Background: This is an account of a patient working in an ophthalmology clinic in a tertiary care hospital, Riyadh, who initially presented with work-related musculoskeletal disorder of the upper limb. The primary complaint was pain in the right shoulder and arm for the past 6 months. She was diagnosed with tenosynovitis of the upper limb on the first presentation, but later investigations revealed cervical stenosis.
Case Presentation: A 42-year-old Indian female nurse, working in ophthalmology outpatient clinic at a university hospital in Riyadh, Saudi Arabia, presented with the complaints of pain in the right shoulder and arm for the past 6 months. She was transferred to another area with less work load and reduced exposure to occupational work manual exertion and sustained awkward exposure. The symptoms improved after 6 months of her transfer to the current unit.
Conclusion: Although the initial symptoms were in favor of work-related upper limb musculoskeletal disorder, the nature of symptoms led to extensive workup, magnetic resonance imaging, diagnosis of cervical stenosis, and referral to orthopedics and neurology for further management.
Key words: Work-related musculoskeletal injury, cervical stenosis, disc herniation, upper limb pain, case report
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