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.
๐ 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.
๐ง 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
โ ๏ธ Symptoms
Symptoms can be vascular, neurological, or musculoskeletal, and they often appear gradually:
Vascular:
- Blanching (whitening) of fingers, especially in cold weather โ 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
๐งช Diagnosis
Diagnosis typically includes:
- Patient history (exposure to vibration tools)
- Symptom pattern and progression
- Tests for nerve conduction and circulation
- Cold provocation tests
๐ 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
