Evidence map›Paper›PMID 39812197›Full record

Trial reportLa Tunisie medicale2025

Comparison of Mesotherapy and Transcutaneous Electrical Nerve Stimulation (TENS) in the Management of Chronic Non-Specific Low Back Pain: A Randomized Clinical Trial.

Najla Mouhli, Soumaya Belghith, Souad Karoui, Maroua Slouma, Rim Dhahri, Faida Ajili, Rim Maaoui, Hajer Rahali

Abstract readRandomized Controlled TrialComparative StudyMulticenter Study
In one paragraph

Trial report in La Tunisie medicale, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Najla MouhliPhysical Medicine and rehabilitation Department, Military hospital of Tunis, Tunisia.
Soumaya BelghithPhysical Medicine and rehabilitation Department, Military hospital of Tunis, Tunisia.
Souad KarouiPhysical Medicine and rehabilitation Department, Military hospital of Tunis, Tunisia.
Maroua SloumaUniversity of Tunis El Manar, Faculty of Medicine of Tunis, Tunisia.
Rim DhahriUniversity of Tunis El Manar, Faculty of Medicine of Tunis, Tunisia.
Faida AjiliUnit Research Systemic Diseases (UR) 17DN02.
Rim MaaouiPhysical Medicine and rehabilitation Department, Military hospital of Tunis, Tunisia.
Hajer RahaliPhysical Medicine and rehabilitation Department, Military hospital of Tunis, Tunisia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction-Aim: Chronic low back pain affects 80% of individuals at some point in their lives and has significant socioeconomic impacts. This study aims to compare the efficacy of mesotherapy with transcutaneous electrical nerve stimulation (TENS) in treating chronic low back pain.

methodsA randomized bicentric study was conducted at the Military Hospital of Tunis and the Multidisciplinary Military Polyclinic of Mefeteh Saadallah between August 2023 and June 2024. Sixty patients (40 men and 20 women) with chronic low back pain were included. Group 1 (TENS) received 6 sessions of neurostimulation twice a week for 3 weeks. Group 2 (mesotherapy) received 3 sessions of mesotherapy. Measurements included pain, analgesic consumption, physical examination, Oswestry Disability Index, Hospital Anxiety and Depression (HAD) score, and patient satisfaction.

resultsOut of 293 patients consulted, 60 were included and randomized. Both groups showed significant pain improvement (p<0.001) with no notable difference between them (p=0.05). Analgesic consumption decreased more significantly with mesotherapy (p<0.001). Improvements in physical examination, Oswestry score, and HAD score were significant in both groups without significant differences between them. Patient satisfaction was high in both groups with an average score of 88/100 for TENS and 77/100 for mesotherapy (p=0.154). DISCUSSION: Mesotherapy and TENS are effective in treating chronic low back pain, reducing pain and improving functional and psycho-emotional scores with no significant difference between them. Mesotherapy reduces analgesic consumption more. Further studies are needed to confirm these results.

Indexed as

Chronic PainLow Back PainMesotherapyTranscutaneous Electric Nerve StimulationAdultFemaleHumansMaleMiddle AgedPain ManagementPain MeasurementPatient SatisfactionTreatment OutcomeTunisiaChronic low back painMesotherapyRehabilitationTranscutaneous electrical nerve stimulation (TENS)

Identifiers

PMID39812197
PMCPMC11906241

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.