Experiences of working with lower limb osteoarthritis: A qualitative study

Abstract

Abstract 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 and who working in paid employment participated in semi-structured interviews. Data were qualitatively analysed 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: 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.