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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.

Tendon Transfer Surgery Recovery: Week-by-Week Rehab and Timeline

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Tendon Transfer Rehab: Retraining the Brain

Most people are splinted for 3 to 4 weeks after a tendon transfer, retrain the new movement from week 4, and return to heavier work between 3 and 6 months. Here is the rehab, week by week, and why the brain is the slow part.

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Triceps Tendonitis: Back of Elbow Pain When You Push, Exercises and Healing Time

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Triceps Tendinopathy: Elbow Pain When You Push

Pain on the point of the elbow that hurts when you push, not grip, is usually triceps tendinopathy. Most settle in 6 to 12 weeks with graded loading, not rest; here’s how to tell it from bursitis or a tear.

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Crushed Hand Recovery: Healing Time, Swelling and When It’s an Emergency

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Crush Injury of the Hand: What Matters More Than X-Ray

After a crush injury the bones usually heal in 6 to 12 weeks, but swelling decides the outcome and can take 3 to 6 months to settle. The first 48 hours, the warning signs, and how to stop the hand setting stiff.

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Extensor Tendon Injury of the Finger: Zones, Splints and Healing Time

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Extensor Tendon Injuries of the Finger: Tight Deadlines

Most finger extensor tendon injuries heal in a splint worn continuously for 6 to 8 weeks, but the deadline to start is days to two weeks. The zones, the tests, the healing timeline and the knuckle wound that’s an emergency.

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Cut Finger and Can’t Bend It? Flexor Tendon Injury, Zones and the Repair Window

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Flexor Tendon Injury of the Finger: The Cut That Won’t Heal

A cut flexor tendon does not heal on its own. If a finger joint won’t bend after a cut, see a hand surgeon within days: the repair window is about 2 weeks, followed by about 6 weeks in a splint.

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Seed Ganglion: Hard, Painful Lump at the Base of Your Finger or in the Palm

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Ganglion Cyst on the Finger or Palm: The Hard Little Pea

A hard, pea-sized lump at the base of a finger that hurts when you grip and doesn’t slide when the finger bends is usually a seed ganglion. Harmless, often settles on its own, and padding or a needle usually sorts the pain.

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Hand Osteoarthritis: Which Joints, Symptoms, and What Actually Helps

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Hand Osteoarthritis: Which Joints, and What Helps

Hand osteoarthritis wears three specific places: the end and middle finger joints and the thumb base. There’s no cure, but pain usually settles in phases, and heat, movement, smarter tools and flare splints keep the hand working.

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Hand Tendon Anatomy: Which Tendons Bend and Straighten Your Fingers

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Hand Tendon Anatomy: Flexors, Extensors and Your Symptoms

Your fingers are moved by tendons from muscles in your forearm: two flexor tendons bend each finger, one extensor mechanism straightens it. Here’s the map, the self-tests, and which tendon matches your symptom.

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Hand Swelling After Surgery or Injury: How Long It Lasts and How to Reduce It

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Swelling After a Hand Injury: Why It Decides Your Stiffness

Hand swelling after an injury or surgery peaks at 48 to 72 hours and mostly settles over 2 to 6 weeks. How to bring it down, and why swelling left sitting for 3 weeks turns into stiffness.

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Hypothenar Hammer Syndrome: Symptoms, Diagnosis, Treatment and Recovery

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Hypothenar Hammer Syndrome: When the Palm Is the Problem

Hypothenar hammer syndrome is ulnar artery damage in the heel of the palm from using the hand as a hammer: cold, color-changing ring and little fingers in one hand, thumb normal. How it’s diagnosed, treated and how long recovery takes.

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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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