• Age 65 years or older

• Body mass index (BMI) ≤ 35

• Documented diagnosis of moderate radiographic degeneration of up to 3 intervertebral discs from L1 to S1, with a suspected associated discogenic chronic low back pain

• Chronic LBP for ≥ 6 months

• Discogenic low back pain diagnosis based on:

‣ History including low back pain aggravated with coughing, sneezing, and increase of abdominal pressure

⁃ Physical exam including pain with flexion (sitting or standing), and/or sitting intolerance

• Failed conservative care over the past 6 months of at least 2 conservative treatments including:

‣ oral pain medication (analgesics, steroids and/or non-steroidal anti-inflammatory drugs \[NSAIDs\]),

⁃ structured physical therapy or exercise program prescribed by physical therapist, chiropractor provider or physician specifically for the treatment of low back pain

⁃ epidural steroid injections and/or facet injections/selective nerve blocks

• An MRI demonstrating:

‣ 1 to 3 vertebral level involvement L1-S1

⁃ Modified Pfirrmann Grade 3-7

⁃ No Modic changes or if changes ≤ 2

• Oswestry Disability Index (ODI) score at time of evaluation of ≥ 21 and ≤ 80 points

• Low back pain of Baseline Numeric Rating Scale (NRS) score of ≥ 5 on the 11-point scale

• No signs or symptoms of current infection

• Be able to give voluntary, written informed consent to participate and have signed an Informed Consent Form specific to this study

• Be willing and able to comply with all study procedures and availability for the duration of the study with a life expectancy of \> 2 years