Hand Arm Vibration Syndrome

Hand-Arm Vibration Syndrome (HAVS) is a medical condition caused by prolonged exposure to hand-transmitted vibration, usually from the use of vibrating tools such as power drills, jackhammers, chainsaws, and grinders.

🔍 What is HAVS?

HAVS is a progressive disorder that affects the blood vessels, nerves, and joints in the hand, wrist, and arm. It is a recognized occupational disease, especially in industries such as construction, forestry, and manufacturing.


🧠 Causes

HAVS results from repetitive and extended exposure to vibration through tools and machinery. The risk increases with:

  • Long-term use of vibrating equipment (over months or years)
  • Cold working environments (exacerbates symptoms)
  • Poor tool maintenance or incorrect use

⚠️ Symptoms

Symptoms can be vascular, neurological, or musculoskeletal, and they often appear gradually:

Vascular:

  • Blanching (whitening) of fingers, especially in cold weather — called “vibration white finger”
  • Poor circulation
  • Cold sensitivity

Neurological:

  • Tingling, numbness, or pain in fingers
  • Reduced grip strength
  • Loss of touch sensitivity or coordination

Musculoskeletal:

  • Stiffness and aching in the hands and arms
  • Decreased manual dexterity

🧪 Diagnosis

Diagnosis typically includes:

  • Patient history (exposure to vibration tools)
  • Symptom pattern and progression
  • Tests for nerve conduction and circulation
  • Cold provocation tests

🛑 Prevention

HAVS is preventable but not curable once damage is done. Key prevention strategies include:

  • Limiting exposure: Rotate tasks, limit time using vibrating tools
  • Using proper tools: Anti-vibration tools and gloves
  • Maintenance: Keep tools in good working condition
  • Training: Educate workers on risks and safe practices
  • Monitoring: Regular health surveillance for early signs

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