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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.

Thumb Arthritis Exercises: What Helps, What to Avoid and How Long

9 October 202615 September 2026 by Hand Therapist Nigel Chua
Thumb Base Arthritis Exercises and Joint Protection

The best thumb base arthritis exercises are a web space stretch, a round O pinch and gentle holds, once or twice a day, pain-free. Skip putty and heavy pinch; joint protection does even more.

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Wrist Clicking and Popping: When It’s Nothing and When It Matters

9 October 202615 September 2026 by Hand Therapist Nigel Chua
Wrist Clicking and Popping: When It Matters

A wrist that clicks or pops without pain is almost always harmless. A click with pain, swelling, weakness or a clunk after a fall is a structure moving, and the location tells you which one.

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Thumb Pain from Texting and Phone Use: What It Is and How to Fix It

9 October 202615 September 2026 by Hand Therapist Nigel Chua
Thumb Pain from Phone Use: What It Actually Is

Thumb pain from phone use is a load problem: handset weight, thumb reach and repetitions. Where it hurts tells you which structure is involved, and four changes settle most cases within weeks.

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Trigger Finger Splint and Exercises: How to Wear It and How Long

9 October 202615 September 2026 by Hand Therapist Nigel Chua
Trigger Finger Splint and Exercises: Getting It Right

A trigger finger splint holds the big knuckle straight (about 0 to 15 degrees) at night for 6 to 10 weeks, with tendon glides 3 times a day. How to fit it, what to avoid, and when splinting stops being the answer.

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Ganglion Cyst (Bible Cyst): Should You Treat It or Leave It?

9 October 202615 September 2026 by Hand Therapist Nigel Chua
Ganglion Cyst (Bible Cyst): Treat It or Leave It?

Leave a ganglion alone if it’s painless and changes size; around half go away on their own. Treat it if it hurts, limits movement or presses on a nerve, knowing aspiration often refills and surgery isn’t recurrence-free.

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Tennis Elbow Exercises: What Actually Rebuilds the Tendon

9 October 202615 September 2026 by Hand Therapist Nigel Chua
Tennis Elbow Exercises: What Actually Rebuilds the Tendon

Tennis elbow exercises work in stages: isometric holds, then slow wrist lifts and eccentrics at 3 sets of 15, then heavier and slower. Up to 3/10 pain is fine if it settles by morning; most improvement shows in weeks 6 to 12.

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Carpal Tunnel Exercises: Which Help, Which Make It Worse

9 October 202615 September 2026 by Hand Therapist Nigel Chua
Carpal Tunnel Exercises: Which Help, Which Make It Worse

Tendon glides and gentle median nerve glides, 5 to 10 slow rounds 2 to 3 times a day alongside a night splint, help early carpal tunnel. Wrist stretches and grip strengtheners make it worse, and constant numbness means exercises are the wrong tool.

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Can Trigger Finger Be Cured Without Surgery? Splints, Injections and Timing

9 October 202615 September 2026 by Hand Therapist Nigel Chua
Can Trigger Finger Be Cured Without Surgery?

Often, yes. Most trigger fingers caught at the click stage settle without surgery with a night splint for 6 to 10 weeks, less hard gripping and sometimes one injection. The odds drop once the finger locks.

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Why Do My Hands Go Numb at Night? What the Finger Pattern Tells You

9 October 202615 September 2026 by Hand Therapist Nigel Chua
Hands Numb at Night: What the Pattern Tells You

Hands numb at night are almost always a compressed nerve, most often carpal tunnel. Which fingers go numb tells you which nerve and where, and a neutral night splint settles most early cases.

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Wrist and Hand Pain from Typing and Mouse Use: What Actually Fixes It

9 October 202615 September 2026 by Hand Therapist Nigel Chua
Hand and Wrist Pain from Desk Work: What Actually Changes It

Most desk-related hand and wrist pain eases once you change the dose: short breaks every 30 minutes, a looser mouse grip and one matched piece of equipment. No change by about 6 weeks means get it diagnosed.

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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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