The results appeared to be consistent irrespective of the duration of symptoms . Use of opioids decreased over time, with no significant between-group differences: at a week, 10 participants experienced stopped acquiring opioids; at four weeks, 13 had halted; at three months, 22 had stopped; and at 6 months, 35 had stopped. Seven participants reported an incident clinical vertebral fracture within 6 months after the research intervention . Three participants reported new rib fractures at a week.Businesses that provided economic support, products, or both had no function in the scholarly research design, analysis, or interpretation of the outcomes or in the decision to post the manuscript for publication. All patients provided written educated consent. The institutional review plank or ethics committee at each site approved the study protocol. Baseline quality-of-lifestyle questionnaires had been administered after written educated consent had been attained and before randomization and treatment. Follow-up structured interviews were administered 4 months, 12 months, and 24 months after randomization. Site coordinators, who had been trained by the coordinating center, conducted all interviews throughout a clinic go to or by telephone if a clinic visit was missed.