Joint pain is common when people reach middle age, especially knee pain is more common. According to Wang Zhijian, director of the Department of Joint Trauma at the Third People’s Hospital of Dalian, about one-third of patients visit the orthopedic clinic for knee joint every day. The patient’s report card after taking a film often states that osteophytes or bone formation or bone spurs are visible in the knee joint. Is osteophytes (bone spurs) a disease? Osteomalacia is a manifestation of osteoarthritis of the knee joint and is not a separate disease. It is caused by abnormal deposition of local calcium salts due to inflammatory or stressful stimulation of the ligamentous muscle attachment points around the joint, which over time forms a bone flab, or bone spur, that can be visualized by X-ray. Non-orthopedic surgeons often diagnose knee pain as osteophytes, a diagnosis that is commonplace but lacks scientific validity. As a result of this diagnosis, many middle-aged and elderly patients with knee pain mistakenly believe that their disease can only be cured by a medical institution or individual who specializes in osteophytes, thus bypassing the orthopedic surgeon, with unsatisfactory results. Knee “spurs” are generally a manifestation of osteoarthritis of the knee joint, a chronic joint disease whose main changes are degeneration of the cartilage surfaces of the joint and secondary osteophytes. The disease is generally caused by long-term chronic strain, decreased bone density, obesity, trauma and uneven stress, and genetics. Osteoarthritis of the knee joint is more common in older obese women and is characterized by swelling, fluid accumulation, pain (mostly on the inside of the knee joint), restricted movement, occasional popping, and over time, stiffness and deformation of the knee joint, loss of mobility, and in severe cases, inability to care for oneself, resulting in disability. Clinically, “bone spurs” can not only be treated, but also prevented. Wang Zhijian said that the condition of osteoarthritis of the knee is generally divided into four stages: the first stage, simple knee pain, X-rays no abnormal performance; the second stage, in addition to joint pain, X-rays can have a slight performance; the third stage, there can be osteophytes, that is, we often say “bone spurs”; the fourth stage, the joint gap In the fourth stage, the joint space becomes narrower, the joint is subluxed, etc., and the pain is obvious. For the first and second stages of osteoarthritis, regular conservative treatment, including activity restriction, physical therapy, oral anti-inflammatory and pain relieving drugs, knee injections of sodium glass, arthroscopic knee joint cleaning and other treatments can remove the cause of osteoarthritis and slow down the development of the disease, so as to achieve late growth of “bone spurs” or even no growth of “bone spurs”. The goal is to delay the development of “bone spurs” or even not to develop “bone spurs”. For severe osteoarthritis with significant pain and in older patients, surgery is necessary to solve the problem and knee replacement can be considered to eliminate pain and improve the quality of life. In response to the various propaganda for the treatment of “osteophytes and bone spurs” in the market, Wang reminded patients that “osteophytes and bone spurs” is not a diagnosis of the disease, but must be clearly diagnosed in a regular hospital to find the cause of “osteophytes and bone spurs”. The reason for “osteophytes and bone spurs” must be clearly diagnosed in a regular hospital, and the cause of “osteophytes and bone spurs” must be found, and a scientific treatment plan must be formulated and treated with evidence. In addition, we need to pay attention to the protection of the knee joint in our daily life: avoid over-activity and strain on the knee joint, pay attention to the combination of work and rest to prevent tissue damage caused by excessive force; for obese people, we need to control the diet and keep the weight within the appropriate range to reduce the pressure and wear on the joint; elderly people can appropriately supplement calcium, vitamin D and other drugs that are closely related to bone metabolism of the joint to prevent and treat osteoporosis. The elderly can take calcium, vitamin D and other drugs closely related to bone metabolism and joints to prevent osteoporosis and participate in moderate physical exercise to slow down the process of degenerative changes in bone tissue.