The blues shuffle in this song is something Pomus' collaborator Dr. John
referred to as "Junker Blues." in the book Tell The Truth Until They Bleed
, Josh Alan Friedman quotes Pomus: "It's a certain kind of monotonous, sad, melodic and lyrical line that, because of the continuity involved, for some reason has always attracted junkies. Da-dum, da-dum, da-dum. I imagine they're shuffling along to it or something. All the junkies, Mac told me, thought I was a junkie. They said somebody who wasn't could never have written 'Lonely Avenue.' Mac couldn't believe how straight I was."