Hand-arm Vibration Syndrome Book

By: Dr Roger Cooke

Size: A5
Book length: 160 pages

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“The publication combines academic background with sound practical advice on the diagnosis and management of cases… valuable as a reference guide for occupational health practitioners…”
Extract from the foreword of the book

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Hand–arm vibration syndrome (HAVS) is a significant occupational disease. In the UK alone, there are over 250,000 sufferers.

The diagnosis of the conditions of HAVS and carpal tunnel syndrome requires an understanding of the engineering and workplace aspects, epidemiology, and clinical features of the conditions. This book explains all of these aspects, combining the authority of an academic textbook with accessible, valuable and practical advice. It identifies the practical measures that can be implemented to address the health implications of occupational exposure to vibration.

The book ensures that employers can meet their legal obligations, explaining the legislation, recent prosecutions and common law judgments. This is vital because substantial fines for breaking the law can be imposed.

This new book is a practical guide to the conditions related to hand–arm vibration exposure, examining best practice in diagnosis and management. Expertly written, and widely researched, it is an indispensable resource.

About the author

Dr Roger Cooke is a consultant in occupational medicine, and honorary senior lecturer at the Institute of Occupational and Environmental Medicine at the University of Birmingham. His experience and interest in vibration-related disease extends over 40 years, including clinical practice, teaching, advising industry and specialist groups, writing on the subject and acting as expert witness in legal proceedings.

How will reading this book benefit you?

This book provides:

  • Practical, up-to-date and clearly written guidance on the risk assessment, clinical diagnosis, prognosis and management of vibration-related diseases
  • Detailed information on how to determine the severity and progress of the condition
  • Comprehensive, expert explanations of employers’ legal obligations
  • An important insight into other work-related conditions that may affect the hands
  • Accessible advice for all employers, and for OH, human resource, legal and case management professionals


1. Introduction, exposure and risk assessment

  • Typical symptoms
  • Incidence and driving factors
  • Exposure to hand transmitted vibration
  • Risk assessment

2. Clinical presentation and differential diagnosis

  • Signs and symptoms
  • Alternative causes
  • Effects

3. Clinical grading and management

  • Staging HAVS
  • Standardised tests
  • Progression of symptoms
  • Practical management of cases
  • Prevention

4. The role of OH in ensuring legal compliance

  • Risk assessment
  • Health surveillance
  • Advice regarding future exposure

5. Prosecutions and common-law negligence

    • HAVS prosecutions
    • Issues at common law
    • Controversial decisions
    • Exposure levels
    • Breach of statutory duty
    • Equality Act

6. Management of an employee with HAVS

  • Physical impairment
  • Relevant levels of exposure
  • Progression and regression
  • Legal considerations
  • HSE guidance and L140
  • Fitness for work
  • Risk of deterioration

7. Cumulative and impact trauma disorders of the hand

  • Cause and effect
  • Repetitive impact trauma
  • Types of injuries
  • Blood vessels
  • Associated medical issues

8. Carpal tunnel syndrome

  • Symptoms
  • Diagnosis
  • Provocative tests
  • Health surveillance
  • Risk
  • Workplace management

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