Impact of DuoTherm on Opioid Use and Low Back Pain

Inclusion Criteria: * Age18-90 * Moderate-to-severe low back pain with numeric rating scale \>=4/10 * Capacity to understand informed consent * Willingness to communicate prescriptions, pill number, dose, and source of opioids used Exclusion Criteria: * Opioid prescription in the past month for acute LBP (new pain \<3 months) * Radicular pain * BMI greater than 50 (device won't fit) * Sensitivity to cold or vibration (e.g Raynaud's or Sickle Cell Disease) * Diabetic neuropathy * New neurologic deficits * Skin lesions over the low back area * Contraindication to any medication for pain management * Inability to apply DuoTherm or TENS device * Pacemaker