Evidence map›Paper›PMID 34957989›Full record

ReviewJournal of back and musculoskeletal rehabilitation2022

Lumbar instability as an etiology of low back pain and its treatment by prolotherapy: A review.

Ross A Hauser, Danielle Matias, David Woznica, Benjamin Rawlings, Barbara A Woldin

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Journal of back and musculoskeletal rehabilitation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07296653 (Efficacy of Prolotherapy in Acupoints in Chronic Non-specific Low Back Pain), which is not on this map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07296653 early_phase1recruitingnot on this mapstarted 2025, after this paper: background citation

Efficacy of Prolotherapy in Acupoints in Chronic Non-specific Low Back Pain (cLBP) - A Randomized Control Trial

TypeinterventionalSponsorNational and Kapodistrian University of AthensRan2025 to 2027Enrolled60ConditionsChronic Non-specific Low Back PainArmsDextrose 15% and lidocaine 1% infiltration, Lidocaine 1% infiltration
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  5. Article
  6. Laminectomy aloneWorld journal of orthopedics · 2026
    Review
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  15. The role of spinal and hip mobility in disability among patients with chronic low back pain.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
    Article
  16. Article
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  19. Article
  20. Risk factors and interaction effects in recurrent low back pain.American journal of translational research · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ross A HauserCaring Medical Florida, Fort Myers, FL, USA.
Danielle MatiasCaring Medical Florida, Fort Myers, FL, USA.
David WoznicaWoz Wellness, Chicago, IL, USA.
Benjamin RawlingsCaring Medical Florida, Fort Myers, FL, USA.
Barbara A WoldinCaring Medical Florida, Fort Myers, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow back pain is a significant spinal disorder that affects much of the population at some point during their lives.

objectiveWhile proper diagnosis is key, diagnosing the underlying cause of low back pain may often be unclear.

methodIn this review article, we discuss lumbar instability as an etiology of low back pain and its treatment by prolotherapy.

resultsSpinal ligaments may be an underlying culprit in the development of lumbar instability with resultant low back pain and associated disorders.

conclusionIn these cases, adequate treatment consisting of non-biologic prolotherapy or cellular prolotherapy, including platelet rich plasma (PRP), can be beneficial in restoring spinal stability and resolving chronic low back pain.

Indexed as

Joint InstabilityLow Back PainPlatelet-Rich PlasmaProlotherapySpinal DiseasesHumansLumbar Vertebraedegenerative disc diseasefacet jointlow back painLumbar instabilityprolotherapysacroiliac jointspinal osteoarthritis

Identifiers

PMID34957989
PMCPMC9398090
OpenAlexW4200313530

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.