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Table 4 Therapist-administered, advice, analgesic and weight management approaches used to manage a typical patient with first MTP joint OA. Values are expressed as Number (%), where (%) indicates the proportion of respondents indicating they would use an approach from the given category

From: Management of first metatarsophalangeal joint osteoarthritis by physical therapists and podiatrists in Australia and the United Kingdom: a cross-sectional survey of current clinical practice

Approach categorySpecific approachTotal SamplePodiatristsPhysical therapistsp-value
Therapist-administered approachesAny200 (100)113 (100)87 (100)NA
 Electrotherapy13 (7)2 (2)11 (13)**< 0.01
 Exercise therapy117 (59)38 (34)79 (91)*0.01
 Taping or padding136 (68)76 (67)60 (69)0.80
 Hallux manipulation/mobilization99 (50)41 (36)58 (67)*< 0.01
 Other joint manipulation/mobilization45 (23)14 (12)31 (36)*< 0.01
 Massage45 (23)11 (10)34 (39)*< 0.01
 Injection23 (12)15 (13)8 (9)0.37
 Trigger point techniques33 (17)11 (10)22 (25)**< 0.01
 Gait re-training60 (30)9 (8)51 (59)*< 0.01
 Stiffening shoe inserts25 (13)25 (22)0 (0)*< 0.01
 Footwear modifications89 (45)55 (49)34 (39)0.18
 Acupuncture23 (12)10 (9)13 (15)0.18
 Other26 (13)19 (17)7 (8)0.07
Advice approachesAny199 (99)112 (99)87 (100)0.38
 Reducing activity levels26 (13)15 (13)11 (13)0.90
 Pacing of activities126 (63)54 (48)72 (83)*< 0.01
 Rest44 (22)24 (21)20 (23)0.77
 Nutrition56 (29)20 (18)36 (41)*< 0.01
 Use of walking aids23 (12)7 (6)16 (18)**0.01
 Use of heat/ice143 (72)74 (66)69 (79)***0.03
 Avoidance of painful movement/activities66 (33)44 (39)22 (25)***0.04
 Footwear advice172 (86)104 (92)68 (78)**0.01
 Other38 (19)23 (20)15 (17)0.58
Analgesia approachesAny174 (87)98 (87)76 (87)0.90
 Advise to discuss with GP135 (78)69 (70)66 (87)***0.01
 Advise to discuss with pharmacist49 (28)22 (22)27 (36)0.06
 Discuss optimal usage of current medication63 (36)30 (31)33 (43)0.08
 Discuss/recommend over-the-counter medication54 (31)41 (42)13 (17)*< 0.01
 Discuss/recommend prescription medication10 (6)8 (8)2 (3)0.12
 Discuss use of alternative medicine (e.g. glucosamine, chondroitin sulphate)54 (31)38 (39)16 (21)***0.01
 Other6 (3)5 (5)1 (1)0.18
Weight management approachesAny160 (80)85 (75)75 (86)0.05
 Advice about weight loss98 (61)42 (49)56 (75)**< 0.01
 Deliver a weight loss program12 (8)1 (1)11 (15)**< 0.01
 Refer to a dietician68 (43)34 (40)34 (45)0.50
 Refer to a weight loss program32 (20)14 (17)18 (24)0.24
 Other35 (22)26 (31)9 (12)**< 0.01
  1. Please note, percentage values for each sub-category is the percentage of respondents of the total responding for that category
  2. * P < 0.001; ** P < 0.01; *** P < 0.05