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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.

Capener Splint: Straightening a Bent Middle Joint

17 September 2026 by Hand Therapist Nigel Chua

A Capener splint is a spring-wire splint that gently straightens a bent middle finger joint while you keep using the hand. How it works, who it suits, and how to use it for PIP contractures.

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Mallet Finger Splints: Stack or Custom?

17 September 2026 by Hand Therapist Nigel Chua

Stack, custom or aluminum: which mallet finger splint, how to position it, how to change it without bending the tip, a typical timeline and the skin problems to watch for.

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Dupuytren’s Night Extension Splint After Surgery

17 September 2026 by Hand Therapist Nigel Chua

After Dupuytren’s surgery or needle release, a night extension splint holds the fingers straight while the scar matures. How it’s made, a typical three-month pattern, and what goes with it.

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Positioning Splints for Stroke and Cerebral Palsy

17 September 2026 by Hand Therapist Nigel Chua

After stroke, brain injury or with cerebral palsy, hand splints are mainly positioning splints, especially with high tone. The positioning principles, the main splint types, how they fit into the day, and the care they need.

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Tennis Elbow Counterforce Strap: Does It Help?

17 September 2026 by Hand Therapist Nigel Chua

A counterforce strap can ease tennis elbow pain during gripping, but it doesn’t heal the tendon. How it’s meant to work, where to position it, strap versus wrist splint, and what actually changes tennis elbow.

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Professional Drivers: Hand, Wrist and Elbow Pain

17 September 202616 September 2026 by Hand Therapist Nigel Chua

An elbow on the window ledge squeezes the ulnar nerve, hours on the wheel feed carpal tunnel, and the curb brings parcels, straps, tail lifts and cab-step falls. What professional drivers get, and the fixes.

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Football Injuries to the Hand: Players vs Coaches

17 September 202616 September 2026 by Hand Therapist Nigel Chua

Outfield players break wrists and scaphoids falling in tackles. Coaches, especially goalkeeper coaches, wear down thumbs and fingers catching shots for years. Two sets of hand injuries, and what to do about each.

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Fishing: Hooks, Casting Elbow and Fish Infections

17 September 202616 September 2026 by Hand Therapist Nigel Chua

Hooks in fingers, casting elbow, and fish-spine wounds that get infected days later. Which hook injuries need a clinician, what spines and fish infections do, and the habits that prevent most of it.

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Hockey: Stick, Ball and Hand Injuries

17 September 202616 September 2026 by Hand Therapist Nigel Chua

A hard ball or puck, a stick, and turf, ice or boards. The finger fractures, hook of hamate breaks, thumb ligament tears and wrist injuries field and ice hockey players get, and how to protect against them.

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Swimmers: Hand Paddles, Wall Strikes and Wrist Pain

17 September 202616 September 2026 by Hand Therapist Nigel Chua

Hand paddles overload the forearm tendons, and backstroke wall strikes and crowded lanes break fingers. The hand and wrist injuries swimmers get, and the training changes that prevent them.

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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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