Conventional chronic pain care is organized around diagnosis. Find what’s wrong. Name it. Treat it. The problem: nobody can reliably diagnose non-specific chronic low back pain. Imaging doesn’t predict pain. Pain doesn’t predict imaging.
After three months, the pain is rarely one thing. It’s the downstream signature of multiple systems failing together. The diagnostic model — built for acute injury — doesn’t transfer to this population.
So we don’t lead with diagnosis. We lead with process. A disciplined sequence: address the most likely contributors, measure response, iterate. The work isn’t to guess the answer. The work is to run the algorithm.