Lifting a heavy box. Moving a sofa. Sitting at the computer all day. Any of these factors can give us a sharp pain or dull twinge in the back. The next thing we know, we may be headed for costly treatments, time off from work, and maybe even surgery.

The back is a vulnerable area because it bears the brunt of many activities. If we lift without bending out knees, the back finds itself carrying all that weight. If we twist into an unusual position, the back is at stake. If we sit for too long, often our posture slumps and our back suffers. Back pain is common, it is annoying and it afflicts people of all ages.

But perhaps the pain would go away with a type of treatment growing in popularity. This is more likely to be the case if the pain involves a pulled ligament. Pulled ligaments are painful because the injured area gets moved every time that part of the body changes position. And ligaments take a long time to heal.

What is the new chronic back pain treatment?

It is called prolotherapy, and it is a type of injection used for treating pulled ligaments and related conditions. Only a doctor can perform the procedure.

How does prolotherapy work?

Prolotherapy works by injecting a dextrose solution into the painful area. The dextrose causes an inflammation, which stimulates the body's healing abilities to repair damaged ligaments and tissues.

Is it painful?

There is a bit of pain associated with the injections, and during the few days following.

How many injections are needed?

It depends on the injury. Some people need just a few injections, others need ten or more.

Is it expensive?

Prolotherapy is relatively inexpensive. It is done in the doctor's office so costs can be contained.

Who performs the treatment?

Medical doctors (M.D.s) can do this treatment. One specialist is called a "Physical Medical and Rehabilitation" doctor. This type of physician specializes in conditions of the bones and muscles, offering non-surgical treatments. These doctors treat a lot of back pain, as well as other conditions impacting the joints.

Is prolotherapy new?

It is not new, but it is growing in popularity as more physicians are finding good results. Obviously, it will not cure all back problems, but is effective in many cases.

Is prolotherapy limited to the back?

No, it is used to treat ligaments and joints throughout the body, including such places as the knee and shoulder.

Is prolotherapy a form of mainstream medicine?

Actually, prolotherapy is considered by some to be alternative, but it is performed by many mainstream physicians.

How are the results?

For many injuries, physicians are seeing upwards of 70 and 80 percent success rates.

How can I learn more about prolotherapy?

Prolotherapy is gaining popularity. There is more written in terms of books and articles. Check your local library for information. Also, the Internet is a good source of information.

How can I find out if a doctor in my area does prolotherapy?

You can ask your family doctor if he or she is aware of the procedure and who is doing it in your community. Or you can call the local hospitals and inquire. The county medical society may be able to direct you as well.