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Office of Management & Finance

Bureau of Internal Business Services

BIBS is the provider of central services for the City of Portland

Musculoskeletal Disorder - Signs & Symtoms Contributing Factors

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Loss Prevention

Risk Management, Portland, OR                                                   05/16/2013



Signs & Symptoms

Contributing Factors


  • Inflammation of tendons
  • Pain where the inflamed tendons are located
  • Tenderness of the inflamed area
  • Possibly some loss of function in the affected limb
  • Overuse of tendons
  • Awkward postures
  • Sustaining an extreme position


  • Inflammation of tendon sheath(s)
  • Pain
  • Swelling
  • Cracking sounds
  • Tenderness
  • Usually some loss of function in the affected limb
  • Overwork of a muscle
  • Wrenching or stretching of a tendon
  • Spread of inflammation from surrounding skin or muscular tissues


  • Inflammation of elbow tendons
  • Pain around the elbow
  • Tenderness
  • Possibly some loss of function in the affected limb
  • Over use of tendons
  • Sudden, repeated extreme positions

Digita Neuritis

  • Dull, burning or sharp pain the in the   fingers or thumbs
  • Compression of the nerves along the sides of fingers or thumbs

Carpal Tunnel Syndrome

  • Pain in wrist or hand
  • Tingling and burning sensation
  • Numbness in hand
  • Weakening of muscles at the base of the thumb
  • Dry, shiny palm
  • Hand clumsiness
  • Using hand motions
  • Exerting forces while the wrist is bent or twisted

Thoracic Outlet Syndrome

  • Numbness and tingling in the fingers
  • Pain in the arm, shoulder and neck
  • Headaches toward the back of the skull
  • Weakness of the arm
  • Worsening of symptoms when arm is elevated
  • Symptoms are often worse at night or when using arm(s)
  • Pressure against the nerves or blood vessels that supply the arm due to tight muscles, ligaments bands or bony abnormalities in the thoracic outlet area of the body

Raynaud’s Syndrome

  • Lack of blood flow to fingers
  • The flesh of the fingers is white 
  • Reduction of feeling and control in the fingers and hands
  • Holding vibrating tools with a frequency between 40 – 125 cycles per second (Hz) in cold temperatures (caused from numerous things, primarily rheumatic diseases, hormone imbalance, trauma such as working with vibrating tools in any temperature, frostbite, nicotine,  and medications)