As we enter the winter season, there is an increasing number of patients coming to the clinic for low back and leg pain. Most of these patients have symptoms of low back and leg pain from time to time throughout the year, and their symptoms worsen after the weather turns cold. Due to the severe pain that is not cured for a long time, many patients look for prescriptions and recipes everywhere, hoping to have a panacea to solve the disease completely. In the current network and real life, medical advertisements for the treatment of back and leg pain can be seen almost everywhere, and most of these advertisements are titled as prescriptions, remedies, techniques, and ancestral secret recipes to attract the majority of patients. Many patients come to the clinic with advertising materials or “secret formula” drugs and health products. So is there really a secret formula for treating back and leg pain? In fact, the first prerequisite for the treatment of a disease is a clear diagnosis, in the absence of a clear diagnosis with a drug or a method to treat all diseases is against the laws of science. Low back pain is a type of disease that mainly manifests with pain in the waist and legs, and although the symptoms are similar, the causes are complex. Although the symptoms are similar, the causes are complex. There are congenital and traumatic injuries or degeneration of body functions, and some internal diseases can also be manifested as low back pain, even caused by psychological factors. Common causes include lumbar disc herniation, lumbar spinal stenosis, lumbar spondylolisthesis, lumbar fracture, acute lumbar sprain, chronic lumbar strain, small joint disorder, lumbar osteophytes, ankylosing spondylitis, sciatica, rheumatoid arthritis, and senile osteoporosis in modern medicine. There are more uncommon causes, such as ligamentous strain, ligamentum flavum hypertrophy, lumbar spine osteoarthritis, spinal tuberculosis, septic osteomyelitis, vasculitis, neuritis, myelitis, peptic ulcer, pancreatitis, renal contusion, urinary tract stones, metastatic cancer of the spine, hemangioma, giant cell tumor of bone, chordoma, spinal cord and nerve root tumor, pancreatic cancer, pelvic tumor, visceral prolapse, etc. There are also developmental and postural abnormalities that cause low back pain, such as occult spina bifida, scoliosis, dural bulge, vascular malformation, wandering kidney, etc. Obviously, with so many causes that can cause similar symptoms, how can there be a secret formula for all diseases? With such complex causes and no miracle cure, what should we do if we have low back pain? Since we know that this is a group of complex diseases, we can’t use simple thinking to find the so-called partial prescriptions and secret recipes. The first thing to do is to go to a regular hospital for a clear diagnosis. Among all patients with lumbar pain, the first few diseases mentioned above account for the vast majority, and their causes are mostly cumulative injuries or degeneration of the body, which can be clearly diagnosed through regular imaging examinations combined with clinical investigations. For diseases such as lumbar disc herniation and lumbar spinal stenosis, many treatments in modern medicine can cure them, especially surgery, which is a very good means of radical treatment under clear diagnosis and indications. Some patients worry about the risk of surgery or paralysis after surgery, but there is no need to worry too much about it. Today’s medical technology and conditions have made surgery a very safe treatment. Our spine department has performed various types of surgery mainly for degenerative spine diseases, and decades of clinical practice have proven that the results of surgery are very satisfactory. If no problem is found by CT or MRI, it is important to consider whether it is caused by other medical diseases to avoid misdiagnosis and missed diagnosis. There are many pseudoscientific medicines or treatments around us, and some patients feel relief from their symptoms even after using them. In fact, most of these drugs contain painkillers, and patients will definitely experience pain relief after taking them. However, if you believe in these so-called secret remedies without a clear picture of the disease, you will often go into the wrong treatment area or cover up the real disease and delay the treatment. Medical technology, equipment and drugs are all related to life safety and health issues, so medical advertising is currently prohibited in many countries. Some countries can even advertise firearms and ammunition, but still do not allow pharmaceuticals to be advertised. The environment we are currently living in is full of false propaganda for various medical or pharmaceutical products, which is a terrible thing when most people lack medical expertise. Therefore, it is not terrible to have back pain, what is terrible is to believe in the so-called secret formula and follow the false advertisement into the misunderstanding of treatment. In today’s more developed human civilization, the real recipe for treating diseases is to believe in science.