Back pain is one of biggest reasons patients go to the doctor. People will commonly miss work and it is the leading cause of disability worldwide. Fortunately, for most, the symptoms will resolve on their own in a few weeks. But for many, the symptoms can be a lifelong disabling condition. Typical causes of back pain include muscular strain, arthritis, disc herniations, and ligamentous laxity. A painful electric-like sensation can occur at times signaling a “pinched nerve”. Others may have intermittent symptoms which may be dull and achy. Physically active and sedentary individuals can both develop back pain. Office workers commonly have this condition. Many of these patients will have poor core strength and shortening of muscles. Ligamentous laxity also develops over time. Rest and medications are usually the first line of treatment. When someone does not get better, physical therapy and accupunture can provide great benefit. An MRI and nerve study may be required to assess for radiculopathy. More invasive treatment can be done if necessary such as injections with corticosteroids. We find that prolotherapy and PRP can significantly reduce disability and be curative in many cases.