Abstract

Purpose (the aim of the study): Explore the ‘experience’ of adults with shoulder osteoarthritis who have received care for this in a U.K. National Health Service (NHS) setting. Explore the barriers and facilitators affecting engagement of patients with non-surgical management options for shoulder osteoarthritis in an NHS setting.

Explore patient perceptions of non-surgical management options used in the management of shoulder osteoarthritis within an NHS setting

Methods: A qualitative study was conducted using semi-structured interviews with patients diagnosed with shoulder osteoarthritis (OA) across three NHS hospitals in England.
Participants were recruited via convenience sampling and were eligible if they had a confirmed clinical and imaging diagnosis of shoulder OA and had consulted with a physiotherapist for their condition. Interviews were conducted by an experienced advanced physiotherapy practitioner via telephone or Microsoft Teams, based on participant preference. A topic guide, co-developed with a patient and public involvement group, informed the interviews. Data were analysed using Braun and Clarke’s six-phase thematic analysis framework. Transcripts were coded independently by two researchers, with themes developed through iterative reflexive discussion. The study adhered to the COREQ guidelines.

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.

Conclusions: 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-centered 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.