“The way participants with persistent hip pain and disability made sense of their symptoms contributed to them avoiding physical activity, and it impaired their sleep, emotional well-being and physical health.”
“Common diagnoses in patients who present with ‘hip pain’ include trochanteric bursitis, gluteal tendinopathy, femoroacetabular impingement syndrome, acetabular labral tears and osteoarthritis”
“These conditions are also present among the non-symptomatic population, and the correlation between radiographic findings and hip pain and disability is weak.”
Conclusion
@Participants in this study seeking care for persistent hip pain reported negative beliefs relating to ‘damaged’ hip structures, which appeared to lead them to coping responses such as activity avoidance and movement modification. Participants reported subsequent psychological distress, disrupted sleep and reduced physical activity, threatening their physical and mental well-being. Targeting pain beliefs and coping strategies may provide opportunities for more effective self-management of persistent hip pain.”
What are the findings?
“Interactions with healthcare professionals can lead to people with persistent hip pain developing ‘hip damage’ beliefs.
Discussions of imaging findings may contribute to people developing ‘hip damage’ beliefs.
Negative beliefs can lead to ineffective coping strategies such as avoiding physical activity. This in turn impairs physical well-being and mental health in people with persistent hip pain.”
How might it impact on clinical practice in the future?
“Healthcare professionals influence health beliefs and coping responses of people with persistent hip pain. Our findings highlight that clinicians need to be taught that their choice of words—communication content—influences patient outcomes. Future research should address the question—‘What is the ideal message for patients with hip pain?’.”
I R de Oliveira B, Smith AJ, O’Sullivan PPB, et al‘My hip is damaged’: a qualitative investigation of people seeking care for persistent hip painBritish Journal of Sports Medicine 2020;54:858-865.
https://bjsm.bmj.com/content/54/14/858
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Posted to FB on 2020-08-12 16:42:33
