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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.

Finger Collateral Ligament Sprain: The Sideways Injury Splints Make Worse

17 September 202613 September 2026 by Hand Therapist Nigel Chua

A finger forced sideways tears a collateral ligament. How it is graded, why moving it early matters more than splinting it, and why the swelling lasts a year.

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Hand Lacerations: Which Cuts Need More Than Stitches

17 September 202613 September 2026 by Hand Therapist Nigel Chua

A small cut on the hand can divide a tendon, a nerve and an artery. The four-question check to run before anyone closes it, and the wounds that are emergencies.

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Elbow Osteoarthritis: Stiffness, Locking, and the Loose Body Question

17 September 202613 September 2026 by Hand Therapist Nigel Chua

Elbow arthritis hurts at the ends of the range, not the middle, and takes your straightening first. Why bone blocks it before cartilage does, and what debridement actually gives back.

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Carpal Boss: The Hard Lump That Isn’t a Ganglion

17 September 202613 September 2026 by Hand Therapist Nigel Chua

A hard, fixed lump on the back of the hand that never changes size is usually a carpal boss, not a ganglion. How to tell them apart, and why most need nothing done.

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EPL Rupture After a Wrist Fracture: The Thumb That Stops Lifting

17 September 202613 September 2026 by Hand Therapist Nigel Chua

Weeks after a wrist fracture, the thumb stops lifting off the table. Why undisplaced fractures cause it more often, the test that catches it, and the warning phase you can still act in.

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Ulnar Impaction Syndrome: When the Ulna Is Simply Too Long

17 September 202613 September 2026 by Hand Therapist Nigel Chua

Little-finger-side wrist pain with no injury behind it is often ulnar impaction — an ulna a few millimeters too long. Why the load doubles, and what actually fixes it.

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Sagittal Band Rupture (Boxer’s Knuckle): The Tendon That Slips Off the Knuckle

17 September 202613 September 2026 by Hand Therapist Nigel Chua

Boxer’s knuckle: the extensor tendon slips off the knuckle because a small sling tore. The ten-second test that identifies it, and the three-week window that decides the treatment.

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Scar Management After Hand Surgery: The Six-Month Window

17 September 202613 September 2026 by Hand Therapist Nigel Chua

A hand scar that sticks down costs you movement, not looks. What to do from week two, why the first six months decide it, and what still works after.

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Raynaud’s in the Hands: White, Blue, Red, and What It Means

17 September 202613 September 2026 by Hand Therapist Nigel Chua

Fingers that go white then blue then red in the cold. Why it happens, how to tell harmless Raynaud’s from the kind that signals something else, and what actually works.

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Swan Neck Deformity: Why the Finger Snaps Backwards, and What Fixes It

17 September 202613 September 2026 by Hand Therapist Nigel Chua

Swan neck deformity is a middle joint that hyperextends and a fingertip that drops. Four different causes, four different fixes — and why treating the shape without the cause fails.

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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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