The most common question from patients is: How do I get rid of that bone spur? What medicine will get rid of the bone spur and so on. It seems that bone spurs are the root cause of all knee pain. In fact, bone spurs grow in different joints and cause different symptoms. Shoulder joints such as subacromial bone spurs can often lead to subacromial space narrowing, “subacromial impingement”, rotator cuff wear and intractable pain; acetabular bone spurs in the hip joint can lead to “hip joint compression” or “hip joint impingement”, causing hip joint pain. Acetabular bone spurs in the hip joint can cause “hip compression” or “hip impingement”, causing chronic pain and limited mobility of the hip joint. In the knee, however, bone spurs are often not the cause of pain. Severe knee osteoarthritis X-ray can be found around the edge of the joint a large number of bone spurs, due to the location of conspicuous, patients often feel that they are the root cause of pain, the root of the disease. Every time they want to take some kind of “miracle drug” to get rid of those bone spurs. Also gave birth to a variety of bone spurs paste, bone spurs and other drugs. In fact, the root cause of degenerative knee pain is the wear and tear of the cartilage on the joint surface and the imbalance of the force line. Bone spurs, not only is not the root cause of pain, but also may be the body to avoid pain, stabilize the joint and adaptive response. The growth of bone spurs around a joint makes the joint more stable and reduces mobility. In a sense, by being inactive, the joints become pain-free. Osteoarthritis is also characterized by pain in the joints when walking, and reduced pain or even no pain at all when resting and not walking. Therefore, the fundamental treatment for osteoarthritis of the knee is not the removal of bone spurs, but the restoration of the flatness of the articular cartilage surface and the restoration of the smooth movement function of the joint. Unfortunately, articular cartilage has a weak capacity for repair and regeneration, especially in the elderly, where cartilage regeneration is almost impossible, and there is no medication that can help to repair articular cartilage surfaces that have deteriorated and worn out. Although various amino acid dextrose or chondroitin sulfate are advertised to repair cartilage, there is no uniformly conclusive evidence in the professional literature to support the idea that these drugs can help restore degenerative articular cartilage wear and tear and reduce joint pain in the elderly. As a result, the American Orthopaedic Association’s 2014 guidelines for the treatment of osteoarthritis of the knee no longer recommend the use of these medications for the treatment of osteoarthritic knee pain. The high cost of these medications can also add significantly to the financial burden of our underdeveloped and relatively under-resourced country. So, is there no cure for osteoarthritis? Of course not. Currently, the main focus of treatment is to maintain joint function, control pain, and ensure the patient’s quality of life. For mild cases, topical creams and ointments produced by regular manufacturers can be applied. For the more severe cases, oral anti-inflammatory and analgesic drugs can be added, which need to be clarified here are anti-inflammatory and analgesic drugs, not “anti-inflammatory drugs (antibacterials)” as the common people usually say. There is a wide range of these medications, so you can get guidance from a professional joint surgeon to choose the right medication for you. At the same time, weight loss, regular warmth and muscle strength training for overweight people, as well as a reduction in exercise such as hiking and stair climbing, are also critical measures. Severe osteoarthritis, in the knee joint for example, can be excruciatingly painful, even adding to the pain with every step. But walking is so important to us. Clothing, food, shelter and transportation, as the familiar saying goes, are important components of our lives. If every step hurts, how can we talk about “walking”? Where else can we live? Although osteoarthritis patients are basically elderly people, the shortness of life makes us cherish every day of our lives. In the course of life, happiness in old age is the reward for our hard work in life. A pain-free old age is the basis of happiness. Even if the joints have become deformed, with bone spurs and difficulty in walking, they are often curable in the face of modern medicine. Currently, not only can total joint surface replacement surgery be performed on the knee, but partial joint replacement can also be selected, such as unicondylar joint replacement (or commonly referred to as half-knee replacement), patellofemoral joint replacement, and so on. Despite the unavoidable risks of surgery, the vast majority of seniors with severe osteoarthritis who opt for joint replacement enjoy a pain-free old age. In conclusion, pain in the joints requires a consultation with a specialized joint surgeon to obtain more specialized guidance for a pain-free old age.