Bone spurs and osteophytes are common diseases of the elderly, and its medical professional name is osteoarthritis, osteoarthrosis (OA). It is the most common joint disease in the world, and the prevalence increases rapidly with age. most people over 65 are affected, and 80% of people over 75 are affected. Related factors (a) diet and weight Obesity increases the pressure on the joints (especially the knee joint), reducing weight can both reduce symptoms and improve joint function, as long as a few kilograms of weight loss can relieve symptoms; OA progresses faster when vitamin D decreases. (B) physical activity 1, risk factors: history of knee surgery, history of joint trauma, heavy physical labor, etc. Therefore, the folk often say, through strenuous activities to wear off the bone spurs is not advisable, should avoid climbing, climbing and other weight-bearing activities, which can easily increase the wear and tear of the joint. 2, neuromuscular regulation: rehabilitation exercises can improve the control of neuromuscular, strengthening the quadriceps can reduce pain, improve function and quality of life. Exercises such as swimming and cycling can be chosen. These activities can exercise muscle strength and control institutional weight without adding weight to the joints. Medication (a) the characteristics of medication for the elderly According to statistics, 25 to 50% of the elderly in the United States are troubled by pain, and experts have instructed that the most common treatment for pain in the elderly is the use of painkillers. The characteristics of medication for the elderly: 1. low tolerance to drugs, prone to adverse reactions; 2. the elderly are often accompanied by hypertension, diabetes, coronary heart disease, renal insufficiency and other diseases, often taking a variety of drugs at the same time, prone to cross-reactivity between drugs. (2) Commonly used drugs 1, non-steroidal anti-inflammatory drugs, such as Fotarine, Fentin, Coventin, Celebrex, etc.. The anti-inflammatory and pain-relieving effect of such drugs is certain. However, about 15-20% of them have gastric and intestinal ulcers, and about 2-4% have bleeding and perforation; women aged >70 years plus those with a history of heart disease and ulcers are at increased risk. celebrex has similar anti-inflammatory and analgesic effects as ibuprofen, diclofenac sodium, naproxen, etc., but the adverse effects are significantly reduced. 2. Treatment with adjuvant drugs: Glucosamine sulfate has both symptom improvement and structural repair, rather than just staying in symptomatic treatment. The varieties of such drugs currently on the market are Vibramix and Glucophage. However, they are suitable for mild and moderate arthritis, and not for severe arthritis, or even the appearance of internal knee joint rotation. 3.Sodium hyaluronate intra-articular injection: Sodium hyaluronate, such as Argii and Spironolactone, has the function of lubricating and protecting cartilage. It is effective for mild to moderate osteoarthritis, but attention should be paid to strict aseptic operation to reduce the chance of infection; it is not recommended when there is more joint effusion, and attention should also be paid to avoid strenuous activities after injection to avoid effusion. For diabetic patients, it should be used after controlling blood sugar. 4.Hormone intra-articular injection: Intra-articular injection of glucocorticoid can inhibit inflammation in the joint, reduce synovial edema and intra-articular effusion, but it also inhibits the repair of articular cartilage, so it cannot be used routinely, but only when the inflammation in the joint is heavy and the effusion is high, and the number of times it is used is strictly controlled. In conclusion, mild to moderate bone spurs (osteoarthritis) can be controlled through proper exercise and the use of medication, but in severe cases surgery should be considered.