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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.

EPL Rupture After a Wrist Fracture: The Thumb That Stops Lifting

17 September 202613 September 2026 by Hand Therapist Nigel Chua

Weeks after a wrist fracture, the thumb stops lifting off the table. Why undisplaced fractures cause it more often, the test that catches it, and the warning phase you can still act in.

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Ulnar Impaction Syndrome: When the Ulna Is Simply Too Long

17 September 202613 September 2026 by Hand Therapist Nigel Chua

Little-finger-side wrist pain with no injury behind it is often ulnar impaction — an ulna a few millimeters too long. Why the load doubles, and what actually fixes it.

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Sagittal Band Rupture (Boxer’s Knuckle): The Tendon That Slips Off the Knuckle

17 September 202613 September 2026 by Hand Therapist Nigel Chua

Boxer’s knuckle: the extensor tendon slips off the knuckle because a small sling tore. The ten-second test that identifies it, and the three-week window that decides the treatment.

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Scar Management After Hand Surgery: The Six-Month Window

17 September 202613 September 2026 by Hand Therapist Nigel Chua

A hand scar that sticks down costs you movement, not looks. What to do from week two, why the first six months decide it, and what still works after.

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Raynaud’s in the Hands: White, Blue, Red, and What It Means

17 September 202613 September 2026 by Hand Therapist Nigel Chua

Fingers that go white then blue then red in the cold. Why it happens, how to tell harmless Raynaud’s from the kind that signals something else, and what actually works.

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Swan Neck Deformity: Why the Finger Snaps Backwards, and What Fixes It

17 September 202613 September 2026 by Hand Therapist Nigel Chua

Swan neck deformity is a middle joint that hyperextends and a fingertip that drops. Four different causes, four different fixes — and why treating the shape without the cause fails.

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Carpal Tunnel in Pregnancy: Why It Starts, and Why It Usually Goes

17 September 202613 September 2026 by Hand Therapist Nigel Chua

Numb, burning hands in the third trimester are usually pregnancy-related carpal tunnel. Why it happens, what is safe to do, and the twelve-month mark that changes the plan.

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Trigger Thumb: Why It Locks, and Why It Isn’t Quite Trigger Finger

17 September 202613 September 2026 by Hand Therapist Nigel Chua

Trigger thumb is the same pulley problem as trigger finger, in a joint that behaves differently. Why it locks bent, what the window is, and what actually reopens it.

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TFCC Repair and Wrist Arthroscopy: What Recovery Actually Involves

17 September 20266 September 2026 by Hand Therapist Nigel Chua

Wrist arthroscopy leaves two tiny scars and hides two very different recoveries. A debridement takes weeks; a TFCC repair takes months, and the movement that has to be locked down is forearm rotation rather than wrist bending.

Categories Conditions & Injuries Tags Forearm, Post-Surgery, Wrist Leave a comment

Ganglion Removal Recovery: Recurrence, Scar and Stiffness

16 September 20266 September 2026 by Hand Therapist Nigel Chua

A small operation with two under-discussed parts: ganglions can recur because the stalk back to the joint is the real target, and the scar on the back of the wrist can leave you stiffer than the lump ever did.

Categories Conditions & Injuries Tags Post-Surgery, Wrist Leave a comment
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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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