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The aetiology of forearm pain has been the subject of intensive
controversy. Is it a consequence of physical exposures (particularly in
the workplace) such as repetitive movements of the upper limb, or is it
one manifestation of high levels of psychological distress? Macfarlane
et al (p 676) conducted a prospective population based cohort
study of almost 2000 people to identify important risk factors. Onset
was predicted by repetitive movements of the arms or wrists in the
workplace, dissatisfaction with support from supervisors and colleagues
at work, and factors such as psychological distress and aspects of
illness behaviour.