Objectives Clinicians who use the biopsychosocial approach to manage musculoskeletal pain disorders aim to understand how patients make sense of their symptoms. Treatment includes targeting the negative beliefs and coping responses that can lead to progressive pain and disability. We aimed to explore how people seeking care for persistent hip pain and disability make sense of their symptoms. Methods Cross-sectional qualitative study. People were eligible if they were aged ≥18 years, were consulting an orthopaedic surgeon for persistent hip pain and offered a non-surgical intervention. Data were collected through interviews that explored patients’ beliefs about the identity (diagnosis), causes, consequences, timeline and controllability of their symptoms, their strategies to cope with pain and their experiences in seeking healthcare. Transcribed interview data were analysed thematically using a framework approach. Results Sixteen people (median age=51, range=33–73 years; median duration hip pain=3 years, range=3 months–20 years) participated. Most participants (10/16) believed their pain was caused by an exercise-related injury. Because of the results of imaging and interactions with healthcare professionals, all participants believed they had damaged hip structures. All described ineffective strategies to manage their pain and multiple failed treatments. For many (7/16), a lack of control over symptoms threatened their physical and mental health. Conclusions The way participants with persistent hip pain and disability made sense of their symptoms contributed to them avoiding physical activity, and it impaired their sleep, emotional well-being and physical health.

中文翻译：

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“我的髋关节受损”：针对持续性髋关节疼痛寻求治疗的人的定性调查

目标 使用生物心理社会方法来管理肌肉骨骼疼痛障碍的临床医生旨在了解患者如何理解他们的症状。治疗包括针对可能导致进行性疼痛和残疾的消极信念和应对反应。我们旨在探索寻求治疗持续性髋部疼痛和残疾的人们如何理解他们的症状。方法横断面定性研究。如果年龄 ≥ 18 岁、因持续性髋部疼痛咨询整形外科医生并提供非手术干预，则符合条件。数据是通过访谈收集的，这些访谈探讨了患者对其症状的身份（诊断）、原因、后果、时间线和可控性、应对疼痛的策略以及寻求医疗保健的经验的看法。使用框架方法对转录的访谈数据进行专题分析。结果 16 人（中位年龄 = 51，范围 = 33-73 岁；中位持续时间髋关节疼痛 = 3 年，范围 = 3 个月 - 20 岁）。大多数参与者 (10/16) 认为他们的疼痛是由与运动相关的损伤引起的。由于成像结果以及与医疗保健专业人员的互动，所有参与者都认为他们的髋部结构已受损。所有这些都描述了控制疼痛和多次失败治疗的无效策略。对于许多人 (7/16) 而言，对症状缺乏控制威胁着他们的身心健康。结论 患有持续性髋部疼痛和残疾的参与者对其症状的理解方式有助于他们避免体力活动，并损害他们的睡眠、情绪健康和身体健康。