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• Osteoarthritis : The leading cause, where cartilage breakdown prompts compensatory bone growth at joint margins • Natural ageing and wear-and-tear : Chronic joint use and microscopic damage accumulate over time, stimulating bone formation • Tendonitis or ligament stress : Conditions like plantar fasciitis create chronic pulling forces that trigger bone spur development • Spinal disc degeneration : Loss of disc height and instability trigger compensatory osteophyte formation along vertebral margins • Previous injuries or trauma : Fractures, dislocations, or ligament tears can disrupt joint surfaces and promote abnormal bone growth • Inflammatory conditions : Certain types of arthritis or metabolic disorders can contribute to excessive bone formation How do Osteophytes Develop (Pathophysiology) The formation of an osteophyte involves a complex biological process called osteophytosis

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McDermott, 2009