The initial stage (wherein the curse has the opportunity to take root, though infection is not guaranteed) is just after thumb shield breakage has occurred, but long before anything resembling a break from the task at hand will end up taking place (for a related malady that occurs in the index finger, see appendix A: "tar poker"). Plate 1 illustrates a hand that is susceptible to Captain Blackthumb's hex.
The most effective treatment method discovered to date is preventative, and also the one least-likely to occur by those who contract the ailment- actually stopping for a second to change your damn gloves. In all other cases, amputation has proven to be a viable alternative.
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