Pain can negatively impact the quality of life and affect daily activities that can lead to work absenteeism and depression. According to the World Health Organization, lower back pain is one of the most common musculoskeletal disorders requiring physical and/or pharmacological treatment in chronic conditions. The effectiveness of such treatments is negatively affected by the lack of compliance. For physical activity, common challenges include discomfort, lack of feedback when unsupervised, or boredom caused by the repetitive and monotonous nature of exercising. An approach that has gained popularity in physical therapy employs games to boost engagement and adherence by taking advantage of natural pain attenuators including deep breaths, listening to music, or playing video games. This paper presents the evaluation of three virtual environments designed to modulate lower back pain by means of the visual analog scale (VAS) to assess pain perception, and the System Usability Scale (SUS) to evaluate the systems. The results indicate that two of the three environments showed a positive impact on pain perception. The VAS reported by the participants for the second and the third environment was the same or lower when using the virtual environment, the first environment represented better results for the 60 % of the participants meanwhile, the other 40% perceived higher pain. Finally, the participants found the scenarios usable with a SUS score average of 83, 78.5, and 88.5 for each environment.