Examining the Impact of a Digital Health Program and TENS Device for Patients With Chronic Low Back Pain

Inclusion Criteria: * Age 18 or over * United Healthcare (UHC) is primary health plan * Mechanical (myofascial), axial back pain (focused around the spine) * Experiencing pain primarily in the low back area * Radicular component of pain has minimal effect on functionality, medication, quality of life * Experiencing low back pain for at least 3 months * Subject able to understand and provide informed consent * Comfortable and willing to accept random assignment to one of two study conditions (intervention or standard care condition) * Has an email account Exclusion Criteria: * Patients that do not own or have access to a smartphone or tablet * Has spinal instability, joint instability, or grade 2 or greater spondylolisthesis with instability * Primary symptoms due to spinal stenosis as evidenced by pseudoclaudication, leg weakness or numbness * Source of back pain related to an acute nerve impingement * Diagnosis of cancer/malignant tumors in the last 5 years * Source of back pain is an infection * History of spinal fusion surgery * Has a cardiac pacemaker, implanted defibrillator, spinal cord stimulator, pain pump, or any other implanted electronic device * Has had myocardial infarction within the past 6 months * Has had a coronary stent in the past 3 months * Has radicular pain symptoms that affect functionality, quality of life or medication intake * Has undergone surgery to solve pain related to the study indication in the past 12 months * Is scheduled for upcoming surg…