Affiliation:
1. Complete Physio, London, UK
2. Department of Nursing, Health and Wellbeing, School of Health and Social Work, University of Hertfordshire, London, UK
Abstract
Objective: Musculoskeletal (MSK) conditions pose significant challenges for both patients and healthcare providers. Diagnostic Medical Sonography (DMS) is a cost-effective, user-friendly, and real-time diagnostic tool capable of accurately assessing soft tissue pathology. Additionally, ultrasonography-guided injections (USGI) are recognized as a treatment that may offer precise, safe, and effective pain relief. The aim of this study was to explore patient experiences receiving a USGI given by an advanced physical therapy practitioner (APP). Materials and Methods: A sample of seven participants who received a USGI, given by an APP, were recruited from a private healthcare setting. In-depth, face-to-face and semistructured interviews were conducted with the participants. The data was transcribed verbatim and analyzed using an inductive qualitative content analysis (QCA) approach. Results: The data analysis identified three main categories and nine corresponding subcategories. These participants favored USGI for its precision, effectiveness, and reduced reliance on oral pain medication. Most of the participants perceived USGI as safe, as well as unguided injections. In this cohort, DMS had several added benefits, such as precise diagnostics, valuable insights into disease progression, enhanced patient confidence, and improved injection success rates. The patient-clinician relationship played a pivotal role, with the ability to choose a clinician and clear outcome discussions being crucial to these participants. Conclusion: This qualitative study revealed essential factors that may play a part in the USGI process. This work would suggest USGI, as the preferred choice for rapid pain relief, for this participant group. However, maintaining high patient satisfaction hinges on skilful management of patient expectations by a communicative clinician. This deeper understanding of the perception of USGI highlights the important role of the clinician performing USGI and offers suggestions for an improved patient experience.