Experiences of Working with Lower Limb Osteoarthritis: A Qualitative Study

• Published in: Journal of occupational rehabilitation Vol. 34; no. 3; pp. 683 - 692
• Main Authors: Alyousef, Yousef S., Ross, Megan H., Johnston, Venerina, Smith, Michelle D.
• Format: Journal Article
• Language: English
• Published: New York Springer US 01-09-2024; Springer Nature B.V
• Subjects: Adaptation, Psychological; Adult; Aged; Arthritis; Clinical Psychology; Emotions; Employment - psychology; Environmental Health; Female; Health care; Health Psychology; Humans; Interviews as Topic; Lower Extremity - physiopathology; Male; Medical personnel; Medicine; Medicine & Public Health; Middle Aged; Occupational Medicine/Industrial Medicine; Orthopedics; Osteoarthritis; Osteoarthritis - psychology; Osteoarthritis, Knee - psychology; Pain; Pain management; Qualitative analysis; Qualitative Research; Rehabilitation; Weight-Bearing - physiology; Work Performance; Workplace - psychology; Productivity; Lower limb; Work; Workers; Osteoarthritis
• ISSN: 1053-0487; 1573-3688; 1573-3688
• DOI: 10.1007/s10926-023-10158-8

Purpose
Pain and disability associated with lower limb osteoarthritis (OA) may contribute to difficulties at work. This study aimed to understand the perspectives of workers with lower limb OA on difficulties, concerns, and coping strategies used at work.
Methods
Twenty-two individuals with lower limb OA who were working in paid employment participated in semi-structured interviews. Data were qualitatively analyzed using an inductive thematic approach. Codes were identified and refined through review of interview transcripts and discussion with the research team.
Results
Six themes were identified in relation to experiences working with lower limb OA. Themes were as follows: weight-bearing physical demands are challenging; lower limb OA can affect work performance; emotional consequences of pain; concerns about work in the future; positive experiences of supportive colleagues and managers; and minimal effects on sedentary work. Three themes were identified relating to strategies to manage at work: adjustments at work help manage pain and avoid exacerbations; regular strategies to manage pain; and healthcare professionals are consulted, but usually not specifically for work.
Conclusions
Workers with lower limb OA experience physical and emotional difficulties at work that can impact work performance. Workers are concerned about longevity and job security and use a range of strategies to manage symptoms and remain at work. Employers, employees, and healthcare professionals may need to work together to create workplace accommodations to help workers with lower limb OA confidently remain in work.