I remember a patient came to the outpatient clinic because of double knee pain, I looked at her film and said: “Your joint degeneration is so serious, young is not often do heavy work ah?” The words just fell, in front of the more than fifty-year-old middle-aged woman could not help but weep, along with the children came to comfort their mother, while telling me about the hard life of the mother when she was young …… In clinical work, professional orthopedic surgeons generally do not use the word “osteophytes” to describe the condition. In clinical practice, professional orthopedic surgeons generally do not use the term “osteophytes” to describe the condition because it represents a “superficial phenomenon” and is even misleading. The professional term for the proliferation of “bone spurs” is “bone flap”, which is the body’s repair response to the bones in the process of long-term adaptation, and the fundamental purpose of its formation is “self-protection”, which to a certain extent is beneficial to our body. It is formed for the purpose of “self-protection”, which is beneficial to our body to a certain extent. However, as the degeneration worsens and exceeds the limit of the body’s ability to withstand, various symptoms such as pain and limited movement will appear. An ordinary x-ray film appears differently to different levels of doctors. Experienced doctors can look at a monotonous x-ray film and reconstruct a picture of the wear and tear of articular cartilage in their minds, and even complete the key steps of the surgery in their minds. This is not as simple as what the “experts” in the TV commercials say! Farmers who work all year round are a high incidence of joint degeneration, and the severe degenerative changes on their joint x-rays are not only telling the doctor about their condition, but also about the bravery and persistence of a laborer in the face of a hard life! I hope this article can let friends correctly recognize osteoporosis, no longer be fooled!