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Overuse

Intersection Syndrome: The De Quervain’s That’s In the Wrong Place

17 September 20265 September 2026 by Hand Therapist Nigel Chua

Sore and swollen four to eight centimeters above the wrist on the back of the forearm, sometimes with a squeak you can feel. Routinely mistaken for De Quervain’s, and separated from it by location alone.

Categories Conditions & Injuries Tags Forearm, Overuse, Tendon, Wrist Leave a comment

Kienböck’s Disease: Wrist Pain With No Injury Behind It

17 September 20265 September 2026 by Hand Therapist Nigel Chua

A small wrist bone losing its blood supply and collapsing, usually in a younger manual worker with no injury to explain it. Early X-rays are normal, which is exactly the problem.

Categories Conditions & Injuries Tags Overuse, Wrist Leave a comment

Gymnast’s Wrist: The Growth Plate Injury That Shows Up 15 Years Later

17 September 20265 September 2026 by Hand Therapist Nigel Chua

Back-of-wrist pain in a young gymnast is a growth plate injury from weight-bearing on the hands. Ridden out, the radius can stop growing while the ulna keeps going, and that mismatch causes wrist pain for decades.

Categories Conditions & Injuries Tags Overuse, Sports Injury, Wrist Leave a comment

Little League Elbow: Why a Child’s Elbow Pain Isn’t Just Soreness

17 September 20265 September 2026 by Hand Therapist Nigel Chua

In a child’s arm the growth plate is weaker than the ligament, so throwing damages it first. Inner elbow pain usually means rest. Outer elbow pain, catching or lost straightening means imaging, and it’s the one that causes permanent damage.

Categories Conditions & Injuries Tags Elbow, Overuse, Sports Injury Leave a comment

Radial Tunnel Syndrome: The Tennis Elbow That Isn’t

17 September 20265 September 2026 by Hand Therapist Nigel Chua

Deep aching in the upper outer forearm that has been treated as tennis elbow for months without improving. The tenderness sits below the bony point rather than on it, and the trapped nerve causes pain without numbness.

Categories Conditions & Injuries Tags Elbow, Forearm, Nerve, Overuse Leave a comment

Pronator Teres Syndrome: Carpal Tunnel Symptoms From the Forearm

17 September 20265 September 2026 by Hand Therapist Nigel Chua

The median nerve can be squeezed in the forearm as well as at the wrist, producing tingling in the same three fingers. One difference separates them: whether the palm is numb too.

Categories Conditions & Injuries Tags Forearm, Nerve, Overuse Leave a comment

Forearm Pain and Arm Pump: When the Timing Is the Diagnosis

16 September 20265 September 2026 by Hand Therapist Nigel Chua

Forearms that pump up and stop working. The timing separates the causes: pain that arrives at a predictable point and clears minutes after stopping is a compartment pattern, and it has a real diagnosis behind it.

Categories Conditions & Injuries Tags Forearm, Overuse, Sports Injury Leave a comment

Cycling Hand Numbness: Handlebar Palsy and How to Stop It

17 September 20265 September 2026 by Hand Therapist Nigel Chua

Numb hands on the bike are nerve compression at the wrist, and which fingers go numb tells you which nerve. The fix is usually load, position and padding. The deadline is numbness that no longer clears after you get off.

Categories Conditions & Injuries Tags Nerve, Overuse, Sports Injury, Wrist Leave a comment

Olecranon Bursitis: The Swollen Lump on the Point of Your Elbow

16 September 20265 September 2026 by Hand Therapist Nigel Chua

A soft, fluid swelling on the tip of the elbow that often barely hurts. Usually harmless and self-limiting. The one thing that has to be ruled out first is infection, and four signs separate them.

Categories Conditions & Injuries Tags Elbow, Overuse Leave a comment

Guyon’s Canal Syndrome: Ulnar Nerve at the Wrist

17 September 20265 September 2026 by Hand Therapist Nigel Chua

The ulnar nerve gets squeezed at the elbow and at the wrist, with near-identical symptoms. Check the back of your hand: normal there means the wrist. And unlike carpal or cubital tunnel, Guyon’s canal usually has a specific findable cause, often a cyst or a missed hamate fracture.

Categories Conditions & Injuries Tags Nerve, Overuse, Wrist Leave a comment
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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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