Table THORM03

Work-related musculoskeletal disorders: estimated number of cases reported by rheumatologists to MOSS and by occupational physicians to OPRA, by country(a) and diagnostic category, 2004-2006

Country	Diagnostic category	Rheumatologists and occupational physicians(p)		Rheumatologists (MOSS)(p)		Occupational physicians (OPRA)(b)(p)
		Rheumatologists and occupational physicians(p)		Rheumatologists (MOSS)(p)		Occupational physicians (OPRA)(b)(p)
		Annual average estimated cases(c) 2004-2006	% of GB total	Annual average estimated cases(c) 2004-2006	% of GB total	Annual average estimated cases(c) 2004-2006	% of GB total
England	Upper limb disorders*	3102	83	1365	90	1736	79
	Raynauds/HAVS/VWF	471	66	106	70	365	65
	Other hand/wrist/arm	1607	86	776	92	832	81
	Elbow	577	89	321	90	257	87
	Shoulder	483	88	188	93	295	85
	Spine/back disorders*	1464	86	396	96	1068	82
	Neck/thoracic spine	428	86	220	97	208	77
	Lumbar spine/trunk	1061	85	190	96	871	83
	Lower limb disorders*	435	91	147	97	288	89
	Hip/knee/leg	265	89	84	95	181	87
	Ankle/foot	174	93	67	94	107	93
	Others	163	74	34	86	130	71
	Total diagnoses**	5244	84	1984	91	3259	80
	Total individuals	5063	82	1880	92	3183	77
Wales	Upper limb disorders*	170	5	51	3	119	5
	Raynauds/HAVS/VWF	41	6	8	5	33	6
	Other hand/wrist/arm	83	4	27	3	56	5
	Elbow	29	4	16	5	13	4
	Shoulder	27	5	5	2	22	6
	Spine/back disorders*	71	4	6	1	65	5
	Neck/thoracic spine	27	5	1	1	26	9
	Lumbar spine/trunk	44	4	5	2	40	4
	Lower limb disorders*	21	4	-	-	20	6
	Hip/knee/leg	16	5	-	-	16	8
	Ankle/foot	4	2	-	-	4	4
	Others	29	13	-	1	28	16
	Total diagnoses**	300	5	62	3	238	6
	Total individuals (d)	274	4	57	3	217	5
Scotland	Upper limb disorders*	445	12	102	7	343	16
	Raynauds/HAVS/VWF	200	28	36	24	163	29
	Other hand/wrist/arm	172	9	39	5	134	13
	Elbow	43	7	18	5	25	8
	Shoulder	39	7	9	5	29	8
	Spine/back disorders*	173	10	9	2	164	13
	Neck/thoracic spine	42	8	5	2	37	14
	Lumbar spine/trunk	143	11	4	2	139	13
	Lower limb disorders*	20	4	4	3	16	5
	Hip/knee/leg	16	5	4	5	12	6
	Ankle/foot	8	4	4	6	4	3
	Others	30	13	5	13	25	14
	Total diagnoses**	692	11	124	6	568	14
	Total individuals	651	11	115	6	536	13

Notes:

(a) A small proportion of cases do not have their country recorded: percentages are calculated from those cases for whom country is recorded. Figures are shown in light type if they are based on fewer than 10 actual cases
(b) Comparisons based on OPRA reports are likely to be misleading because workers in some occupations are much more likely to have access to occupational physicians than those in others.
(c) Some physicians report on a sample basis, for one month in each year. Estimated totals for these are calculated by multiplying the actual number of cases reported by 12.
*For each group of disorders, totals for main disease categories may be less than the sum of the disease subcategories. This is because an individual may have more than one (for example) upper limb disorder (diagnosis) which would only be counted once in the 'upper limb disorders' total.
** The total cases may be less than the sum of the major disease categories. This is because an individual may have more than one major category disorder (e.g. upper limb and spine/back) but this would only count once in the 'total cases'.
"-" means zero or number rounds to zero.
(p) Provisional.