Faster Treatment for Back Pain

Recent research in the Journal of the Canadian Medical Association says the faster you get treatment for your back pain, the sooner you will get pain relief. Now they do not specify a specific treatment, only that any treatment would be preferable to none. Here is what they said: “Patients who presented with acute or persistent low-back pain improved markedly in the first six weeks. After that time, improvement slowed. Low to moderate levels of pain and disability were still present at one year” (1) Again, this is based on any treatment.

But what type of treatment is preferable?
Some studies suggest that pain killers are the best treatment, other research seems to think elsewise: “despite greater use of medications at greater chronic low back pain severity, current options remain less than optimal in providing analgesic efficacy.” (2)

Some think physical therapy as the preferred treatment, however others do not: “There was a high perception of pain and disability after conventional physical therapy treatment, which suggests the need to modify the therapeutic approach to achieve more effective pain relief and function.”(3)

Some think Prolotherapy is the best treatment, such as the researchers in the medical journal International Musculoskeletal Medicine who explored the use of Prolotherapy in patients who had failed to respond to conservative approaches including spinal manipulation and physiotherapy. Utilizing Prolotherapy (3 injections over a 3 to 5 week period), they confirmed that 91% of respondents were better or not worse off after 12 months. (4)

Not that everyone agrees with Prolotherapy either. But research in the Journal of Prolotherapy proves the effectiveness of this regenerative injection treatment. We investigated the outcomes of patients undergoing Hackett-Hemwall dextrose Prolotherapy treatment for chronic low back pain.

We looked at 145 patients, who had been in pain an average of four years and ten months, and were treated quarterly with Hackett-Hemwall dextrose Prolotherapy. This included a subset of 55 patients who were told by their medical doctor(s) that there were no other treatment options for their pain and a subset of 26 patients who were told by their doctor(s) that surgery was their only option. Patients were contacted an average of 12 months following their last Prolotherapy session and asked questions regarding their levels of pain, physical and psychological symptoms and activities of daily living, before and after their last Prolotherapy treatment.

Results: In these 145 low backs, pain levels decreased from 5.6 to 2.7 after Prolotherapy; 89% experienced more than 50% pain relief with Prolotherapy; more than 80% showed improvements in walking and exercise ability, anxiety, depression and overall disability; 75% percent were able to completely stop taking pain medications.(5)

Low back pain is one of the easiest conditions to treat with Hackett-Hemwall Prolotherapy. Ninety-five percent of low back pain is located in a 6×4 inch area, the weakest link in the vertebral-pelvis complex. At the end of the spine, four structures connect in a very small space which happens to be the 6-by-4 inch area. The fifth lumbar vertebra connects with the base of the sacrum. This is held together by the lumbosacral ligaments. The sacrum is connected on its sides to the ilium and iliac crest. This is held together by the sacroiliac ligaments. The lumbar vertebrae are held to the iliac crest and ilium by the iliolumbar ligaments. This is typically the area treated comprehensively with Prolotherapy for chronic low back pain.

Questions on how you can avoid spinal surgery, or about this article? Do you need Information on becoming a patient for your lower back pain? Contact us.

Ross Hauser, MD is a leading expert in Prolotherapy.


1. Menezes C, Costa LA, Maher CG, Hancock MJ, et al. The prognosis of acute and persistent low-back pain: a meta-analysis. CMAJ. 2012 May. doi: 10.1503/cmaj.111271

2. Taylor-Stokes G, Lobosco S, Pike J, Sadosky AB, Ross E. Relationship between patient-reported chronic low back pain severity and medication resources. Clin Ther. 2011 Nov;33(11):1739-48. Epub 2011 Oct 15.

3. Pinheiro J, Figueiredo P, Branco J, Ramos S, Ferreira L. Nonspecific chronic low back pain and function: a clinical study in a physical medicine and rehabilitation consultation. Acta Med Port. 2011 Dec;24 Suppl 2:287-92.

4. Jacks A, Barling T Lumbosacral Prolotherapy: a before-and-after study in an NHS setting. International Musculoskeletal Medicine. 2012;34(1):7-12.

5. Hauser RA, Hauser MA. Dextrose Prolotherapy for unresolved low back pain: a retrospective case series study. Journal of Prolotherapy. 2009;1:145-155.