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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.

Flexor Tendon Injuries of the Finger: The Cut That Doesn’t Heal Itself

17 September 202613 September 2026 by Hand Therapist Nigel Chua

A cut flexor tendon does not heal on its own — the ends pull apart. The two-finger test that finds it, what the zones mean, and the repair window measured in days.

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Ganglion Cysts of the Hand and Palm: The Hard Little Pea at the Base of Your Finger

17 September 202613 September 2026 by Hand Therapist Nigel Chua

Ganglions in the palm behave nothing like the ones on the wrist. How to tell a seed ganglion from a trigger finger nodule, and when a lump in the hand is worth doing something about.

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Hand Osteoarthritis: Which Joints, and What Actually Changes the Outcome

17 September 202613 September 2026 by Hand Therapist Nigel Chua

Hand osteoarthritis attacks three specific joints, not the whole hand. Which ones, why using your hands isn’t the cause, and the window where treatment still changes things.

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Swelling After a Hand Injury: Why It Decides Your Stiffness

17 September 202613 September 2026 by Hand Therapist Nigel Chua

Swelling after a hand injury decides how stiff the hand ends up. Why it pushes the hand into the worst position, what the safe position is, and the three-week window.

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Hypothenar Hammer Syndrome: When the Palm Becomes the Problem

17 September 202613 September 2026 by Hand Therapist Nigel Chua

Cold, discoloured ring and little fingers in one hand — with a normal thumb — in someone who uses their palm as a hammer. Why it is arterial, and what it is mistaken for.

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Hand-Arm Vibration Syndrome: The Tool Injury That Builds Over Years

17 September 202613 September 2026 by Hand Therapist Nigel Chua

Years of vibrating tools damage the nerves and vessels of the hand permanently. The two strands, how it is staged, and why stopping exposure is the only treatment that works.

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Forearm Compartment Syndrome: The Pain That Doesn’t Match the Injury

17 September 202613 September 2026 by Hand Therapist Nigel Chua

Escalating pain far worse than the injury, with a tense forearm and agony on straightening the fingers, is compartment syndrome until proven otherwise. The signs, and the six-hour window.

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Wartenberg’s Syndrome: Numbness on the Back of the Thumb

17 September 202613 September 2026 by Hand Therapist Nigel Chua

Numbness over the back of the thumb with completely normal strength points at Wartenberg’s syndrome. Where the nerve gets pinched, what it is mistaken for, and why the fix is often a watch strap.

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Perilunate and Lunate Dislocation: The Wrist Injury X-Rays Get Read Wrong

13 September 2026 by Hand Therapist Nigel Chua

A quarter of perilunate dislocations are missed at the first visit because the front-on X-ray looks normal. What the lateral view shows, and why the first week decides the wrist.

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Mucous Cyst on the Finger Joint: The Lump That Ridges Your Nail

17 September 202613 September 2026 by Hand Therapist Nigel Chua

A small firm bump near the fingernail with a groove down the nail is a mucous cyst — a ganglion driven by arthritis in the joint beneath. Why draining it fails, and when to act.

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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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