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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.

Finger Joint Replacement: What It Gives You and What It Doesn’t

17 September 20266 September 2026 by Hand Therapist Nigel Chua

Finger joint replacement buys pain relief and straighter fingers, not more movement or more strength. The scar capsule that forms around the implant is what holds the result, which is why the splinting program decides the outcome.

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

Wrist and Finger Fusion: What You Actually Lose

17 September 20266 September 2026 by Hand Therapist Nigel Chua

Fusion sounds like the worst option and is the most reliable one for pain. A fused wrist still turns palm-up and palm-down, because rotation happens somewhere else entirely, and finger fusions are set at an angle chosen for the job that finger does.

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

Elbow Release for Stiffness: The Six Weeks That Decide It

17 September 20266 September 2026 by Hand Therapist Nigel Chua

Surgery for a stiff elbow restores the range in theatre; the six weeks afterwards decide how much you keep. The elbow scars faster than any joint in the arm, so a week of resting it because it hurts can undo the whole operation.

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

Wrist Fracture Plate Surgery: Recovery Week by Week

17 September 20265 September 2026 by Hand Therapist Nigel Chua

A plate on a broken wrist exists so the joint can move while the bone heals. Move early, load late. Plus the tendon complication that can turn up a year after a perfect operation.

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

Cubital Tunnel Surgery Recovery: What Comes Back, and In What Order

17 September 20265 September 2026 by Hand Therapist Nigel Chua

Cubital tunnel surgery relieves pressure; it doesn’t repair a nerve. Symptoms return in a fixed order: pain first, tingling next, numbness slowly, strength last and least reliably. Plus how decompression and transposition differ.

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

Nerve Repair Recovery: Why It Takes a Year, and How to Track It

17 September 20265 September 2026 by Hand Therapist Nigel Chua

A repaired nerve regrows at about a millimeter a day, and there’s a sign you can track at home each month to watch it happening. Plus the sensory re-education that decides whether the hand ends up usable.

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

Scaphoid Surgery Recovery: Why Union Is Confirmed on CT

16 September 20265 September 2026 by Hand Therapist Nigel Chua

A screw holds a scaphoid still but can’t supply blood, which is why this bone heals slowly and unreliably. Union is confirmed on CT, not X-ray, and that distinction decides when you can safely load the wrist.

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

Tennis Elbow Surgery Recovery: Why It Takes Six Months

17 September 20265 September 2026 by Hand Therapist Nigel Chua

A few centimeters of incision and a four to six month recovery. Tennis elbow surgery removes degenerate tendon; rebuilding good tendon is still done by loading it, which is why the rehab looks like the treatment you had before surgery.

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

Fingertip Injuries and Amputations: The First Hour, and What Comes After

17 September 20265 September 2026 by Hand Therapist Nigel Chua

First-hour steps for an amputated finger, including the two mistakes that make reattachment impossible. Plus why surgeons sometimes advise against replanting, and why many fingertip wounds heal best if left alone.

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

PIP Fracture-Dislocation: The Finger Injury With a Six-Week Clock

17 September 20265 September 2026 by Hand Therapist Nigel Chua

A chip off the front edge of the finger’s middle joint leaves it sliding backwards out of position, and it destroys the joint within months. It only shows on a true side-on X-ray of that one finger.

Categories Conditions & Injuries Tags Finger, Fracture, Sports Injury 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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