In my clinical work, I often encounter patients with X-ray reports who ask with concern, “Doctor, what should I do if I have bone spurs in my back? Is there any medicine that can eliminate the bone spur?” In fact, a bone spur in the lumbar spine is not a terrible thing, because it is not a disease. However, this situation occurs mainly because the general public has a misconception about bone spurs, and most of them believe that they are not only a disease, but also a terrible disease. Therefore, when a spur is found after a lumbar spine radiograph, and the radiology report states “lumbar spine bone superfluity formation and lumbar spine degeneration”, people are even more frightened. In fact, this is a misunderstanding, or at least a one-sided understanding, of bone spurs. As we age and the body ages, the nucleus pulposus of the lumbar intervertebral disc becomes dehydrated, the intervertebral space decreases, the ligaments around the vertebral joints relax, the lumbar vertebral segments become unstable and other degenerative changes occur, and due to the body’s own compensatory effect, the excessive activity caused by the instability of the vertebral joints can cause local bleeding and ossification, resulting in the formation of bone spurs, thus achieving the role of re-stabilization. This process is like growing gray hair and losing teeth when people get old, which is a normal physiological process. In the elderly population over 60 years of age, about 60% can have bone spurs and cause spinal stenosis, but very few have symptoms, and most have no symptoms at all, but the spurs can be detected on x-ray. In this sense, in these asymptomatic individuals, the bone spur is clearly not a disease. However, if the bone spur causes nerve compression that interferes with daily activities, then it is a disease. For those who are asymptomatic, the usual lumbar care is sufficient, with less bending, less sitting in front of computers and televisions, and strengthening of the lumbar back muscles through forward and backward walking exercises. For those with neurological symptoms caused by bone spurs, it is important to seek early medical attention.