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Work-related upper limb disorder — DOccMed MCQ

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HardMusculoskeletal DisordersWork-related upper limb disorderDOccMed

A supermarket cashier has progressive forearm pain after a rota change to six-hour scanning shifts with few breaks. Examination shows diffuse extensor tenderness without focal tenosynovitis; symptoms improve during a week on customer-service duties. What is the most appropriate management?

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Correct answer: ERecommend ergonomic review, task rotation and graded return to scanning

The pattern suggests a non-specific work-related upper limb disorder related to repetition, pace and inadequate recovery. Management should address workplace risk factors, including breaks, rotation and workstation ergonomics, while encouraging graded activity. Complete rest can prolong disability. Injection is not appropriate without a focal inflammatory diagnosis.

Reference: HSE Musculoskeletal Disorders guidance; NICE NG146