A Proposed Diagnostic and Treatment Algorithm for the Management of Lumbar Discogenic Pain [Response to Letter]
Morgan P Lorio, Jon E Block · 2026
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Description
Morgan P Lorio and Jon E Block publish a 2026 response to comments on their proposed algorithm for lumbar discogenic pain. Commentators had asked why back muscle dysfunction, a growing topic in chronic back pain, received no pathway. The reply explains the omission was deliberate scope, not oversight.
The authors note their own involvement in guidance on restorative stimulation for muscle-based pain. Their algorithm, however, targets one defined phenotype: pain dominated by the disc in the front column of the spine. Muscle dysfunction often coexists with disc degeneration, they argue, without being the same diagnosis. Keeping the aperture narrow supports mechanism-based classification. They welcome the muscle pathway as a companion framework rather than a missing step.
Catalog record
| CREATOR | Morgan P Lorio, Jon E Block |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 5 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |