1. Pain, soreness and discomfort in the neck, back and lumbar region: the largest number of such patients. Most patients have short-lived symptoms, related to exertion or cold, some are acute sprains, such as lumbar sprain, fallen pillow, etc., which can be relieved by rest, but can also be recurrent, but the symptoms are generally not heavy, if no abnormalities are seen in the imaging data, usually diagnosed as muscle soft tissue strain, myofasciitis, soft tissue injury, etc. The treatment is rest, oral anti-inflammatory and pain-relieving and blood-activating drugs, external pain-relieving emulsions or patches In addition, physical therapy (hot compress or electric baking), acupuncture or cupping, etc. Of course, more intense or prolonged pain needs to exclude spinal bone lesions, such as infections, tumors or rheumatic diseases, requiring special imaging or blood tests. 2, low back pain: low back pain, hip pain, leg pain (can be unilateral or bilateral), often from one side or bilateral hip to leg radiation, can also be numbness, or cold, suffocating, “sleepy” feeling, some patients can appear intermittent limp, that is, after walking a distance to feel low back pain, hip and lower limb pain and numbness, unable to Continue to walk, or barely continue to walk, sit down or crouch down to rest for a while and can walk again, but after walking for a distance the above symptoms appear again, and so on and so forth. This symptom may be caused by nerve compression by lumbar disc herniation or lumbar spinal stenosis, which often requires CT or MRI examination of the lumbar spine, and then the next treatment plan will be decided according to the results. 3, neck and shoulder upper limb pain, numbness and weakness of the extremities, inflexible hands, unstable walking: such symptoms are related to the cervical spine, often suggesting cervical spondylosis, cervical spinal cord or nerve root compression, the patient may only show some of the above symptoms, related to the degree and location of nerve compression, the need to perform cervical MRI examination to clarify whether surgery is required. 4, spinal deformation: spinal deformation in a broad sense includes any changes that do not conform to the normal shape of the spine, but in fact most of them are relatively light and not easy to detect in appearance, such as: straightening of the physiological curvature of the cervical spine, poor lumbar parallelogram and other imaging descriptions, which have little practical significance. However, the deformation that is obvious, can be seen in appearance, produces obvious pain symptoms, and has a greater impact on life is likely to require treatment, or even surgical orthopedics. 5, lower limb numbness and weakness, unstable walking: simple lower limb symptoms, with numbness and weakness of the whole leg as the main feature, and no symptoms in the upper limbs, may be thoracic spinal stenosis compressing the spinal cord, of course, a few patients are caused by cervical spinal stenosis, detailed imaging is needed to determine the treatment plan, and a significant proportion of patients may need surgery. 6, dizziness, dizziness, headache, chest tightness, tinnitus, blurred vision: such symptoms are varied and can be accompanied by other rare symptoms, most patients believe that the cervical spine is the problem, from the cervical spine X-ray, CT or MRI can be found in mild or heavy osteophytes, spinal stenosis, disc herniation and other manifestations, but whether such symptoms are related to the performance of imaging is still controversial, patients in addition to the spine surgery Patients should be seen in related departments, such as neurology, vascular surgery, otolaryngology, and internal medicine, in addition to spine surgery, to make a comprehensive determination. It is important to note that because the mechanisms responsible for the above symptoms remain unclear, it is likely that a significant number of patients will not have a clear etiology even after seeing all departments. Many patients’ symptoms are some neurological abnormalities, not organic changes, so it is also impossible to remove the cause and only symptomatic treatment is available.