title: Insights from a physiotherapist's lived experience of osteoarthritis.
abstract: Osteoarthritis (OA) of a hip joint, with subsequent total hip joint replacement surgery, is portrayed in the literature in terms of quantitative research studies, where the person living with the hip disappears in objective statistical analyses, or in qualitative studies where one person's story is fragmented within thematic findings. This phenomenological study of a physiotherapist's (Peter) lived experience of OA offers insights relevant to practice. In the initial stages of the disease, Peter was too close to 'see' the possibility of OA as a diagnosis. As the pain limited what he could do, he needed to reinvent ways of retaining his sense of 'self'. The pain worsened; there was nothing that relieved it. The experience became one of endurance, leading to a moment when he decided the time had come to have surgery. Post-surgery, the journey of recovery was one of the feelings vulnerable. He wanted guidance and re-assurance. Paradoxically, recovery showed itself as 'forgetting' the body. The insights call for therapists to listen to the experience of clients and be alongside side them as they struggle with vulnerability. Sharing an understanding of the nature of the experience can bring confidence to clients.
authors.affiliation: Division of Health Care Practice, Auckland University of Technology, Private Bag 92006, Auckland 1142, New Zealand. liz.smythe@aut.ac.nz
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Smythe
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Larmer
authors.forename: Peter J
authors.initials: PJ
authors.lastname: McNair
mesh_terms: D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D018771:Arthralgia / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology* / Q000628:therapy; D019644:Arthroplasty, Replacement, Hip / Q000523:psychology; D001291:Attitude of Health Personnel; D032882:Comprehension; D017281:Cost of Illness; D004645:Empathy; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D015207:Osteoarthritis, Hip / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology* / Q000628:therapy; D010342:Patient Acceptance of Health Care / Q000523:psychology; D059825:Physical Therapists / Q000523:psychology*; D026741:Physical Therapy Modalities / Q000523:psychology; D024382:Professional Role / Q000523:psychology; D011369:Professional-Patient Relations; D020127:Recovery of Function; D012649:Self Concept; D016896:Treatment Outcome