Bone spurs and osteophytes are common diseases of old age, which are known by the medical specialty name of osteoarthritis and osteoarthrosis (OA). It is the most common joint disease in the world, and its prevalence increases rapidly with age. most people over the age of 65 are affected, and 80% of those over the age of 75. Associated Factors i. Diet and Weight Obesity increases pressure on the joints (especially the knee joints). weight loss can both reduce symptoms and improve joint function. symptomatic relief can be achieved by losing just a few kilograms of body weight; OA progresses more rapidly when vitamin D declines. Second, physical activity 1, risk factors: history of knee surgery, history of joint trauma, heavy physical labor. Therefore, the folk often say, through strenuous activities to wear out the bone spurs is not desirable, you should avoid climbing mountains, climbing stairs and other weight-bearing activities, which is easy to aggravate the wear and tear of the joints. 2, neuromuscular regulation: rehabilitation exercises can improve the control of neuromuscular, strengthen the quadriceps muscle exercise can reduce pain, improve function and quality of life. You can choose swimming, cycling and other sports, these activities can exercise muscle strength, control institutional weight, without increasing the joint weight. Medication I. Characteristics of drugs for the elderly According to statistics, the United States, 25 to 50% of the elderly suffering from pain, experts instructed the most common treatment of pain in the elderly is the use of painkillers. Characteristics of drugs for the elderly: 1. low tolerance of drugs, easy to produce adverse reactions; 2. the elderly are often accompanied by hypertension, diabetes, coronary heart disease, renal insufficiency and other diseases, often taking a variety of drugs at the same time, easy to cross-reaction between drugs. Second, commonly used drugs: 1, non-steroidal anti-inflammatory drugs: such as fu-talin, fen-phen, cofentin, cilostatin and so on. This kind of drug anti-inflammatory pain relief effect is certain. However, about 15-20% of them have gastric and intestinal ulcers, and about 2-4% of them have bleeding and perforation; women >70 years old plus those who have heart disease and history of ulcers are at increased risk.COX-2 specific selective drug Cilostro has anti-inflammatory and pain-relieving effects similar to those of ibuprofen, diclofenac sodium, naproxen, etc. But the adverse effect has been significantly reduced. 2, the treatment of auxiliary drugs: glucosamine sulfate at the same time has the dual role of symptomatic improvement and structural repair, rather than just stay in the symptomatic treatment. At present, such varieties on the market are Vibramycin, Glucophage and so on. However, they are suitable for mild and moderate arthritis, and are not suitable for severe arthritis, or even the case of knee joint inversion. 3.Sodium hyaluronate intra-articular injection: Sodium hyaluronate, such as Alzheimer’s, Schweppes, etc., has the function of lubrication and protection of cartilage. It has good efficacy for mild to moderate osteoarthritis, but attention should be paid to strict aseptic operation to reduce the chance of infection; it is not recommended to use it when there is more fluid in the joints, and at the same time pay attention to the fact that no strenuous activities should be carried out after the injection to avoid the production of fluid. For diabetic patients, it should be used after controlling blood sugar. 4, hormone intra-articular injection: intra-articular injection of glucocorticoids can inhibit intra-articular inflammation, reduce synovial edema, intra-articular effusion, but it also inhibits the repair of articular cartilage, so it can not be used routinely, but only in the joints of the inflammation is more serious, the effusion of the use of more, and strict control of the number of times of use. In conclusion, mild to moderate bone spurs (osteoarthritis) can be controlled through appropriate exercise and reasonable use of medication, but in severe cases, surgery should be considered.