Objectives To compare outcomes for litigants and non-litigants with chronic spinal pain treated with dextrose prolotherapy. Methods One hundred and forty-seven consecutive patients with chronic spinal pain were classified as litigants if they had retained a lawyer for an unresolved claim at the start of treatment, or as non-litigants if they had previously settled claims or sustained non-compensable injuries. Patients were treated with a solution of 20% dextrose and 0.75% lidocaine. One-half milliliter of proliferant was injected into facet capsules of the cervical, thoracic, or lumbar spine. The iliolumbar and dorsal sacroiliac ligaments were also injected for a total of 10 cc in low back pain patients. The Neck Disability Index, Patient Specific Functional Scale, and Roland–Morris Disability Questionnaire scales were administered before treatment and approximately 1 year after treatment. At the 1-year follow-up, patients were also asked to rate their change in symptoms, function, ability to work, willin...