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Rheumatology 2000; 39: 1057-1059
© 2000 British Society for Rheumatology

Editorials

Occupation and upper limb disorders

D. Coggon, K. T. Palmer and K. Walker-Bone

MRC Environmental Epidemiology Unit, University of Southampton, Southampton General Hospital, Southampton SO16 6YD, UK.

The first 150 words of the full text of this article appear below.

SIR, Pain in the upper limb is a common symptom in people of working age, with prevalence rates of 5–20% in community-based surveys [1, 2]. In most cases, the pain is not associated with any important limitation of activities, but sometimes it severely impairs people's capacity to work. In Britain, a national survey in 1995 suggested that musculoskeletal disorders of the upper limb and neck were responsible for the loss of at least 3.8 million working days in a 12-month period [3]. The symptom can arise from various pathologies in the neck, shoulder and arm, including cervical spondylosis, capsulitis of the shoulder, epicondylitis, de Quervain's disease and carpal tunnel syndrome. In addition, many patients do not exhibit diagnostic features of any of these disorders, and are classed as suffering from ‘non-specific upper limb pain’.

Painful disorders of the upper limb are often attributed . . . [Full Text of this Article]


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