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Conditions & Injuries

Conditions and injuries of the finger, hand, wrist, forearm and elbow: what they are, how they behave, and when they stop being minor.

Chefs and Kitchen Work: Hand Injuries and Overuse

17 September 202615 September 2026 by Hand Therapist Nigel Chua

Kitchens produce two kinds of hand injury: the cut that happens in a second and the overuse that builds across a season. Which cuts need more than a plaster, and what to change before the overuse ends a career.

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Trades and Power Tools: Vibration, Grip and Hand Damage

16 September 202615 September 2026 by Hand Therapist Nigel Chua

Vibration damages nerves and blood vessels directly, and that damage doesn’t fully reverse. The warning signs in the order they appear, what actually reduces the dose, and why the tingling stage matters more than the white-finger stage.

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Massage and Manual Therapists: Saving Your Thumbs

15 September 2026 by Hand Therapist Nigel Chua

The most predictable occupational injury in manual therapy is the therapist’s own thumb. What the work does, how to replace the thumb before you have to, and the marker that means you already have.

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Knitting, Crochet and Sewing: Hand and Thumb Pain

15 September 2026 by Hand Therapist Nigel Chua

Craft hand pain is a dose problem, and the dose usually spiked over one long weekend. What each craft loads, the changes that let you keep going, and when it is not just overuse.

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Gardening: Hand, Thumb and Wrist Pain

15 September 2026 by Hand Therapist Nigel Chua

Gardening hurts hands because it is seasonal: nothing for four months, then eight hours of pruning. What the tasks do, which secateurs change the outcome, and the garden wound that runs on hours.

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Powerlifting: Wrist, Elbow and Grip Injuries by Lift

15 September 2026 by Hand Therapist Nigel Chua

Bench, squat and deadlift each produce a different hand and arm injury. What to fix in each, what wraps and straps actually do, and the deadlift risk that costs people a year.

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Hyrox: Hand, Wrist and Forearm Injuries

15 September 2026 by Hand Therapist Nigel Chua

Four of the eight stations load the hand and forearm directly. Which ones do what, why grip fails at station six, and how to train endurance rather than maximum.

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Golfer’s Elbow Exercises: Loading the Tendon Properly

15 September 2026 by Hand Therapist Nigel Chua

Golfer’s elbow rebuilds under gradual load, not rest. The loading exercises that work, the isometric option for a flare, and the one symptom that means these exercises are the wrong treatment.

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De Quervain’s Exercises and Home Treatment

17 September 202615 September 2026 by Hand Therapist Nigel Chua

For De Quervain’s the splint and the lifting change do most of the work. Which exercises to do early, which to add at week three, and why the Finkelstein position is a test rather than a stretch.

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Stiff, Swollen Fingers in the Morning: What It Means

17 September 202615 September 2026 by Hand Therapist Nigel Chua

Stiff, puffy fingers in the morning? How long it lasts, one hand or both, and which row of joints is swollen separate harmless overnight fluid and wear from inflammatory arthritis and the hot joint that needs seeing today.

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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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