Exposure to vibration at work with associated health hazards is rather common. Severe symptoms can significantly impair working and functional capacity, whereby occupational health services should invest in the primary and secondary prevention of vibration-induced handicaps. Patients with work-related numbness of the fingers and Raynaud's syndrome should be referred to occupational health service. We describe a shoe worker diagnosed with occupational disease caused by vibration. His profession and way of exposure are unusual, but the symptoms are typical for vibration disease.