Inclusion Criteria:  Both male and female patients will be included. Sub-acute or chronic conditions of upper limb musculoskeletal disorders. Musculoskeletal disorders such as carpal tunnel syndrome (CTS), tendonitis or tenosynovitis, osteoarthritis, cramp of the hand or forearm from prolonged periods of repetitive movement, hand-arm vibration syndrome (HAVS). Patients with unilateral disorders will be included.  Exclusion Criteria:  Presence of other significant rheumatic disease variants. Severe inflammatory arthritis as confirmed by physical examination.