Neck, shoulder, lumbar and leg pains are common and frequent clinical diseases. Its main causes are acute and chronic soft tissue injuries, occupational strain and feeling wind, cold and dampness. Acute and chronic soft tissue injuries include tears, pulls, sprains, contusions, bruises, cracks and breaks of muscles, ligaments, joint capsules and various muscle fibers, resulting in neck, shoulder, lumbar and leg pain. The severity of the pain, swelling and joint dysfunction depends on the severity of the trauma and the obviousness of the cold and wind-cold trigger. There are acute and chronic causes, mild and severe lesions, and long and short courses of the disease. Some patients are clear about the causes of neck, shoulder, back and leg pain, but some are not, which makes diagnosis and treatment difficult and may even be misdiagnosed. If the patient is treated under this premise, of course, satisfactory results cannot be achieved. If the patient is not cured for a long time, the patient will naturally have doubts and thought burdens about the diagnosis and treatment, so the saying “the patient has neck, shoulder, back and leg pain, the doctor has a headache” has arisen. This shows that the correct diagnosis before treatment is the key to treatment. How to detect the cause of the disease? With the development of medical care, the introduction of advanced medical equipment, such as CR (digital X-ray), CT, MRI, has played an extremely important role in the examination and diagnosis of diseases and the improvement of treatment techniques. However, a comprehensive and correct evaluation of their role is necessary to provide a scientific and accurate basis for clinical diagnosis and treatment. They should never be used as a test for various diseases. The all-purpose instrument and the only means of diagnosis will go to extremes. CR, CT and MRI have certain specificity, mechanical properties and limitations in the examination of diseases. Therefore it is not 100% accurate. Before diagnosis, we must have a good understanding of the cause of the patient’s pathogenesis and pathological changes, and combine the examination of advanced instruments and objective changes in the human body to make a comprehensive analysis, so as to make an accurate diagnosis and determine the treatment plan. Why does osteophytes hurt? After clinical practice, it is found that the main cause of pain and joint dysfunction is not “osteophytes”, but the injury to the soft tissues around the joints, such as muscles, ligaments and joint capsule, due to the mechanization of local stasis and edema, the muscles, ligaments, joint capsule and accompanying nerves and blood vessels adhere to each other, and in the intervertebral foramen and nerve roots, the nerves and blood vessels are connected to each other. The nerve roots, nerves and blood vessels pass through the narrow part of the peripheral nerve branches to form a kind of fiber wrapping compression, resulting in nerve and blood vessel compression to produce neck, shoulder, back and leg pain, numbness. The mechanized adhesions restrict and affect the range of motion of the joints and the contraction and extension of the muscles, ligaments and joint capsule, blocking the local blood circulation and the conduction and excitation of the nerve fibers, limiting the active contraction and extension movements, and causing pain due to the stimulation of non-specific inflammation, resulting in the hypertrophy of the mechanized adhesions. This theory is also in line with the basic understanding of pain pathogenesis in Chinese medicine, which is “pain is not passable, and passability is not painful”. Osteomalacia is not a disease The relevant clinical data reported that 426 patients diagnosed with “osteomalacia” were followed up for 2 to 15 years, and their ages ranged from 28 to 89 years. Some of the patients had no significant changes in their “osteophytes” as before the treatment, while some of them had worsened than before the treatment, but they did not have any symptoms of neck, shoulder, lumbar and leg pain, nerve and blood vessel compression, and their joints still functioned freely. This fully proves that there is no causal relationship between the causes of neck, shoulder, lumbar and leg pain and joint dysfunction and osteophytes. It can be considered that osteophytes are a normal phenomenon in the process of growth, development, maturation and degeneration of human body, which is a natural law, and it is not a pathological change, let alone a disease. Therefore, “osteophytes” should not be treated as a disease.