Service delivery process
There is lack of standardized management pathway with limited access to physiotherapy. The healthcare system in Jordan does not allow self-referral to physiotherapy. Therefore, the first contact point by our participants was their physicians. They were offered different management options including medications, surgery, and physiotherapy without any justification. Medications were prescribed to all participants whereas surgery was offered to two participants only. Physicians referred eleven participants to physiotherapy however it was not considered a priority; mainly referral was either late or as an alternative to surgery.