 Sample Size: The sample size necessary for a randomized controlled trial with three repeated measures at 0, 7 and 18 weeks was calculated using online sample size software GLIMMPSE 2.0. The calculation was performed using a significance level of 0.05, a power of 0.8, a minimum detectable mean difference between groups of 10 points on the Short Musculoskeletal Function Assessment Dysfunction Index SMFA-DI at both 7 weeks and 18 weeks, and a standard deviation of 23 points on the SMFA-DI based on clinical data at WACHC. The needed sample size calculated was 88 participants. To account for a potential 20 drop-out rate, 110 participants will be recruited 