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A moderate effect of PENS alone (SMD -0.71, 95%CI -1.23 to -0.19) on pain when compared to other interventions was observed. The inclusion of PENS with other interventions had a moderate effect for decreasing pain at short- (SMD -0.70, 95%CI -1.02 to -0.37) and mid-term (SMD -0.68, 95%CI -1.10 to -0.27). No effect at mid-term (SMD -0.21, 95%CI -0.52 to 0.1 on related-disability was seen. The risk of bias was generally low; but the heterogenicity of the results downgraded the level of evidence. CONCLUSION There is low level of evidence