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Tracy, 

Thoracic Outlet syndrome and other Thoracic conditions can often affect the sympathetic nervous system and lead to swelling, redness, sweating and/or pain in the hands. 

First port of call would be a specialist Occ Health Physio assessment to land a diagnosis and look at all MSK related possibilities.

Let me know if you any need help with assessment.

Wayne.


-----Original Message-----
From: [log in to unmask] on behalf of Tracy Turner
Sent: Wed 15/06/2011 12:41
To: [log in to unmask]
Subject: [OCC-HEALTH] Advice please regarding ? RSI
 
Good Morning
An employee expereinced swelling of her fingers and pins and needles at night. GP stated it is because she has started a heavier role and that she will get used to the symptoms(?) Now continued for 18 months before being reported to OH. I have assessed her work place and appropriate rotations/practices are in place.  no reported outside activites which could contribute. I have advised that this role may not be suitable for her and advised her of possible long term dammage. She is insistant she want to remain in the role and has not had any absences. Please can you advise me of where the Business should go from here. If the symptoms persist or increase and she insists on working knowing that the symptoms are likely to conitnue can she? Should the Business terminate the employment? Is there anything else I have misssed. I woudd just like some advice please as I am sitting here on my own querying my actions! Thank you.

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CONFERENCES AND STUDY DAYS:
http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH