Abstract: An apparatus for providing lower back pain relief for use between the human body and a flexible surface consisting of a flexible base member having a first side, a second side, a third side and a fourth side, a flexible top member having a lumbar support portion, a midpoint and two substantially flat sides extending from the support portion to the second side and the fourth side of the flexible base member; a pocket affixed to the flexible top member, the pocket defining an opening for insert of one or more hot or cold packs for maintaining a desired temperature of the apparatus, and a cover having a zipper which can be removably attached to the apparatus, wherein the apparatus is placed between the lower back region of the user's body and the flexible surface.