In this Issue of Occupational Medicine

<span class="paragraphSection">It is 30 years since the Stockholm workshop on ‘Symptomatology and Diagnostic Methods in Hand-Arm Vibration Syndrome’ proposed the introduction of a new clinical scoring system for hand arm vibration syndrome (HAVS) to replace the Taylor-Pelmear scale. In the October 2016 issue of <span style="font-style:italic;">Occupational Medicine</span>, Lawson [<a href="#CIT0001" class="reflinks">1</a>] published an editorial questioning whether the Stockholm Workshop Scale (SWS) was still fit for purpose. It had quickly been recognized that terms like ‘frequent’ and ‘occasional’ were too vague and that the gap between stage 1 sensorineural (intermittent numbness) and stage 3 sensorineural (reduced tactile discrimination and/or manipulative dexterity) was too large. In 2003, Lawson himself proposed a revised scale defining terms like ‘frequent’ and ‘occasional’ and splitting stage 2 sensorineural into early and late.</span>

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