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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.

Burned Hand Recovery: Healing Time by Depth and How to Stop Scar Contracture

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Burns to the Hand: The Scar Is the Injury That Lasts

A superficial hand burn heals in about a week, a blistering one in about two, and a deep one takes three weeks or more and scars. The first 6 months of splinting, stretching and pressure decide how much movement you keep.

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Ring Avulsion Injury: What to Do Now, Can the Finger Be Saved, and Recovery Time

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Ring Avulsion Injury: The Wound Looks Small and Isn’t

If a ring catches and pulls your finger, go to the ER now, even if it only looks like a graze: the hidden arteries fail first. Recovery runs from 2 to 3 weeks for skin-only injuries to 6 to 12 months or more after microsurgery.

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Red, Swollen Finger or Hand: Cellulitis or Septic Arthritis? When to Go to the ER

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Cellulitis or Septic Arthritis in a Finger? How to Tell

If one finger joint is hot, swollen and too painful to move, a whole finger is swollen and held bent, or red streaks run up your arm, go to the ER now. Cellulitis with a finger that still bends needs a doctor and antibiotics today.

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Hypermobile Fingers and Hand Pain: Why It Hurts and the Exercises That Help

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Hypermobility and Hand Pain: You Don’t Need More Stretching

Hypermobile hands hurt because the joints rest at end range on ligament instead of muscle. The fix is strength in mid-range, fatter tools, ring splints and pacing, not more stretching.

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Psoriatic Arthritis in the Hands: Sausage Finger, Nails and Treatment

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Psoriatic Arthritis in the Hands: Sausage Fingers & Nails

Psoriatic arthritis in the hands shows up as a sausage-swollen finger, swollen end joints and pitted or lifting nails, often with negative bloods. How it’s diagnosed, how it differs from rheumatoid and osteoarthritis, and what splints and exercises help.

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Peripheral Neuropathy vs Carpal Tunnel: How to Tell (Ask About Your Feet)

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Peripheral Neuropathy or Carpal Tunnel? Ask About the Feet

Carpal tunnel numbs the thumb side of one hand and wakes you at night. Neuropathy numbs both hands in a glove pattern and usually started in the feet. Here is how to tell, and why it matters before surgery.

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Thoracic Outlet Syndrome Hand Symptoms: Why Arms Overhead Make It Worse

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Thoracic Outlet Syndrome: When Arms Overhead Make It Worse

Thoracic outlet syndrome squeezes nerves or vessels under the collarbone, giving ring and little finger tingling and a heavy arm that worsens with arms overhead. Most nerve-type cases settle in 3 to 6 months; a swollen, blue or cold arm needs the ER today.

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How Long Off Work After a Hand Injury? Returning Task by Task

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Returning to Work After a Hand Injury: Tasks, Not a Verdict

Desk work often returns within days to 2 weeks of a hand injury; heavy gripping usually takes 6 to 12 weeks, and 3 months or more after a tendon repair. Go back task by task, with specific restrictions, not all at once.

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Diabetes and Your Hands: Trigger Finger, Stiff Fingers, Carpal Tunnel and the Prayer Sign

9 October 202613 September 2026 by Hand Therapist Nigel Chua
The Diabetic Hand: Why It’s Four Problems With One Cause

Yes, diabetes affects the hands: trigger finger, Dupuytren’s, carpal tunnel and stiff, tight fingers all come from sugar stiffening collagen. The prayer sign checks for it in 10 seconds, and daily stretching keeps the range you have.

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Hand Exercises After an Injury: Tendon Glides and the 3 Others That Matter

9 October 202613 September 2026 by Hand Therapist Nigel Chua
Hand Exercises After an Injury: The Four That Matter

After a hand injury, four exercises do most of the work: tendon glides, blocked bending, an intrinsic stretch and forearm rotation. Do about 10 slow rounds with 5-second holds, every 2 to 3 hours while awake.

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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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