Pain Education in the Context of Non-Specific Low Back Pain: The Lived Experience of the Physiotherapist. An Interpretive Phenomenological Analysis

Josh Wellman, Luke Murray, Clair Hebron, Pirjo Vuoskoski

Research output: Contribution to journalArticle

Abstract

Objectives: The aim of this study was to explore the physiotherapists' lived experiences of providing pain education (PE), to people living with non-specific low back pain (NSLBP). In previous studies, PE has been associated with positive clinical outcomes within the physiotherapeutic management of NSLBP. However, the meaning of providing PE, as experienced by physiotherapists, has not been specifically explored. Methods: This study adopted a hermeneutic phenomenological approach to explore PE experiences. Six semi-structured interviews were conducted, interviews were transcribed and analysed in line with the ‘interpretative phenomenological analysis’ framework. Results: Five main thematic meaning structures emerged: Experienced significance of assessment in understanding NSLBP, PE as explaining the nature of NSLBP, Experienced challenges in providing PE, individualisation as key to PE for NSLBP and Reassurance as central to PE for people living with NSLBP. Conclusions: The significance of subjective assessment, was a key component of PE, as experienced by participants. However, differences were noted between participants in addressing the sense of assessment; in seeking a physiotherapeutic understanding of the NSLBP, and in seeking to understand the situation of those who are in pain. Within the participant experience, the significance of ‘patient’ reassurance was highlighted, related to the individualisation and outcome of PE. Reassurance, as described by participants, was emotive and practically grounded and linked with physical activity promotion. Individualisation in PE was meaningfully related to language modification and developing positive therapeutic relationships. Physiotherapists described PE particularly challenging related to pain chronicity and psychosocial factors, which may have significant implications to practice.

Original languageEnglish
Pages (from-to)271-300
Number of pages30
JournalMusculoskeletal Care
Volume18
Issue number3
DOIs
Publication statusPublished - 15 Apr 2020

Bibliographical note

This is the peer reviewed version of the following article: Wellman, J, Murray, L, Hebron, C, Vuoskoski, P. Pain Education in the Context of Non‐Specific Low Back Pain: The Lived Experience of the Physiotherapist. An Interpretive Phenomenological Analysis. Musculoskeletal Care. 2020; 1– 30, which has been published in final form at https://doi.org/10.1002/msc.1460. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.

Keywords

  • Qualitative Research
  • Low Back Pain
  • Patient Education

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