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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.

Overdid It After Carpal Tunnel Surgery? What to Do in the Next 48 Hours

9 October 20266 October 2026 by Hand Therapist Nigel Chua
Overdid It After Carpal Tunnel Surgery? What to Do in the Next 48 Hours

Overdid it after carpal tunnel surgery? Most flares settle in 2 to 5 days. What to do in the next 48 hours, the next-morning rule, and when to call your surgeon.

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Bruising After Carpal Tunnel Surgery: How Long It Lasts and When It’s Not Normal

9 October 20266 October 2026 by Hand Therapist Nigel Chua
Bruising After Carpal Tunnel Surgery: How Long It Lasts and When It’s Not Normal

Bruising after carpal tunnel surgery usually peaks at days 2 to 5, tracks into the fingers or forearm, and fades in 2 to 3 weeks. When it’s normal and when to call.

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What Not to Do After Trigger Finger Surgery (and What to Do Instead)

9 October 20266 October 2026 by Hand Therapist Nigel Chua
What Not to Do After Trigger Finger Surgery (and What to Do Instead)

Don’t keep the finger still, soak the wound, grip hard or lean on your palm too soon. A hand therapist’s list of what not to do after trigger finger surgery.

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Trapeziectomy Scar: What’s Normal, the Numb Patch and How to Soften It

9 October 20266 October 2026 by Hand Therapist Nigel Chua
Trapeziectomy Scar: What’s Normal, the Numb Patch and How to Soften It

A trapeziectomy scar is red, firm and tender for 2 to 3 months, then softens over 12 to 18. How to massage it, the numb patch on the thumb, and when to get it checked.

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Trapeziectomy With Suspensionplasty: What the Sling Does and Recovery Week by Week

9 October 20266 October 2026 by Hand Therapist Nigel Chua
Trapeziectomy With Suspensionplasty: What the Sling Does and Recovery Week by Week

Trapeziectomy with suspensionplasty removes the arthritic thumb-base bone and slings the thumb up. Recovery week by week: splint, pinch strength, driving and work.

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Broken Wrist Cast: How Long You’ll Wear It, Which Type, and What’s Normal

9 October 20265 October 2026 by Hand Therapist Nigel Chua
Broken Wrist Cast: How Long You’ll Wear It, Which Type, and What’s Normal

Most broken wrists stay in a cast for about 4 to 6 weeks, usually after a splint for the first week while the swelling settles. Here’s which cast you’re likely to get, what’s normal inside it, and the signs it’s too tight.

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Hairline Fracture in the Wrist: Symptoms, Healing Time and Treatment

9 October 20265 October 2026 by Hand Therapist Nigel Chua
Hairline Fracture in the Wrist: Symptoms, Healing Time and Treatment

A hairline wrist fracture is a real break where the pieces haven’t moved. Most need 4 to 6 weeks in a cast or rigid splint and about 6 to 8 weeks to heal. Pain at the base of the thumb after a “normal” X-ray needs a repeat check at 10 to 14 days.

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Broken Thumb: How to Tell, Treatment & Healing Time

9 October 20265 October 2026 by Hand Therapist Nigel Chua
Broken thumb: signs, treatment and the 6 to 12 week healing timeline

How to tell if your thumb is broken, why where the break sits changes everything, cast vs surgery, and the week-by-week healing time back to full pinch and grip, from a hand therapist.

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Forearm Pain by Location: Tendon, Nerve, Muscle or Emergency?

9 October 20262 October 2026 by Hand Therapist Nigel Chua
Forearm pain by location: what pain in each part of the forearm usually means

Most forearm pain is overworked tendons or muscles and settles over days to weeks with less load. Where it hurts narrows the cause, and a swollen, tight forearm after an injury is an emergency.

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Left Hand Pain: Heart Attack Warning or a Hand Problem?

9 October 20262 October 2026 by Hand Therapist Nigel Chua
Left hand pain: heart warning signs versus a hand problem

Left hand pain you can press on, that changes when you move the hand, is almost always the hand, wrist or a nerve. With chest pressure, sweating, breathlessness or nausea, call emergency services now.

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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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