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.