Eligibility Criteria:
Inclusion Criteria:
* History of low back pain for a minimum of 6 months with signs and symptoms of radiculopathy: positive straight leg raising test with dermatomal radiation and/or myotomal weakness and/or reflex asymmetry; pain must radiate into buttock or below.
* Male or female, age greater than18 years, with no racial/ethnic restrictions.
* Must have a Visual Analog Scale (VAS) pain score \>50 mm (of 100 mm maximum) at the baseline visit (for which 0mm = no pain, and 100 mm = worst pain imaginable).
* Must be able to read and speak English and be willing to read and understand instructions as well as questionnaires.
* Must be in generally stable health.
* Must sign an informed consent document after a complete explanation of the study documenting that they understand the purpose of the study, procedures to be undertaken, possible benefits, potential risks, and are willing to participate.
Exclusion Criteria:
* Low back pain associated with any systemic signs or symptoms, e.g., fever, chills.
* Evidence of rheumatoid arthritis, ankylosing spondylitis, acute vertebral fractures, fibromyalgia, history of tumor in the back.
* Other comorbid chronic pain or neurological conditions.
* Involvement in litigation regarding their back pain or having a disability claim or receiving workman's compensation or seeking either as a result of their low back pain.
* Diagnosis of current depression or psychiatric disorder requiring treatment, or such a diagnosis in the previous 6 months.
* Beck Depression Inventory II score of \>28.
* Use of therapeutic doses of antidepressant medications (i.e., tricyclic depressants, SSRIs, SNRIs; low doses used for sleep may be allowed).
* Significant other medical disease such as unstable diabetes mellitus, congestive heart failure, coronary or peripheral vascular disease, chronic obstructive lung disease, or malignancy.
* History of gastrointestinal ulcer during the past year.
* History of myocardial infarction in the past year.
* Uncontrolled hypertension.
* Renal insufficiency.
* Allergic to, or non-tolerant of, NSAIDs.
* History of aspirin-sensitive asthma.
* Regular use of low dose aspirin.
* Current use of recreational drugs or history of alcohol or drug abuse.
* Any change in medication for back pain in the last 30 days.
* High dose opioid prophylaxis, as defined as \> 50mg morphine equivalent/day.
* Any medical condition that in the investigator's judgment may prevent the individual from completing the study or put the individual at undue risk.
* In the judgment of the investigator, unable or unwilling to follow protocol and instructions.
* Evidence of poor treatment compliance, in the judgment of the investigator.
* Intra-axial implants (e.g. spinal cord stimulators or pumps).
* All exclusion criteria for MR safety: any metallic implants, brain or skull abnormalities, tattoos on large body parts, and claustrophobia.
* Pregnancy, or inability to use an effective form of contraception in women of child-bearing age.
* Diabetes (Type I or Type II).
Prohibited Medications:
* Therapeutic doses of antidepressant medications (i.e., tricyclic depressants, SSRIs, SNRIs; low doses used for sleep may be allowed).
* Oral iron supplementation unless approved by the investigator.