The Assessment and Management of Sesamoiditis: A Focus Group Study of Podiatrists in Aotearoa New Zealand

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aut.relation.articlenumber29
aut.relation.journalJournal of Foot and Ankle Research
aut.relation.volume16
dc.contributor.authorKaur, Preeti
dc.contributor.authorCarroll, Matthew
dc.contributor.authorStewart, Sarah
dc.date.accessioned2023-07-03T00:51:18Z
dc.date.available2023-07-03T00:51:18Z
dc.date.issued2023-05-16
dc.description.abstractBackground Sesamoiditis is a common inflammatory condition affecting the sesamoid bones at the plantar aspect of the first metatarsophalangeal joint (1MTPJ). However, there are currently no recommendations or clinical guidelines to support podiatrists in their assessment or management of sesamoiditis. The aim of this study was to explore the views of podiatrists in Aotearoa New Zealand on their approaches to the assessment and management of patients with sesamoiditis. Methods This qualitative study included focus group discussions with registered podiatrists. Focus groups took place online via Zoom and were guided by a detailed focus group question schedule. The questions were designed to encourage discussion around assessment approaches used in the diagnosis of sesamoiditis and the treatment tools used to manage patients with sesamoiditis. Focus groups were audio-recorded and transcribed verbatim. Reflexive thematic analysis was used to analyse the data. Results A total of 12 registered podiatrists participated in one of three focus groups. Four themes were constructed relating to the assessment of sesamoiditis: (1) obtaining a patient history; (2) recreating patient symptoms; (3) determining contributing biomechanical factors; and (4) ruling out differential diagnoses. Seven themes were constructed relating to the management of sesamoiditis: (1) consideration of patient factors; (2) patient education; (3) cushioning of the sesamoids to allow more comfortable weightbearing of the 1MTPJ; (4) pressure redistribution and offloading of the sesamoids; (5) immobilisation of the 1MTPJ and sesamoids; (6) facilitating efficient sagittal plane motion during gait; (7) referring to other health professionals to find different ways to treat or manage patient symptoms. Conclusion Podiatrists in Aotearoa New Zealand demonstrate an analytical approach in the assessment and management of patients with sesamoiditis based on their clinical experience and knowledge of lower limb anatomy. A range of assessment and management techniques are selected based on the practitioners personal preferences, as well as the patient’s social factors, symptomology, and lower limb biomechanics.
dc.identifier.citationJournal of Foot and Ankle Research, ISSN: 1757-1146 (Print), BMC, 16. doi: 10.1186/s13047-023-00628-w
dc.identifier.doi10.1186/s13047-023-00628-w
dc.identifier.issn1757-1146
dc.identifier.urihttp://hdl.handle.net/10292/16348
dc.publisherBMC
dc.relation.urihttps://jfootankleres.biomedcentral.com/articles/10.1186/s13047-023-00628-w
dc.rights.accessrightsOpenAccess
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subject1103 Clinical Sciences
dc.subject1104 Complementary and Alternative Medicine
dc.subject1106 Human Movement and Sports Sciences
dc.subject3202 Clinical sciences
dc.subject4201 Allied health and rehabilitation science
dc.subject4207 Sports science and exercise
dc.titleThe Assessment and Management of Sesamoiditis: A Focus Group Study of Podiatrists in Aotearoa New Zealand
dc.typeJournal Article
pubs.elements-id506459
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