The purpose of this study is to determine if music therapy during interventional lumbar medial branch blocks for chronic lower back pain will lower pain scores and anxiety levels, while increasing patient desire for repeat procedure as well as patient satisfaction.

Subjects will be put into 1 of 2 groups, Music or the Control Group (no music). The music group will listen to patient's preferred music on Pandora station broadcast using Headphones or Wireless Earbuds with Tablet or Computer. Hearing impaired patients will have an option of non-earbud headphones. . Earbuds or headphones will be used regardless of music therapy playing. . The control group will be provided earbuds or alternative headphone as well, however, with no music. The sound environment will be standardized for procedure by closing procedure room door and minimizing extraneous sounds (i.e. from equipment, alarms, etc.,).

Inclusion Criteria:

• Age> or equal to 18
• History of documented chronic lower back pain

Exclusion Criteria:

• Patient refusal
• Deafness (unless corrected with a hearing aid)
• Initial Pain Score < 3
• Prior Lumbar Medial Branch Blocks/Radiofrequency ablation therapy
• Any woman who is currently pregnant.