Osteomalacia is commonly known as bone spurs, also known as bone metaplasia. It refers to the edge of the bone joint due to long-term chronic injury caused by scar tissue proliferation, over time can produce calcium deposits into bone and formed. It is a manifestation of osteoarthritis. In recent years, X-rays have been commonly used in clinical examinations, and thus more and more cases of osteoarthritis have been found. Clinically, there are many people due to the lack of a correct understanding of osteophytes, often once the X-ray radiographs found to have osteophytes, blindly think that their pain is caused by osteophytes, it seems to be an incurable disease, for which the patient is often on the back of the ideological baggage, and everywhere to seek medical treatment for bone spurs, and even some people have been deceived. In fact, osteophytes is only a physiological compensatory function of the human body, is the human body to adapt to changes in force and produce a defensive response. It can make the poor stability of the bone and joint can be strengthened, thus conducive to the stability of the bone and joint, to avoid continuing to be damaged, but may also cause the pressure on the surrounding nerves, blood vessels, etc., the corresponding clinical symptoms, so that it is both physiological, but may be transformed into a pathological. We have to look at it from a dual perspective, and cannot blame all the clinical symptoms on bone spurs. Relevant data show that adults have osteomalacia to varying degrees, and as age increases, the more extensive and serious osteomalacia. It can be seen that osteophytes are the physiological degenerative changes of bone and joint in the middle and old age, which is the inevitable result of human aging. Its formation has a close relationship with the pressure and anatomical and physiological characteristics of bone joints and vertebrae of people of different ages and occupations. Clinical practice has also proved that the human body with bone spurs, not always appear clinical symptoms. On the contrary, those who have clinical symptoms do not always have osteophytes. Moreover, the presence or absence of bone spurs, the size, the number and the degree of clinical symptoms are not proportional to the degree of severity, so there is no need for people to doubt whether they have bone spurs, or because of bone spurs and panic. Clinically, many patients with osteoarthritis have their symptoms disappeared after proper treatments such as manipulation, traditional Chinese medicine, physiotherapy, nerve block, etc., but the bone spurs on X-ray film still exist, which indicates that the direct cause of clinical symptoms is not the presence or absence of bone spurs. If it is really caused by the compression of bone spurs, it can not be eliminated by manipulation and medication. It can be seen that osteophytes do not necessarily imply a disease in most cases, but rather a physiologic tissue reaction. For this reason, the presence of osteophytes without clinical symptoms does not require deliberate treatment. Only if it is recognized that osteophytes are the main cause of low back pain, then it is necessary to target treatment.