Exploring athlete pain and pain assessment experiences and priorities; A three part qualitative series of athlete and physiotherapist interactions. Part One. “Through their eyes” - Athlete & physiotherapist pain experiences and perspectives

Abstract

AbstractObjectivesTo explore upper and lower limb athlete pain experiences and perceptions and facilitate dialogue and shared understanding between athletes and sports physiotherapists.DesignQualitative Research using a hermeneutic phenomenological approach.MethodsWe carried out focus groups comprising a deliberate criterion sample of athletes and physiotherapists using a constructivist perspective. We developed a topic guide using an established step-by-step approach. Using reflexive thematic analysis, we developed codes, candidate themes and finalised themes iteratively. We applied a critical friend approach to add depth to analysis. Our paper follows the consolidated criteria for reporting qualitative research (COREQ) guidelines.ResultsWe completed five focus groups, comprising twelve athletes (five female, seven male) and four sports physiotherapists (four male) including one successful pilot of two athletes. Four final themes (I-IV) and nine subthemes (a-i) were developed; I) Athlete Pain Lens ( a - pain is part of being an athlete, b - pain shapes the life of an athlete) II) Exploring And Navigating Pain (c- the athlete pain spectrum, d-making sense of pain) III) The Emotional Toll of Pain (e - challenging emotions, f - the impact of time) IV) Coping, Community and Communication (g - coping with Pain, h - influence of community and support network, i - communication-the broken key).ConclusionWe explored athlete pain experiences and perspectives through engaged conversations with athletes and physiotherapists. Athletes often struggle to understand and manage their pain, and it is crucial for everyone in the sports community to recognize and adjust to these challenges.