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Sports Injury

PIP Fracture-Dislocation: The Finger Injury With a Six-Week Clock

17 September 20265 September 2026 by Hand Therapist Nigel Chua

A chip off the front edge of the finger’s middle joint leaves it sliding backwards out of position, and it destroys the joint within months. It only shows on a true side-on X-ray of that one finger.

Categories Conditions & Injuries Tags Finger, Fracture, Sports Injury Leave a comment

ECU Tendinopathy and Subluxation: The Wrist Tendon That Snaps

17 September 20265 September 2026 by Hand Therapist Nigel Chua

Little-finger side wrist pain that sits on the surface rather than deep in the joint, and sometimes snaps when you turn your palm up. Caught fresh, the snapping version is treated in a cast. Left late, it needs surgery.

Categories Conditions & Injuries Tags Sports Injury, Tendon, 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

Thrower’s Elbow: UCL Injury and the Tommy John Question

17 September 20265 September 2026 by Hand Therapist Nigel Chua

Inner elbow pain in a thrower is a ligament problem, not a tendon one. The first sign is usually lost velocity rather than pain, and Tommy John surgery does not make anyone throw harder.

Categories Conditions & Injuries Tags Elbow, Post-Surgery, Sports Injury Leave a comment

Distal Biceps Rupture: The Two-Week Window

17 September 20265 September 2026 by Hand Therapist Nigel Chua

A pop at the front of the elbow under load, then an arm that still bends fine, so people wait. The hook test takes seconds, and the repair window closes at around two to three weeks.

Categories Conditions & Injuries Tags Elbow, Post-Surgery, Sports Injury, Tendon 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

Hook of Hamate Fracture: The Bone Break Most Standard X-Rays Miss

17 September 20265 September 2026 by Hand Therapist Nigel Chua

Deep pain in the heel of the palm after a golf, bat or racquet impact, with a normal X-ray. Standard wrist films miss this fracture routinely, and the untreated version sits on a nerve and saws at a tendon.

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

Climbing Pulley Injury: The Pop, the A2, and Getting Back on the Wall

16 September 20265 September 2026 by Hand Therapist Nigel Chua

An audible pop on a crimp, pain at the base of the ring finger, and a decision about crimping that will shape the next six months. Grades, timelines, and the bowstringing sign that changes everything.

Categories Conditions & Injuries Tags Finger, Sports Injury, Tendon 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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