| Sumario: | BackgroundObjectiveMethodsResultsConclusionsPhysiotherapists’ choices of management methods for hip and knee osteoarthritis reflect their conceptions of the condition and how it should be managed. To be able to provide recommended, consistent, first-line methods, physiotherapists should have a common, up-to-date understanding of the condition and how to effectively manage it.In this qualitative study, we aimed to explore physiotherapists’ conceptions of the management of hip and knee osteoarthritis, and to identify the critical differences between their conceptions.We followed a phenomenographic methodology and data-driven approach. The data were from semi-structured in-depth interviews of 20 physiotherapists (mean age 42 years) who were involved in managing hip and knee osteoarthritis. The data were transcribed verbatim and analyzed using a phenomenographic analysis method.The analysis yielded four hierarchically broadening categories describing the management of hip and knee osteoarthritis: 1) a symptom-focused approach, 2) a functionality-oriented approach, 3) a whole-person approach, and 4) societal level approach. These conceptions covered five themes of expanding awareness and several critical aspects.Narrow conceptions of the management of hip and knee osteoarthritis may lead to passive, symptom-focused approaches and surgery, whereas broader perspectives can lead to holistic, proactive, evidence-based management that emphasizes sustainable health and societal actions. Identifying unhelpful conceptions and unraveling them is important for promoting effective osteoarthritis management and for enhancing professional education that supports person-centered, sustainable, and evidence-based management of osteoarthritis.
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