Exploring the experience of people with shoulder osteoarthritis and their perceptions of non-surgical management: A qualitative study

Lalande, Stacey; Moffatt, Maria; Smith, Toby; Littlewood, Chris

Abstract

Objective
To investigate the experience of people with shoulder osteoarthritis and their perception of non-surgical management in the UK National Health Service (NHS).
Design
Qualitative design, using semi-structured telephone interviews. Two authors (SL and MM) performed coding and theme development following principles of reflexive thematic analysis.
Setting
Physiotherapy services within three NHS trusts in England. Individual interviews were conducted with patients with a diagnosis of shoulder osteoarthritis.
Participants
Ten participants were recruited (age range 57-86 years; 6 females; 5 with bilateral shoulder osteoarthritis).
Results
Participants reported significant pain, functional limitations, and emotional distress. Non-surgical management experiences varied, with some finding relief from steroid injections, analgesia, and physiotherapy, while others reported limited perceived effectiveness. All participants expressed a desire for more information and support. There were divergent views on the need for surgery.
Conclusion
This is the first study to explore the experiences of people with symptomatic shoulder osteoarthritis who have received care within an NHS setting. It highlights the significant impact of shoulder osteoarthritis on daily life and the challenges faced in accessing appropriate care. Findings emphasise the need for patient-centred care, including education, support, information provision and consideration of psychosocial factors. Future research is required to develop an evidence-based guideline for non-surgical management of shoulder osteoarthritis.

• Journal Article Type: Article
• Acceptance Date: Feb 15, 2025
• Deposit Date: Feb 23, 2025
• Print ISSN: 0269-2155
• Electronic ISSN: 1477-0873
• Publisher: SAGE Publications
• Peer Reviewed: Peer Reviewed