Koszela Kamil, Mammucari Massimo, Słupiński Michał, Woldańska-Okońska Marta
Department of Neuroorthopedics and Neurology Clinic and Polyclinic, National Institute of Geriatrics, Rheumatology and Rehabilitation in Warsaw, Warsaw, 02-637, Poland.
President of the Polish Society of Mesotherapy, Warsaw, Poland.
Rheumatol Int. 2025 Aug 22;45(9):206. doi: 10.1007/s00296-025-05940-1.
Back pain syndrome is one of the most prevalent disorders of the 21st century, frequently diagnosed by physicians across various medical specialties. A key clinical priority is to identify the underlying cause and establish an accurate diagnosis. A common etiological factor is the overload of soft tissues due to improper posture or movement, resulting in congestion, reduced mobility, and pain. Spinal mesotherapy, a minimally invasive injection technique, has gained attention for its ability to improve microcirculation, relax tense tissues, enhance range of motion, and, most importantly, alleviate pain. Increasingly, this treatment is being incorporated into a structured "three-step approach" to chronic back pain: risk factor assessment, medical intervention (such as spinal mesotherapy), and subsequent targeted physiotherapy. This narrative review analyzes nine studies involving more than 800 patients with chronic back pain syndrome. Across all included studies, mesotherapy demonstrated a consistent positive impact on both pain reduction and functional improvement, without reports of serious adverse events. The purpose of this review is to assess the current evidence on the efficacy and safety of spinal mesotherapy and to highlight its role within a multimodal treatment strategy for chronic back pain.
背痛综合征是21世纪最普遍的疾病之一，各医学专科的医生都经常对其进行诊断。一个关键的临床重点是确定潜在病因并做出准确诊断。一个常见的病因是由于姿势或动作不当导致软组织负荷过重，从而引起充血、活动能力下降和疼痛。脊柱中医疗法是一种微创注射技术，因其能够改善微循环、放松紧张组织、增加活动范围，以及最重要的是缓解疼痛而受到关注。这种治疗方法越来越多地被纳入慢性背痛的结构化“三步疗法”中：风险因素评估、医学干预（如脊柱中医疗法）以及随后的针对性物理治疗。这篇叙述性综述分析了9项涉及800多名慢性背痛综合征患者的研究。在所有纳入的研究中，中医疗法对减轻疼痛和改善功能均显示出一致的积极影响，且无严重不良事件报告。本综述的目的是评估目前关于脊柱中医疗法疗效和安全性的证据，并强调其在慢性背痛多模式治疗策略中的作用。
