Pain education for Achilles tendinopathy: perspectives from clinicians and patients

Background Recent research has described the psychological impact of Achilles tendinopathy however, the evidence for condition specific education as part of psychologically informed care in Achilles tendinopathy is lacking. Little is known regarding how pain education is best implemented in this population. Objective The objective of the current study was twofold: 1. To gather insights into enhancing the effectiveness of physiotherapy-led education as part of Achilles tendinopathy rehabilitation and 2. To adapt patient-facing education materials through a process of stakeholder consultation. Design Qualitative descriptive study. Methods We ran three online focus groups to capture the perspectives of patients with Achilles tendinopathy and physiotherapists: 1. Physiotherapists not shown education materials; 2. People with Achilles tendinopathy who were shown education materials; 3. Physiotherapists who wereshown education materials. Data were analysed using thematic analysis. Results A total of eleven people participated across three focus groups. Three overarching themes emerged from our data: 1. Practical, direct, and patient-centred education as the foundation of Achilles tendinopathy rehabilitation; 2. Therapeutic alliance focused on validation and preparation for setbacks enhance educational delivery; 3. Content presentation and engagement matter. Conclusion Education is central to the management of Achilles tendinopathy patients. When delivering Achilles Tendinopathy pain education clinicians should: 1. Emphasise practical application; 2. Use de-threatening and concise language; 3. Provide additional resources to foster curiosity; 4. Provide reassurance and prepare patients for setbacks; 5. Ensure education is patient centred and targeted at individual goals.