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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.

Relative Motion (Yoke) Splint: How It Works and How Long to Wear It

9 October 202617 September 2026 by Hand Therapist Nigel Chua
Relative Motion (Yoke) Splints: How They Work

A yoke splint holds one finger slightly higher or lower than its neighbors, protecting a tendon while the hand keeps moving. After an extensor repair it’s usually worn full time for about 6 weeks, then weaned.

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Thumb Spica Splint: Which Type, How Many Hours a Day and How Many Weeks

9 October 202617 September 2026 by Hand Therapist Nigel Chua
Thumb Spica Splint: Which Type, What For & How Long

A thumb spica splint holds the thumb in a C shape while the fingers stay free. Hand-based for thumb base arthritis and skier’s thumb, forearm-based for De Quervain’s and scaphoid fractures, usually worn for 3 to 6 weeks.

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C-Bar Splint (First Web Space Splint): Uses, Fit & How Long to Wear It

9 October 202617 September 2026 by Hand Therapist Nigel Chua
C-Bar Splint (First Web Space Splint): Uses & How Long

A C-bar (first web space splint) holds the thumb away from the index finger so the web can’t tighten after burns, crush injuries, surgery, nerve palsy or stroke. Most people wear it at night for 6 weeks to 6 months; after burns, often 12 to 18 months.

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Metacarpal Fracture Brace: How Long to Wear It, Who It Suits and What to Do in It

9 October 202617 September 2026 by Hand Therapist Nigel Chua
Metacarpal Fracture Brace: Fingers Moving While It Heals

A metacarpal fracture brace holds a broken hand bone in line while the fingers keep moving. Most people wear it full-time for about 3 to 4 weeks, then for activity to around week 6, with heavy grip back at 8 to 12 weeks.

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PIP Extension Block Splint: How Long to Wear It for a Volar Plate Injury

9 October 202617 September 2026 by Hand Therapist Nigel Chua
PIP Extension Block Splint for Volar Plate Injuries

A PIP extension block splint stops the middle finger joint straightening past a safe angle while letting it bend fully. Most people wear it full-time for 4 to 6 weeks, opened about 10 degrees a week until the finger reaches straight.

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Humeral Fracture Brace and Shoulder Abduction Splint: How Long, Skin and Hand Care

9 October 202617 September 2026 by Hand Therapist Nigel Chua
Humeral Fracture Brace and Shoulder Abduction Splints

A humeral fracture brace is fitted 1 to 2 weeks after the break and worn full time until the bone heals, commonly 10 to 12 weeks. How to keep it tight, protect your skin, and keep the hand, wrist and elbow from stiffening.

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Playing Cast or Splint: Can You Play Sport With a Hand Injury?

9 October 202617 September 2026 by Hand Therapist Nigel Chua
Playing Splints and Casts: Back to Sport Early

You can sometimes play sport in a playing cast or padded splint, but only with a stable injury, your surgeon’s clearance and your sport’s rules on your side. For a stable hand fracture that’s usually not before the first 2 to 4 weeks.

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Serial Static vs Static Progressive Splints (and Serial Casting)

9 October 202617 September 2026 by Hand Therapist Nigel Chua
Static Progressive Splints and Serial Casting

A static progressive splint or serial cast holds a stiff joint at the edge of its range and moves that edge a little further each time. They’re used when exercise has plateaued, usually 6 to 12+ weeks after injury, in 20 to 30 minute sessions or casts changed every 2 to 7 days.

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Cubital Tunnel Night Splint: How to Wear It and How Long Until It Works

9 October 202617 September 2026 by Hand Therapist Nigel Chua
Cubital Tunnel Night Splint: Keeping the Elbow Straighter

A cubital tunnel night splint holds the elbow at about 30 to 45 degrees while you sleep, worn every night for around 3 months. Most people who are going to improve notice it between weeks 4 and 8.

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Fingertip Protector Splint: How Long to Wear It After a Crushed Fingertip

9 October 202617 September 2026 by Hand Therapist Nigel Chua
Fingertip Protector Splints After Crush Injuries

A fingertip protector is a small rigid cap that takes the knocks while a crushed tip, tuft fracture or nail bed repair heals. Most people wear it most of the day for 2 weeks, for risky tasks to week 4, and are out of it by 4 to 6 weeks.

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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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