Lumbar spine osteophytes are not lumbar disc herniation because lumbar spine osteophytes are problems with the bone, while lumbar disc herniation is a painful protrusion of the lumbar disc from the ruptured annulus fibrosus and the corresponding compression of the nerve. Having osteophytes in the lumbar spine means that the lumbar spine is unstable, possibly due to weakness of the lumbar back muscles or laxity of the ligaments, etc. The presence of lumbar disc herniation must be present to produce lumbar spine osteophytes because the main principle of lumbar disc herniation is the lack of long-term lumbar muscle strength and ligamentous laxity, and the ligaments are torn under violence, which leads to the internal fibrocartilage slipping out and affecting the lumbar spine activities or stimulating the nerve roots with corresponding pain.