mMASI Group A (n = 20) Group B (n = 20) Group C (n=20) KWχ2 P before treatment Range 5.40–13.40 7.20–16.80 5.40–17.40 1.520 0.468 Mean ±  SD. 9.37 ± 2.18 10.55 ± 2.60 10.25 ± 2.93 after treatment Range 4.30–12.0 1.0–14.40 1.50–12.40 3.204 0.202 Mean ±  SD. 7.51 ± 2.24 6.46 ± 2.75 6.19 ± 3.26 % of change €19.85 €38.77 €39.61     Z 3.519* 3.825* 3.824*     p <0.001* <0.001* <0.001*

Table 3: Comparison among the studied groups according to mMASI score before and after treatment.