Virtual Reality Guided Acupuncture Imagery Treatment for Chronic Low Back Pain

Inclusion Criteria:

• Volunteers 18-75 years of age.

• Meet the Classification Criteria of chronic LBP (having low back pain for more than 6 months), as determined by the referring physician.

• At least 4/10 clinical pain on the 11-point LBP intensity scale.

• Must have had a prior evaluation of their low back pain by a health care provider,which may have included radiographic studies. Documentation of this evaluation willbe sought from Partners or outside medical records and kept in the subject'sresearch record.

• At least a 10th grade English-reading level; English can be a second languageprovided that the patients feel they understand all the questions used in theassessment measures.

Exclusion Criteria:

• Specific causes of back pain (e.g. cancer, fractures, infections),

• Complicated back problems (e.g. prior back surgery, medico legal issues),

• Possible contraindications for acupuncture (e.g. coagulation disorders, cardiacpacemakers, pregnancy, seizure disorder), and conditions that might confoundlongitudinal effects or interpretation of results (e.g. severe fibromyalgia,rheumatoid arthritis).

• Conditions making study participation difficult (eg, paralysis, psychoses, or othersevere psychological problems as per the judgment of a study investigator duringSession 1)

• The intent to undergo surgery during the time of involvement in the study.

• Unresolved medical legal/disability/workers compensation claims in connection withlow back pain.

• Lacking the capacity to consent for oneself

• Do not have access to zoom or other software regularly to complete the study.