoms that change with head position and arm weakness point to the neck, not carpal tunnel.

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Musicians’ Hand and Wrist Pain: Overuse, Focal Dystonia and When to Play Again

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Musicians’ Hand and Wrist Pain: Causes and Fixes

Most musicians’ hand pain is overuse that settles in 2 to 12 weeks with smarter practice. A finger that curls only at the instrument and never hurts is focal dystonia, and it needs a specialist, not rest.

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Gaming Wrist and Hand Pain: Causes, Fixes and How Long It Takes

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Gaming and Esports Hand and Wrist Pain: What Helps

Most gaming wrist and hand pain is overload that settles in 2 to 12 weeks with shorter sessions, three setup fixes and strength work. Numbness is a nerve, and you don’t play through it.

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Climber’s Elbow, Brachialis Pain and Lumbrical Tears: Recovery Timelines

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Climber’s Elbow, Brachialis Pain and Lumbrical Tears

Climber’s elbow and brachialis pain need at least 12 weeks of progressive loading; a lumbrical tear takes about 4 to 12 weeks, with pockets back last. How to tell them apart and when a pop needs a surgeon.

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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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