OBJECTIVE: To synthesise qualitative research exploring patient experiences of lower limb tendinopathies and identify themes to support patient-centred care. DESIGN: Systematic review with thematic synthesis. LITERATURE SEARCH: MEDLINE, Embase, CINAHL and SPORTDiscus were searched to September 2024, using MeSH terms and keywords. Forward and backwards citation tracking of included studies was performed in Web of Science. STUDY SELECTION CRITERIA: Studies of any date, using interviews or focus groups exploring perspectives on common lower limb tendinopathies (plantar heel pain, Achilles tendinopathy, tibialis posterior tendinopathy, patellar tendinopathy, gluteal tendinopathy, or proximal hamstring tendinopathy). Participants of any age were eligible if diagnosed by a healthcare professional and symptomatic for at least three months. DATA SYNTHESIS: Thematic synthesis was conducted using an inductive approach. Two reviewers independently coded data. Descriptive themes were developed, refined through discussion, and structured into final analytical themes. RESULTS: Thirteen studies were included (n = 153; 84 females), with Achilles tendinopathy most common (n = 70; 7 studies). Ten themes were identified and organised hierarchically. These included psychosocial impacts, activity limitations, knowledge gaps regarding diagnoses, causes and management, the importance of therapeutic alliance, and mixed treatment experiences. Six of 29 Critical Appraisal Skills Program (CASP) Checklist for Qualitative Studies items were unmet in over half of studies. Confidence in findings ranged from low-to-moderate (GRADE-CERQual). CONCLUSION: Lower limb tendinopathies impact patients beyond physical pain, affecting work, daily function, sport and social participation. These challenges often lead to psychosocial consequences including frustration, anxiety and isolation. Strong therapeutic alliances can improve patient experiences and satisfaction with care.
Hopes et al. (Thu,) studied this question.