Now I understand that the pain involved in therapy can sometimes lead to a patient deciding it is just too much to endure and the person chooses to live with the functioning level they are presently at.
Another aspect is the gender of the therapist assigned. I was assigned a male therapist, and relieved that I had decided to wear slacks rather than my usual dress. It would have been embarrassing if I had a dress on as he was manipulating my leg, bending my knee, massaging my inner knee/thigh. Some pants are more restrictive than others, making the therapy even more uncomfortable than it should be. However, if I had been assigned a female therapist, it would not have mattered to me if I had worn a dress or pants. Some female patients though assigned a female therapist might still prefer modesty in wearing pants rather than a dress. This also applies to patients going in for an ex-ray, MRI, etc. A few weeks ago I went for an ex-ray wearing a dress. I was assigned a very nice, but male technician. I was very uncomfortable when he was adjusting my legs to take an ex-ray of my knee. At one point I had to bend my legs and I was quite exposed.
As a post script to these impressions, if one has reservations about being around or touched by people of another race or ethnic group or nationality, America the great melting pot will force those reservations to recede. America's health care system
at all levels ...from attendants up through professionals are increasingly people of many nationalities, people of color, and people for whom English is a second language.